Peran Eritpoietin Hasil Ekspresi Gen Epo Terhadap Peningkatan Oksigen dan Implikasinya Terhadap Penderita Hipoksia
Abstract
Hipoksia adalah kondisi yang terjadi karena rendahnya kadar oksigen dalam jaringan tubuh, yang dapat menyebabkan berbagai masalah kesehatan. Eritropoietin (EPO) adalah hormon yang mengatur produksi sel darah merah dan membantu meningkatkan kemampuan darah membawa oksigen. Penelitian ini bertujuan untuk mengevaluasi peran ekspresi gen EPO dalam meningkatkan oksigenasi jaringan dan dampaknya pada penderita hipoksia melalui tinjauan literatur ilmiah. Metode penelitian melibatkan tinjauan literatur dengan 19 Jurnal menggunakan database Scopus dan PubMed, dengan fokus pada artikel yang membahas EPO dan hipoksia. Hasil menunjukkan bahwa pada orang dewasa sehat, tubuh memproduksi 200 miliar sel darah merah setiap hari, dikendalikan oleh deteksi oksigen. EPO diproduksi di ginjal dan hati, terutama dalam kondisi hipoksia. Pemberian EPO rekombinan dapat meningkatkan kadar hemoglobin dan oksigenasi jaringan, serta memiliki efek positif pada aliran darah dan perlindungan otak. Implikasi penelitian mencakup peningkatan kadar EPO alami untuk mendukung penyandang PPOK, penggunaan EPO rekombinan dalam pengobatan anemia, dan peran EPO dalam pemulihan jantung setelah serangan iskemik. Meskipun ada potensi terapi berbasis EPO, tantangan seperti risiko polisitemia dan hipertensi tetap ada. Penelitian lebih lanjut diperlukan untuk menemukan cara yang aman untuk meningkatkan ekspresi EPO.
Downloads
References
Brines, M. L., Ghezzi, P., & Keenan, S. (2015). Efikasi rHuEPO dalam model hewan pengerat dengan iskemia otak fokal, cedera otak gegar otak, ensefalomielitis autoimun eksperimental, dan kejang yang disebabkan oleh kainat. Journal of Neurochemistry, 100(4), 867–876.
Bunn, H. F. (2019). Erythropoietin and the regulation of erythropoiesis. Cold Spring Harbor Perspectives in Medicine, 9(8).
Cantarelli, C., Angeletti, A., Cravedi, P., Medicine, S., & Unit, T. (2020). Erythropoietin, a multifaceted protein with innate and adaptive immune modulatory activity. 19(9), 2407–2414. https://doi.org/10.1111/ajt.15369.Erythropoietin
Cao, Y., et al. (2020). Erythropoietin and angiogenesis: Molecular mechanisms and therapeutic implications. International Journal of Molecular Sciences, 21(118), 6620.
Deji, B. Z., Shang, P., Danzeng, W. J., Zhang, H., & Qiangba, Y. Z. (2015). Expression and hypoxia adaptation analysis of the EPO gene in different tissues of plateau Tibetan pigs. 14(1), 1700–1706.
Elliott, S., & Pham, E. (2020). Erythropoietin: From molecule to medicine 30 years later. Nephrology Dialysis Transplantation, 35(3), 399–408.
Fandrey, J., et al. (2019). Erythropoietin signaling pathways: Regulation and function. Blood Advances, 3(14), 2135–2150.
Gutiérrez, O. M., Wolf, M., & Zhan, T. (2019). The EPO-FGF23 signaling pathway in erythroid progenitor cells. Kidney International, 96(6), 1350–1353. https://doi.org/10.1016/j.kint.2019.07.014
Hadley, M. B., et al. (2021). “Erythropoietin therapy in chronic kidney disease and cardiovascular outcomes.” (2021). Journal of the American Society of Nephrology, 32(5), 1147–1155.
Jelkmann, W. (2021). Erythropoietin after a century of research: Younger than ever. Blood Reviews, 50.
Jelkmann, W. (2021). Erythropoietin mimetics and erythropoiesis-stimulating agents: Current and future perspectives. Drug Discovery Today, 26(2), 360–370.
