Erythropoietin mediates brain-vascular-kidney crosstalk and may be a treatment target for pulmonary and resistant essential hypertension

Clin Exp Hypertens. 2017;39(3):197-209. doi: 10.1080/10641963.2016.1246565.

Abstract

Organ crosstalk pathways represent the next frontier for target-mining in molecular medicine for existing syndromes. Pulmonary hypertension and resistant essential hypertension are syndromes that have been proven elusive in etiology, and frequently refractory to first-line management. Underlying crosstalk mechanisms, not yet considered in these treatments, may hinder outcomes or unlock novel treatments. This review focuses systematically on erythropoietin, a synthesizable molecule, as a mediator of brain-kidney crosstalk. Insights gained from this review will be applied to cardiovascular diseases in a clinician-directed fashion.

Keywords: (MeSH) Crosstalk; erythropoietin; hypertension; molecular medicine.

Publication types

  • Review

MeSH terms

  • Brain / physiopathology*
  • Endothelins / metabolism
  • Erythropoietin / metabolism*
  • Essential Hypertension / drug therapy
  • Essential Hypertension / metabolism
  • Heart / physiopathology*
  • Humans
  • Hypertension, Pulmonary / drug therapy
  • Hypertension, Pulmonary / metabolism
  • Kidney / physiopathology*
  • Lung / physiopathology*
  • Nitric Oxide / metabolism
  • Prostaglandins / metabolism
  • Renin-Angiotensin System

Substances

  • Endothelins
  • Prostaglandins
  • Erythropoietin
  • Nitric Oxide