What do erythropoietin stimulating agents do?

Recombinant erythropoietin drugs are known as erythropoietin-stimulating agents (ESAs). These drugs are given by injection (shot) and work by stimulating the production of more red blood cells. These cells are then released from the bone marrow into the bloodstream.

What drugs are erythropoiesis-stimulating agents?

Erythropoiesis-Stimulating Agents

  • epoetin alfa.
  • epoetin alfa-epbx.
  • Epogen.
  • Eprex.
  • erythropoietin.
  • Procrit.
  • Retacrit.

When should you start erythropoietin stimulating agents?

o Initiate ESA treatment when the hemoglobin level is less than 10 g/dL.

What is erythropoietin in pharmacology?

Abstract. Human erythropoietin (Epo) is a 30.4 kDa glycoprotein hormone composed of a single 165 amino acid residues chain to which four glycans are attached. The kidneys are the primary sources of Epo, its synthesis is controlled by hypoxia-inducible transcription factors (HIFs).

What are the different types of erythropoietin?


  • Erythropoietin (Epo)
  • Epoetin alfa (Procrit, Epogen)
  • Epoetin beta (NeoRecormon)
  • Epoetin zeta (Silapo, Retacrit)
  • Darbepoetin alfa (Aranesp)
  • Methoxy polyethylene glycol-epoetin beta (Mircera)

How is erythropoiesis stimulated?

Erythropoiesis is stimulated by eEpo, and under conditions of severe hypoxia (low O2 concentration) eEpo levels can increase up to 1000-fold (Erslev, 1997). Epo is initially synthesized as a 193 amino-acid precursor.

What stimulates the production of erythropoietin?

Lack of O2 (hypoxia) is a stimulus for the synthesis of erythropoietin (Epo), primarily in the kidneys.

What is the action of erythropoietin?

Erythropoietin acts by binding to its cell surface receptor which is expressed at the highest level on erythroid progenitor cells to promote cell survival, proliferation, and differentiation in production of mature red blood cells.

What is erythropoietin classification?

Epoetin alfa products are in a class of medications called erythropoiesis-stimulating agents (ESAs). They work by causing the bone marrow (soft tissue inside the bones where blood is made) to make more red blood cells.

What is the mechanism of erythropoietin?

Erythropoietin (Epo) is a glycoprotein hormone produced in the kidney that acts on erythroid progenitor cells in the bone marrow. A negative feedback system, in which tissue oxygenation controls Epo production and Epo controls red blood cell (RBC) production, provides homeostasis in oxygen delivery to body tissues.

How does erythropoietin stimulate erythropoiesis?

Erythropoietin (EPO) is a hormone that is produced predominantly by specialised cells called interstitial cells in the kidney. Once it is made, it acts on red blood cells to protect them against destruction. At the same time it stimulates stem cells of the bone marrow to increase the production of red blood cells.

Where is erythropoietin produced?

the kidney
Erythropoietin (Epo) is a glycoprotein that promotes the proliferation and differentiation of erythrocyte precursors. The major site of Epo production is the kidney, while the liver is the main extrarenal site of Epo production.