All patients develop anemia after autologous or allogeneic bone marrow
transplantation and red blood cell transfusion is almost always requi
red in the post-transplant period. Recently Epo therapy has been emplo
yed in the setting of bone marrow transplantation [1,2]. As bone marro
w transplant patients typically suffer from malignancies and are immun
ocompromised, further immunosuppression should be avoided. Recent repo
rts have suggested that Epo may modulate immune response. We have stud
ied the effects of Epo on immune response in murine bone marrow chimer
as. Epo administration resulted in an increase in hematocrit. There wa
s no significant alteration in lymphocyte numbers, although a shift in
lymphocytes toward T cell predominance was observed. Epo administrati
on resulted in enhanced cell proliferation in response to T and B cell
mitogens, although no alteration in cytotoxicity or natural killer ce
ll activity was observed. No example of Epo-induced impaired immunity
was observed.