Showing posts with label EPO. Show all posts
Showing posts with label EPO. Show all posts

Friday, March 13, 2009

Repoxygen- the future of doping Part 1

Erythropoietin is a hormone which is released from the kidneys. Its function is to stimulate the bone marrow to make more red blood cells. Repoxygen is the trade name for the gene that is claimed to increase the release of erythropoietin from the kidneys. The higher the number of red cells, the greater is the oxygen binding capacity of these cells. Theoretically, an increased in blood oxygen should lead to an increase in exercise performance.

The gene is still in the development stage and only used in animals; so far no human testing has been done. Oxford Biomedical has constructed a viral gene delivery vector which can carry the human EPO gene. The majority of these studies have been carried out in mice and are still in the infant stages. At least in animals the administration of the gene results in an increased in red blood cell mass.

In clinical medicine, Repoxygen will be used to treat cases of resistant anemia in individuals with renal failure. The researchers claim that the gene will be activated when the oxygen concentration in the blood is low and will turn itself off when the oxygen concentration has been replenished. It is believed that a similar gene plays a physiological role in the control of EPO from the kidneys.

Wednesday, February 11, 2009

Dosing and Indications for Epogen

Dosing

EPO is only given 1-2 times a week. The drug can only be given by an injection- preferably subcutaneously. Most patients receive their Epogen injection from a nurse/physician but in some rare cases, the individual can be taught to inject him/her self. It should never be injected intravenously or taken orally. The drug comes as a liquid and should be handled with care.

EPO is a very fragile molecule and can be easily destroyed if it is not stored properly. It should never be exposed to excess heat or frozen. It should always be kept in the refrigerator and away from sunlight. EPO is available in single use vials and in multi use vials. Once the multi use vial has been opened up, the EPO will last for about 3 weeks. The dose of EPO is generally about 100 units/kg.

Once the EPO is administered, one can monitor the hematocrit over the next several weeks to see if it is working. Most doctors also recommend supplementing the body with iron tablets to compliment Epogen. A single vial of Epogen containing 1-2,000 units can cost anywhere from $100-$200, depending on where you buy and from whom you buy it from. And the purity of the product is never guaranteed if it is bought over the internet.

For more information on EPO, visit www.steroidsrx.com

History of Epogen

In the 1980s, it was realized that Epogen could make a significant difference in the hematocrit when administered to patients with anemia. This was followed up by its use to treat anemia in cancer patients and HIV patients treated with Zidovudine. Epogen is only administered 1-2 times a week to maintain a normal hematocrit. While many advocate that EPO should be given for other anemias, the overall consensus is that not only is EPO expensive but it may be more harmful when given empirically for other medical disorders.

EPO has been around for at least 3 decades and has been widely used in millions of individuals. It's safety and efficacy have been well documented. It is mainly used to treat anemia in patients who have chronic renal failure. When Epogen is administered, the body starts to make red blood cells and this can be monitored by measuring the hemoglobin or hematocrit levels.

Numerous studies have shown that Epogen can reduce the need for blood transfusions. Because of its expense, EPO is not given to every patient. Only after appropriate evaluation and consultation is EPO given to certain patients

For more information on EPO, visit www.steroidsrx.com

Epogen (erythropoietin EPO)

Physiology

EPO is a glycoprotein (protein-sugar conjugate) that has been shown to regulate synthesis of red blood cells in the bone marrow. When released from the kidneys it directs it activity in the bone marrow and helps stimulate the differentiation of stem cells into red blood cells. It is a normal body chemical which control hemoglobin synthesis and red blood cell concentration. Human EPO is a medium sized molecule (30,400-dalton) and contains 165 amino acids which are coupled to a few carbohydrate and sialic acid residues. There are several sub classes of EPO in the body- they only differ in the carbohydrate content.

At birth, EPO is manufactured in the liver but shortly afterwards the kidneys become the primary source of EPO. The regulation of EPO is based on concentration of oxygen in the blood crossing the kidneys. When the kidneys sense a low oxygen concentration in blood, EPO synthesis is increased. Human Epogen was isolated from urine nearly 40 years ago. Since then we have developed recombinant DNA methods to produce EPO in the laboratory. The drug is made by Amgen and widely available globally


For more information on EPO, visit www.steroidsrx.com