CNTO 530 functions as a potent EPO mimetic via unique sustained effects on bone marrow proerythroblast pools

Blood. 2009 May 14;113(20):4955-62. doi: 10.1182/blood-2008-08-172320. Epub 2009 Mar 5.

Abstract

Anemia as associated with numerous clinical conditions can be debilitating, but frequently can be treated via administration of epoetin-alfa, darbepoietin-alfa, or methoxy-PEG epoetin-beta. Despite the complexity of EPO-EPO receptor interactions, the development of interesting EPO mimetic peptides (EMPs) also has been possible. CNTO 530 is one such novel MIMETIBODY Fc-domain dimeric EMP fusion protein. In a mouse model, single-dose CNTO 530 (unlike epoetin-alfa or darbepoietin-alfa) bolstered red cell production for up to 1 month. In 5-fluorouracil and carboplatin-paclitaxel models, CNTO 530 also protected against anemia with unique efficiency. These actions were not fully accounted for by half-life estimates, and CNTO 530 signaling events therefore were studied. Within primary bone marrow erythroblasts, kinetics of STAT5, ERK, and AKT activation were similar for CNTO 530 and epoetin-alfa. p70S6K activation by CNTO 530, however, was selectively sustained. In vivo, CNTO 530 uniquely stimulated the enhanced formation of PODXL(high)CD71(high) (pro)erythroblasts at frequencies multifold above epoetin-alfa or darbepoietin-alfa. CNTO 530 moreover supported the sustained expansion of a bone marrow-resident Kit(neg)CD71(high)Ter119(neg) progenitor pool. Based on these distinct erythropoietic and EPOR signaling properties, CNTO 530 holds excellent promise as a new EPO mimetic.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anemia / pathology
  • Animals
  • Bone Marrow Cells / drug effects*
  • Bone Marrow Cells / physiology
  • Cell Count
  • Cells, Cultured
  • Drug Evaluation, Preclinical
  • Erythroblasts / drug effects*
  • Erythroblasts / physiology
  • Erythropoiesis / drug effects
  • Erythropoietin / analogs & derivatives*
  • Erythropoietin / chemistry
  • Female
  • Hematinics / chemistry
  • Hematinics / pharmacology*
  • Mice
  • Mice, Inbred C57BL
  • Molecular Mimicry
  • Rats
  • Rats, Sprague-Dawley
  • Recombinant Fusion Proteins / chemistry
  • Recombinant Fusion Proteins / pharmacology*
  • Signal Transduction / drug effects
  • Time Factors

Substances

  • CNTO 530
  • Hematinics
  • Recombinant Fusion Proteins
  • Erythropoietin