Theerythropoietin receptor (EpoR) is aprotein that in humans is encoded by theEPORgene.[5] EpoR is a 52 kDapeptide with a single carbohydrate chain resulting in an approximately 56–57 kDa protein found on the surface of EPO responding cells. It is a member of thecytokine receptor family. EpoR pre-exists as dimers. These dimers were originally thought to be formed by extracellular domain interactions,[6] however, it is now assumed that it is formed by interactions of the transmembrane domain[7][8] and that the original structure of the extracellular interaction site was due to crystallisation conditions and does not depict the native conformation.[9] Binding of a 30 kDa liganderythropoietin (Epo), changes the receptor's conformational change, resulting in theautophosphorylation ofJak2 kinases that are pre-associated with the receptor (i.e., EpoR does not possess intrinsic kinase activity and depends on Jak2 activity).[10][11] At present, the best-established function of EpoR is to promote proliferation and rescue oferythroid (red blood cell) progenitors fromapoptosis.[5]
Murine Epo Receptor truncations and known functions. Erythroid differentiation depends on transcriptional regulatorGATA1. EpoR is thought to contribute to differentiation via multiple signaling pathways including theSTAT5 pathway. In erythropoiesis, EpoR is best known for inducing survival of progenitors.
The cytoplasmic domains of the EpoR contain a number of phosphotyrosines that arephosphorylated byJak2 and serve as docking sites for a variety of intracellular pathway activators and Stats (such asStat5). In addition to activating Ras/AKT and ERK/MAP kinase,phosphatidylinositol 3-kinase/AKT pathway andSTAT transcription factors, phosphotyrosines also serve as docking sites for phosphatases that negatively affect EpoR signaling in order to prevent overactivation that may lead to such disorders as erythrocytosis. In general, the defects in the erythropoietin receptor may produceerythroleukemia andfamilial erythrocytosis. Mutations in Jak2 kinases associated with EpoR can also lead to polycythemia vera.[12]
Primary role of EpoR is to promote proliferation of erythroid progenitor cells and rescue erythroid progenitors from cell death.[13] EpoR induced Jak2-Stat5 signaling, together with transcriptional factor GATA-1, induces the transcription of pro-survival protein Bcl-xL.[14] Additionally, EpoR has been implicated in suppressing expression of death receptors Fas, Trail and TNFa that negatively affect erythropoiesis.[15][16][17]
Based on current evidence, it is still unknown whether Epo/EpoR directly cause "proliferation and differentiation" of erythroid progenitors in vivo, although such direct effects have been described based on in vitro work.
It is thought that erythroid differentiation is primarily dependent on the presence and induction of erythroid transcriptional factors such as GATA-1, FOG-1 and EKLF, as well as the suppression of myeloid/lymphoid transcriptional factors such as PU.1.[18] Direct and significant effects of EpoR signaling specifically upon the induction of erythroid-specific genes such as beta-globin, have been mainly elusive. It is known that GATA-1 can induce EpoR expression.[19] In turn, EpoR's PI3-K/AKT signaling pathway augments GATA-1 activity.[20]
Induction of proliferation by the EpoR is likely cell type-dependent. It is known that EpoR can activate mitogenic signaling pathways and can lead to cell proliferation in erythroleukemic cell linesin vitro, various non-erythroid cells, and cancer cells. So far, there is no sufficient evidence thatin vivo, EpoR signaling can induce erythroid progenitors to undergo cell division, or whether Epo levels can modulate the cell cycle.[13] EpoR signaling may still have a proliferation effect upon BFU-e progenitors, but these progenitors cannot be directly identified, isolated and studied. CFU-e progenitors enter the cell cycle at the time of GATA-1 induction and PU.1 suppression in a developmental manner rather than due to EpoR signaling.[21] Subsequent differentiation stages (proerythroblast to orthochromatic erythroblast) involve a decrease in cell size and eventual expulsion of the nucleus, and are likely dependent upon EpoR signaling only for their survival. In addition, some evidence on macrocytosis in hypoxic stress (when Epo can increase 1000-fold) suggests that mitosis is actuallyskipped in later erythroid stages, when EpoR expression is low/absent, in order to provide emergency reserve of red blood cells as soon as possible.[22][23] Such data, though sometimes circumstantial, argue that there is limited capacity to proliferate specifically in response to Epo (and not other factors). Together, these data suggest that EpoR in erythroid differentiation may function primarily as a survival factor, while its effect on the cell cycle (for example, rate of division and corresponding changes in the levels of cyclins and Cdk inhibitors)in vivo awaits further work. In other cell systems, however, EpoR may provide a specific proliferative signal.
Commitment of multipotent progenitors to the erythroid lineage
EpoR's role in lineage commitment is currently unclear. EpoR expression can extend as far back as the hematopoietic stem cell compartment.[24] It is unknown whether EpoR signaling plays apermissive (i.e. induces only survival) or aninstructive (i.e. upregulates erythroid markers tolock progenitors to a predetermined differentiation path) role in early, multipotent progenitors in order to produce sufficient erythroblast numbers. Current publications in the field suggest that it is primarily permissive. The generation of BFU-e and CFU-e progenitors was shown to be normal in rodent embryos knocked out for either Epo or EpoR.[25] An argument against such lack of requirement is that in response to Epo or hypoxic stress, the number of early erythroid stages, the BFU-e and CFU-e, increases dramatically. However, it is unclear if it is an instructive signal or, again, a permissive signal. One additional point is that signaling pathways activated by the EpoR are common to many other receptors; replacing EpoR with prolactin receptor supports erythroid survival and differentiationin vitro.[26][27] Together, these data suggest that commitment to erythroid lineage likely does not happen due to EpoR's as-yet-unknown instructive function, but possibly due to its role in survival at the multipotent progenitor stages.
