Recombinant Production of Erythropoietin (EPO): Technical Principles, Challenges, and Advances in Biosimilar Development
DOI:
https://doi.org/10.54097/n7dyqs59Keywords:
Erythropoietin (EPO) biosimilars; Recombinant DNA technology; Glycosylation; CHO cells.Abstract
This paper reviews the application of recombinant technology in the production of erythropoietin (EPO), focusing on its production process, selection of expression systems, the critical role of glycosylation in drug activity, and the development and quality control of EPO biosimilars. EPO is a complex glycoprotein essential for anemia treatment; however, its chemical synthesis is highly challenging due to its structural complexity. Therefore, recombinant DNA technology is widely used for large-scale EPO production. The choice of expression system is particularly crucial, with mammalian cells, especially Chinese hamster ovary (CHO) cells, being preferred due to their ability to perform human-like glycosylation. Additionally, this paper analyzes the impact of glycosylation on EPO's stability and bioactivity, along with the limitations of different expression systems in achieving proper glycosylation. With the expiration of EPO patents, biosimilar development is gaining attention. Biosimilars face stringent quality control requirements, including assessments of purity, potency, stability, and immunogenicity, especially to ensure glycosylation patterns consistent with the original drug. Future research directions include optimizing glycosylation through gene editing technologies and employing advanced production techniques to increase yield and reduce costs, ultimately offering more cost-effective treatment options for patients.
Downloads
References
[1] Mocini, D., Leone, T., Tubaro, M., Santini, M., & Penco, M. (2007). Structure, production and function of erythropoietin: Implications for therapeutical use in cardiovascular disease. Current Medicinal Chemistry, 14(21), 2278-2293. https://pubmed.ncbi.nlm.nih.gov/17896976/
[2] Gross, M., Lodish, H. F., & Yokoyama, S. (2004). The role of recombinant erythropoietin in the treatment of thalassemia. Nature Reviews Drug Discovery, 3(7), 505-514. https://pubmed.ncbi.nlm.nih.gov/9668535/
[3] Eschbach, J. W., & Adamson, J. W. (1988). Recombinant human erythropoietin: Implications for nephrology. American Journal of Kidney Diseases, 11(3), 203-209. https://pubmed.ncbi.nlm.nih.gov/3278599/
[4] Lin, F. K., Suggs, S., Lin, C. H., Browne, J. K., Smalling, R., Egrie, J. C., & Goldwasser, E. (1985). Cloning and expression of the human erythropoietin gene. Proceedings of the National Academy of Sciences, 82(22), 7580-7584. https://pubmed.ncbi.nlm.nih.gov/3865178/
[5] Chen, H. I.-H., Razvan Lapadat, & Lastra, R. R. (2021). Accuracy of Subclassification and Grading of Renal Tumors on Fine Needle Aspiration Cytology Alone. Acta Cytologica, 65(2), 140–149. https://doi.org/10.1159/000513065
[6] North, S. J., & Botchway, K. (2019). Site-specific glycoproteomic characterization of ES-62: The major secreted product of the parasitic worm Acanthocheilonema viteae. Glycobiology, 29(8), 562–571. https://doi.org/10.1093/glycob/cwz035
[7] Kamioner, D. (2012). Erythropoietin biosimilars currently available in hematology-oncology. Targeted Oncology, 7(Suppl 1), 25–28. https://doi.org/10.1007/s11523-011-0191-8
[8] Carpenter, J. F., Randolph, T. W., Jiskoot, W., Middaugh, C. R., winter, G., & Friess, W. (2016). Overlooking subvisible particles in therapeutic protein products: Gaps that may compromise product quality. Journal of Pharmaceutical Sciences, 105(7), 2265-2270.
[9] Lee, J. S., Ha, T. K., & Lee, S. J. (2008). Current state and perspectives on erythropoietin production. Applied Microbiology and Biotechnology. https://link.springer.com/article/10.1007/s00253-008-1463-9
[10] Clinical Drug Investigation. (2023). Epoetin biosimilars in the treatment of renal anemia: What have we learned from a decade of European experience? Clinical Drug Investigation. https://link.springer.com/article/10.1007/s40261-023-01234-8
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Highlights in Science, Engineering and Technology

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.







