Abstract
While recombinant human erythropoietin (rhEpo) has been widely used to treat anemia in cancer patients, concerns about its adverse effects on patient survival have emerged. A lack of correlation between expression of the canonical EpoR and rhEpo's effects on cancer cells prompted us to consider the existence of an alternative Epo receptor. Here, we identified EphB4 as an Epo receptor that triggers downstream signaling via STAT3 and promotes rhEpo-induced tumor growth and progression. In human ovarian and breast cancer samples, expression of EphB4 rather than the canonical EpoR correlated with decreased disease-specific survival in rhEpo-treated patients. These results identify EphB4 as a critical mediator of erythropoietin-induced tumor progression and further provide clinically significant dimension to the biology of erythropoietin.
Copyright © 2015 Elsevier Inc. All rights reserved.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Animals
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Blotting, Western
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Breast Neoplasms / genetics*
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Breast Neoplasms / metabolism
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Breast Neoplasms / pathology
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Cell Line, Tumor
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Disease Progression
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Erythropoietin / genetics
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Erythropoietin / pharmacology*
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Female
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Gene Expression Regulation, Neoplastic / drug effects*
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Humans
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Kaplan-Meier Estimate
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MCF-7 Cells
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Mice, Inbred C57BL
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Mice, Nude
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Middle Aged
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Ovarian Neoplasms / genetics*
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Ovarian Neoplasms / metabolism
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Ovarian Neoplasms / pathology
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Protein Binding / drug effects
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Receptor, EphB4 / genetics*
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Receptor, EphB4 / metabolism
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Receptors, Erythropoietin / genetics
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Receptors, Erythropoietin / metabolism
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Recombinant Proteins / pharmacology
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Reverse Transcriptase Polymerase Chain Reaction
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STAT3 Transcription Factor / genetics
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STAT3 Transcription Factor / metabolism
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Young Adult
Substances
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Receptors, Erythropoietin
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Recombinant Proteins
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STAT3 Transcription Factor
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Erythropoietin
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Receptor, EphB4