The Serum Erythropoietin Level in Patients with Chronic Kidney Disease

Main Article Content

Somchai Insiripong
Chawasak Kanokkantapong
Tanarat Supattarobol

Abstract

Objective: The erythropoietin (EPO) is well-known synthesized by the kidney. When the function of the kidney is severely impaired, the EPO is expected to decrease. This paper is aimed to quantify the serum EPO in cases of chronic kidney disease (CKD) and to compare it with that of thalassemia major and of the normal control. Patients and method: The serum EPO of newly diagnosed CKD was quantified, compared and analyzed with that of thalassemia major (TM) and of normal people, using Kruskal-Wallis test. Results: There were 45 cases per group. The means of EPO level of the CKD, TM and normal groups were 26.4±30.9, 106.2±48.9 and 21.2±27.8 mcg/dL respectively. The EPO of the CKD was similar to that of the normal group but significantly lower than that of the TM group. Every case of TM had the EPO level more than the normal range, and 22 of them had EPO>200 mcg/dL (48.9%). Ten from the CKD group (22.2%) and six from the normal group (13.3%) had the EPO level more than the normal range. Conclusion: The serum EPO of CKD, TM and normal groups were 26.4±30.9, 106.2±48.9 and 21.2±27.8 mcg/dL respectively. The EPO level of the CKD was similar to that of the normal but significantly lower than that of the TM group.

Article Details

How to Cite
Insiripong, S., Kanokkantapong, C., & Supattarobol, T. (2024). The Serum Erythropoietin Level in Patients with Chronic Kidney Disease. Maharat Nakhon Ratchasima Hospital Journal, 36(3), 173–180. Retrieved from https://he04.tci-thaijo.org/index.php/MNRHJ/article/view/1712
Section
Original Article

References

Wu H, Liu X, Jaenisch R, Lodish H. Generation of committed erythroid BFU-E and CFU-E progenitors does not require erythropoietin or the erythropoietin receptor. Cell 1995; 83:59-67.

Bachmann S, Le Hir M, Eckardt KU. Co-localization of erythropoietin mRNA ecto-5'-nucleotidase immunoreactivity in peritubular cells of rat cortex indicates that fibroblasts produce erythropoietin. J Histochem Cytochem 1993; 41: 335-41.

Fried W. The liver as a source of extrarenal erythropoietin production. Blood 1972; 40:671-4. Erslev AJ. Erythropoietin. N Engl J Med 1991; 324: 1339-44.

Birgegard G, Wide L.Serum erythropoietin in the diagnosis of polycythaemia and after phlebotomy treatment. Br J Haematol 1992; 81: 603-6.

Astor BC, Muntner P, Levin A, Eustace JA, Coresh J. Association of kidney furction with anemia: the Third National Health and Nutrition Examination Survey (1988-1994). Arch Intem Med 2002; 162: 1401-8.

Hsu CY, McCulloch CE, Curhan GC Epidemiology of anemia associated with chronic renal insufficiency among adults in the United States: results from the Third National Health and Nutrition Examination Survey. J Am Soc Nephrol 2002; 13: 504-10.

De Klerk G, Wilmink JM, Rosengarten PC, Vet RJ, Goudsmit R. Serum erythropoietin (ESF) titers in anemia of chronic renal faiure. J Lab Clin Med 1982; 100: 720-34.

Kato A, Hishida A, Kumagai H, Furuya R, Nakajima T, Honda N. Erythropoietin production in patients with chronic renal failure. Renal Failure 1994; 16: 645-51.

Radke HW, Claussner A, Erbes PM, Scheuermanmann EH, Schoeppe W, Koch KM. Serun erythropoietin concentration in chronic renal failure: Relationship to degree of anemia and excretory renal function. Blood 1979; 54: 877-84.

Chandra M, Clemons GK, McVicar MI. Relation of serumerythropoietinlevels to renal excretory function: Evidence for lowered set point for erythropoietin production in chronic renal failure. J Ped 1988; 113: 1015-21.

Caro J, Brown S, Miller O, Murray T, Erslev AJ. Erythropoietin levels in uremic nephric and anephric patients. J Lab Clin Med 1979; 93:449-58.

Fried W. The liver as a source of extrarenal erythropoietin production. Blood 1972; 40:671-7.

Mady E, Wissa G, Khalifa A, El-Sabbagh M. Assessment of erythropoictin levels and some iron indices in chronic renal failure and liver cirrhosis patients. Disease Markers 1999; 15: 229-36.

Nibli G, Kavakli K, Aydinok Y, Oztop S, Cetingiil N. Serum erythropoietin levels in patients with beta thalassemia major and intermedia. Ped Hematology-Oncology 1997; 14: 161-7.

Dore F, Bonfigli S, Gaviano E,Pardini S, Cianciulli P, Papa G, et al. Serum erythropoietin levels in thalassemi intermedia. Ann Hematol 1993; 67: 183-6.

Kokot F, Franek E, Kokot M, Wicek A. Eryth-ropoietin secretion in patients with chronic renal failure after pure oxygen breathing. Nephron 1994; 67: 436-40.