Kato, S., Chmielewski, M., Honda, H., Pecoits-Filho, R., Matsuo, S., Yuzawa, Y., ... & Stenvinkel, P. (2015). Aspects of immune dysfunction in end-stage renal disease. Clinical. Journal of the American Society of Nephrology, 3(5), 1526–1533. https://doi.org/10.2215/CJN.05960614
Kietzmann, T. (2020). Hypoxia-inducible erythropoietin expression: details matter. Haematologica, 105(12), 2704–2706. https://doi.org/10.3324/haematol.2020.261966
Koury MJ, H. V. (2015). Anemia pada penyakit ginjal: memanfaatkan respons hipoksia untuk terapi. Nat Rev Nephrol, 11(7), 394–410.
Kramer, A., et al. (2018). Erythropoietin in the treatment of ischemic stroke: A systematic review and meta-analys. Neurology, 91(20), 1912–1921.
Lappin, K. M., Mills, K. I., & Lappin, T. R. (2021). Erythropoietin in bone homeostasis—Implications for efficacious anemia therapy. Stem Cells Translational Medicine, 10(6), 836–843. https://doi.org/10.1002/sctm.20-0387
Lipsic, E., et al. (2021). Protective effects of erythropoietin in cardiac ischemia-reperfusion injury. Journal of the American College of Cardiology, 77(5), 552–564.
Lundby, C., Robach, P., & Saltin, B. (2018). Erythropoietin and exercise: The role of recombinant erythropoietin in performance enhancement. Sports Medicine, 48(6), 1309–132.
Maxwell, P. H., & Ratcliffe, P. J. (2018). Oxygen sensing and hypoxia-inducible factors in oxygen homeostasis and disease. New England Journal of Medicine, 372(12), 1087–1096.
Patton, S. J., et al. (2019). Recombinant erythropoietin in endurance sports: Physiological effects and ethical concerns. Sports Medicine, 49(2), 241–252.
Portolés, J., Martín, L., Broseta, J. J., & Cases, A. (2021). Anemia in Chronic Kidney Disease : From Pathophysiology and Current Treatments , to Future Agents. 8(March), 1–14. https://doi.org/10.3389/fmed.2021.642296
Prchal, J. T., & Jelinek, J. (2021). Erythropoiesis and erythropoietin therapy: Recent advances and clinical applications. Hematology/Oncology Clinics of North America, 35(4), 637–656.
Reusch, D., Haberger, M., Falck, D., Peter, B., Maier, B., Gassner, J., & Hook, M. (2015). Quality and batch-to-batch consistency of original and biosimilar epoetin alfa products. ,. Journal of Pharmaceutical Sciences, 104(6), 1610–1620.
Senthil Velan Bhoopalan, Lily Jun-shen Huang, M. J. W. (2024). Erythropoietin regulation of red blood cell production : from bench to bedside and back Senthil Velan Bhoopalan. 9, 1–17.
Singh, A. K., & Fisher, J. W. (2020). Erythropoietin and its expanding role in medicine. Molecular Medicine, 26(1), 1–14.
Sun, J., Wang, Y., & Yang, J. (2012). Long-term and stable correction of uremic anemia by intramuscular injection of plasmids containing hypoxia-regulated system of erythropoietin expression. 44(11), 674–683.
Suzuki, N. (2015). Erythropoietin gene expression: Developmental-stage specificity, cell-type specificity, and hypoxia inducibility. Tohoku Journal of Experimental Medicine, 235(3), 233–240. https://doi.org/10.1620/tjem.235.233
Takeuchi, M., Kobata, A., & Misaizu, T. (2015). Structural identification of a non-glycosylated variant at Ser126 for recombinant human erythropoietin. Glycobiology, 25(9), 963–971. https://doi.org/10.1093/glycob/cwv032
Wang, L., et al. (2021). Effects of erythropoietin therapy in chronic heart failure: A meta-analysis of clinical trials. European Journal of Heart Failure, 23(3), 487–496.
Watts, D., Gaete, D., Rodriguez, D., Hoogewijs, D., Rauner, M., Sormendi, S., & Wielockx, B. (2020). Hypoxia pathway proteins are master regulators of erythropoiesis. International Journal of Molecular Sciences, 21(21), 1–18. https://doi.org/10.3390/ijms21218131
Westenbrink, B. D., et al. (2020). Erythropoietin and neuroprotection: Mechanisms and clinical applications. Neuroscience & Biobehavioral Reviews, 119, 332–334.
Xie, X., et al. (2019). Gene therapy approaches to modulating erythropoietin production: Advances and challenges. Gene Therapy, 26(1), 10–23.
Copyright (c) 2025 Rinaldi Masdar, Rizky Aprilliani Nurdin, Yusminah Hala

This work is licensed under a Creative Commons Attribution 4.0 International License.