Mice with truncated EpoR[28] are viable, which suggests Jak2 activity is sufficient to support basal erythropoiesis by activating the necessary pathways without phosphotyrosine docking sites being needed. EpoR-H form of EpoR truncation contains the first, and, what can be argued, the most important tyrosine 343 that serves as a docking site for the Stat5 molecule, but lacks the rest of the cytoplasmic tail. These mice exhibit elevated erythropoiesis consistent with the idea that phosphatase recruitment (and therefore the shutting down of signaling) is aberrant in these mice.
The EpoR-HM receptor also lacks the majority of the cytoplasmic domain, and contains the tyrosine 343 that was mutated to phenylalanine, making it unsuitable for efficient Stat5 docking and activation. These mice are anemic and show poor response to hypoxic stress, such as phenylhydrazine treatment or erythropoietin injection.[28]
EpoR knockout mice have defects in heart, brain and the vasculature. These defects may be due to blocks in RBC formation and thus insufficient oxygen delivery to developing tissues because mice engineered to express Epo receptors only in erythroid cells develop normally.
Defects in the erythropoietin receptor may produceerythroleukemia and familialerythrocytosis.[5] Overproduction of red blood cells increases a chance of adverse cardiovascular event, such as thrombosis and stroke.
Rarely, seemingly beneficial mutations in the EpoR may arise, where increased red blood cell number allows for improved oxygen delivery in athletic endurance events with no apparent adverse effects upon the athlete's health (as for example in the Finnish athleteEero Mäntyranta).[29]
Erythropoietin was reported to maintain endothelial cells and to promote tumorangiogenesis, hence the dysregulation of EpoR may affect the growth of certain tumors.[30][31] However this hypothesis is not universally accepted.
^Livnah O, Stura EA, Middleton SA, Johnson DL, Jolliffe LK, Wilson IA (February 1999). "Crystallographic evidence for preformed dimers of erythropoietin receptor before ligand activation".Science.283 (5404):987–990.Bibcode:1999Sci...283..987L.doi:10.1126/science.283.5404.987.PMID9974392.
^Ebie AZ, Fleming KG (February 2007). "Dimerization of the erythropoietin receptor transmembrane domain in micelles".Journal of Molecular Biology.366 (2):517–524.doi:10.1016/j.jmb.2006.11.035.PMID17173930.
^Wilson IA, Jolliffe LK (December 1999). "The structure, organization, activation and plasticity of the erythropoietin receptor".Current Opinion in Structural Biology.9 (6):696–704.doi:10.1016/S0959-440X(99)00032-9.PMID10607675.
^De Maria R, Testa U, Luchetti L, Zeuner A, Stassi G, Pelosi E, et al. (February 1999). "Apoptotic role of Fas/Fas ligand system in the regulation of erythropoiesis".Blood.93 (3):796–803.doi:10.1182/blood.V93.3.796.PMID9920828.
^Socolovsky M, Fallon AE, Lodish HF (September 1998). "The prolactin receptor rescues EpoR-/- erythroid progenitors and replaces EpoR in a synergistic interaction with c-kit".Blood.92 (5):1491–1496.doi:10.1182/blood.V92.5.1491.PMID9716574.
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^Chin H, Saito T, Arai A, Yamamoto K, Kamiyama R, Miyasaka N, et al. (October 1997). "Erythropoietin and IL-3 induce tyrosine phosphorylation of CrkL and its association with Shc, SHP-2, and Cbl in hematopoietic cells".Biochemical and Biophysical Research Communications.239 (2):412–417.Bibcode:1997BBRC..239..412C.doi:10.1006/bbrc.1997.7480.PMID9344843.
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^Witthuhn BA, Quelle FW, Silvennoinen O, Yi T, Tang B, Miura O, et al. (July 1993). "JAK2 associates with the erythropoietin receptor and is tyrosine phosphorylated and activated following stimulation with erythropoietin".Cell.74 (2):227–236.doi:10.1016/0092-8674(93)90414-L.PMID8343951.S2CID37503350.
^Eyckerman S, Verhee A, der Heyden JV, Lemmens I, Ostade XV, Vandekerckhove J, et al. (December 2001). "Design and application of a cytokine-receptor-based interaction trap".Nature Cell Biology.3 (12):1114–1119.doi:10.1038/ncb1201-1114.PMID11781573.S2CID10228882.
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1cn4: ERYTHROPOIETIN COMPLEXED WITH EXTRACELLULAR DOMAINS OF ERYTHROPOIETIN RECEPTOR
1eba: COMPLEX BETWEEN THE EXTRACELLULAR DOMAIN OF ERYTHROPOIETIN (EPO) RECEPTOR [EBP] AND AN INACTIVE PEPTIDE [EMP33] CONTAINS 3,5-DIBROMOTYROSINE IN POSITION 4 (DENOTED DBY)
1ebp: COMPLEX BETWEEN THE EXTRACELLULAR DOMAIN OF ERYTHROPOIETIN (EPO) RECEPTOR [EBP] AND AN AGONIST PEPTIDE [EMP1]
1eer: CRYSTAL STRUCTURE OF HUMAN ERYTHROPOIETIN COMPLEXED TO ITS RECEPTOR AT 1.9 ANGSTROMS
1ern: NATIVE STRUCTURE OF THE EXTRACELLULAR DOMAIN OF ERYTHROPOIETIN (EPO) RECEPTOR [EBP]