Abstract

Erythropoietin receptor (EpoR) binding mediates neuroprotection by endogenous Epo or by exogenous recombinant human (rh)Epo. The level of EpoR gene expression may determine tissue responsiveness to Epo. Thus, harnessing the neuroprotective power of Epo requires an understanding of the Epo–EpoR system and its regulation. We tested the hypothesis that neuronal expression of EpoR is required to achieve optimal neuroprotection by Epo. The ventral limbic region (VLR) in the rat brain was used because we determined that its neurons express minimal EpoR under basal conditions, and they are highly sensitive to excitotoxic damage, such as occurs with pilocarpine-induced status epilepticus (Pilo-SE). We report that (i) EpoR expression is significantly elevated in nearly all VLR neurons when rats are subjected to 3 moderate hypoxic exposures, with each separated by a 4-day interval; (ii) synergistic induction of EpoR expression is achieved in the dorsal hippocampus and neocortex by the combination of hypoxia and exposure to an enriched environment, with minimal increased expression by either treatment alone; and (iii) rhEpo administered after Pilo-SE cannot rescue neurons in the VLR, unless neuronal induction of EpoR is elicited by hypoxia before Pilo-SE. This study thus demonstrates using environmental manipulations in normal rodents, the strict requirement for induction of EpoR expression in brain neurons to achieve optimal neuroprotection. Our results indicate that regulation of EpoR gene expression may facilitate the neuroprotective potential of rhEpo.

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Acknowledgments.

We thank D. Ressnikoff and Y. Tourneur from the Centre Commun de Quantimétrie (University of Lyon 1) for their assistance in the use of the confocal microscope. This work was supported by grants from the Centre National de la Recherche Scientifique and the University of Lyon 1. P.E.S. is a fellow from the Délégation Générale pour l'Armement, Ministère Français de la Défense.

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Information & Authors

Information

Published in

Go to Proceedings of the National Academy of Sciences
Proceedings of the National Academy of Sciences
Vol. 106 | No. 24
June 16, 2009
PubMed: 19497871

Classifications

Submission history

Received: August 1, 2008
Published online: June 16, 2009
Published in issue: June 16, 2009

Keywords

  1. hypoxia
  2. environmental enrichment
  3. epilepsy
  4. limbic system
  5. enviromimetic

Acknowledgments

We thank D. Ressnikoff and Y. Tourneur from the Centre Commun de Quantimétrie (University of Lyon 1) for their assistance in the use of the confocal microscope. This work was supported by grants from the Centre National de la Recherche Scientifique and the University of Lyon 1. P.E.S. is a fellow from the Délégation Générale pour l'Armement, Ministère Français de la Défense.

Notes

This article contains supporting information online at www.pnas.org/cgi/content/full/0901840106/DCSupplemental.

Authors

Affiliations

Pascal E. Sanchez1
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Raafat P. Fares1
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Jean-Jacques Risso
Institut de Médecine Navale du Service de Santé des Armées, BP 610, F-83800 Toulon Armées, France;
Chantal Bonnet
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Sandrine Bouvard
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Marion Le-Cavorsin
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Béatrice Georges
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Colette Moulin
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Amor Belmeguenai
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Jacques Bodennec
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Anne Morales
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Jean-Marc Pequignot
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;
Etienne-Emile Baulieu2 [email protected]
Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche 788, 80 Rue du Général Leclerc, F-94276 Le Kremlin-Bicêtre Cedex, France;
MAPREG Company, Centre Hospitalier Universitaire de Bicêtre, 78 Rue du Général Leclerc, F-94276 Le Kremlin-Bicêtre Cedex, France; and
Robert A. Levine
Center for Integrative Wellness, Henry Ford Health System, Southfield Medical Center, 22777 West Eleven Mile Road, Southfield, MI 48033
Laurent Bezin2 [email protected]
University of Lyon, F-69003 Lyon, France;
University Lyon 1, F-69003 Lyon, France;
Integrative Cellular and Molecular Physiology Lab, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 5123, 43 Boulevard du 11 Novembre 1918, F-69622 Villeurbanne Cedex, France;
Centre Thématique de Recherche et de Soins-Institut Des Épilepsies de l'Enfant et de l'Adolescent and Hospices Civils de Lyon, 69003 Lyon, France;

Notes

2
To whom correspondence may be addressed. E-mail: [email protected] or [email protected]
Contributed by Etienne-Emile Baulieu, March 2, 2009
Author contributions: P.E.S., R.P.F., J.-J.R., J.-M.P., and L.B. designed research; P.E.S., R.P.F., C.B., S.B., M.L.-C., B.G., and C.M. performed research; P.E.S., R.P.F., A.B., J.B., A.M., and L.B. analyzed data; and P.E.S., R.P.F., J.-J.R., E.-E.B., R.A.L., and L.B. wrote the paper.
1
P.E.S. and R.P.F. contributed equally to this work.

Competing Interests

The authors declare no conflict of interest.

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    Optimal neuroprotection by erythropoietin requires elevated expression of its receptor in neurons
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