PMID- 23674392 OWN - NLM STAT- MEDLINE DCOM- 20141208 LR - 20140324 IS - 1533-1601 (Electronic) IS - 0192-6233 (Linking) VI - 42 IP - 3 DP - 2014 TI - Cytokines associated with increased erythropoiesis in Sprague-Dawley rats administered a novel hyperglycosylated analog of recombinant human erythropoietin. PG - 540-54 LID - 10.1177/0192623313486318 [doi] AB - We previously reported an increased incidence of thrombotic toxicities in Sprague-Dawley rats administered the highest dose level of a hyperglycosylated analog of recombinant human erythropoietin (AMG 114) for 1 month as not solely dependent on high hematocrit (HCT). Thereafter, we identified increased erythropoiesis as a prothrombotic risk factor increased in the AMG 114 high-dose group with thrombotic toxicities, compared to a low-dose group with no toxicities but similar HCT. Here, we identified pleiotropic cytokines as prothrombotic factors associated with AMG 114 dose level. Before a high HCT was achieved, rats in the AMG 114 high, but not the low-dose group, had imbalanced hemostasis (increased von Willebrand factor and prothrombin time, decreased antithrombin III) coexistent with cytokines implicated in thrombosis: monocyte chemotactic protein 1 (MCP-1), MCP-3, tissue inhibitor of metalloproteinases 1, macrophage inhibitory protein-2, oncostatin M, T-cell-specific protein, stem cell factor, vascular endothelial growth factor, and interleukin-11. While no unique pathway to erythropoiesis stimulating agent-related thrombosis was identified, cytokines associated with increased erythropoiesis contributed to a prothrombotic intravascular environment in the AMG 114 high-dose group, but not in lower dose groups with a similar high HCT. FAU - Andrews, Dina A AU - Andrews DA AD - 1Comparative Biology Safety Sciences, Pathology, Amgen Inc., Thousand Oaks, California, USA. FAU - Hamadeh, Hisham K AU - Hamadeh HK FAU - He, Yudong D AU - He YD FAU - Boren, Babette M AU - Boren BM FAU - Turk, James R AU - Turk JR FAU - Boyce, Rogely W AU - Boyce RW FAU - Mytych, Daniel T AU - Mytych DT FAU - Barger, Troy E AU - Barger TE FAU - Salimi-Moosavi, Hossein AU - Salimi-Moosavi H FAU - Sloey, Bethlyn AU - Sloey B FAU - Elliott, Steve AU - Elliott S FAU - McElroy, Patricia AU - McElroy P FAU - Sinclair, Angus M AU - Sinclair AM FAU - Shimamoto, Grant AU - Shimamoto G FAU - Pyrah, Ian T G AU - Pyrah IT FAU - Lightfoot-Dunn, Ruth M AU - Lightfoot-Dunn RM LA - eng PT - Journal Article DEP - 20130514 PL - United States TA - Toxicol Pathol JT - Toxicologic pathology JID - 7905907 RN - 0 (Cytokines) RN - 0 (Recombinant Proteins) RN - 11096-26-7 (Erythropoietin) SB - IM MH - Animals MH - Cytokines/*blood/*metabolism MH - Erythropoiesis/*drug effects MH - Erythropoietin/chemistry/*pharmacology MH - Hematocrit MH - Humans MH - Male MH - Polycythemia MH - Rats MH - Rats, Sprague-Dawley MH - Recombinant Proteins/chemistry/*pharmacology MH - Reticulocytes MH - Thrombosis OTO - NOTNLM OT - coagulation. OT - cytokine OT - erythropoiesis OT - inflammation OT - polycythemia OT - rat OT - thrombosis EDAT- 2013/05/16 06:00 MHDA- 2014/12/15 06:00 CRDT- 2013/05/16 06:00 PHST- 2013/05/16 06:00 [entrez] PHST- 2013/05/16 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 0192623313486318 [pii] AID - 10.1177/0192623313486318 [doi] PST - ppublish SO - Toxicol Pathol. 2014;42(3):540-54. doi: 10.1177/0192623313486318. Epub 2013 May 14.