RT Journal Article T1 A new role for erythropoietin in the homeostasis of red blood cells A1 Arias, Clemente F. A1 Valente Leal, Nuno A1 Bertocchini, Federica A1 Marques, Sofía A1 Acosta, Francisco J. A1 Fernández Arias, Cristina AB The regulation of red blood cell (RBC) homeostasis is widely assumed to rely on the control of cell production by erythropoietin (EPO) and the destruction of cells at a fixed, species-specific age. In this work, we show that such a regulatory mechanism would be a poor homeostatic solution to satisfy the changing needs of the body. Effective homeostatic control would require RBC lifespan to be variable and tightly regulated. We suggest that EPO may control RBC lifespan by determining CD47 expression in newly formed RBCs and SIRP-α expression in sinusoidal macrophages. EPO could also regulate the initiation and intensity of anti-RBC autoimmune responses that curtail RBC lifespan in some circumstances. These mechanisms would continuously modulate the rate of RBC destruction depending on oxygen availability. The control of RBC lifespan by EPO and autoimmunity emerges as a key mechanism in the homeostasis of RBCs. PB Springer Nature SN 2399-3642 YR 2024 FD 2024-06-01 LK https://hdl.handle.net/20.500.14352/113661 UL https://hdl.handle.net/20.500.14352/113661 LA eng NO Arias, C.F., Valente-Leal, N., Bertocchini, F. et al. A new role for erythropoietin in the homeostasis of red blood cells. Commun Biol 7, 58 (2024). https://doi.org/10.1038/s42003-023-05758-2 DS Docta Complutense RD 8 abr 2025