A banned drug used by athletes for performance enhancement has been found to improve memory, say a group of researchers, who suggest that erythropoietin (EPO) may hold prospects for the treatment of certain brain ailments.
The research, which has been published in the open access journal BMC Biology, shows that the memory enhancing effects of erythropoietin (EPO) are not related to its effects on blood production but due to direct influences on neurons in the brain.
The findings may prove useful in the treatment of diseases affecting brain function, such as schizophrenia, multiple sclerosis, and Alzheimer's.
Patients given EPO to treat chronic kidney failure had been observed to have improved cognition after starting the drug.
"These effects of EPO were thought to result from the blood-boosting effects of the drug, but the finding of receptors for EPO on nerve cells in the brain suggests that some other mechanism might be involved," explains Hannelore Ehrenreich at the Max Planck Institute.
To investigate the mechanisms of EPO-enhanced cognition, the researchers injected mice with EPO every other day for three weeks (11 doses) to test the effects of long-term exposure. After the treatment period, mice given EPO had better memory in some situations than did mice that had been given a placebo instead.
The improvement in memory lasted up to three weeks from the last EPO dose and outlasted increased blood-cell production, but had disappeared by four weeks. Mice given three doses saw no benefit with respect to memory improvement.
"Young mice systematically treated with EPO for three weeks have improved memory, similar to the dramatic improvements observed in endurance and muscular performance athletes who use EPO to boost performance", says Ehrenreich.
The specific memory improvements were associated with the hippocampus, a structure in the brain involved in learning and memory, among other functions.
The researchers did a series of experiments on hippocampal tissue taken from the mice and found that EPO directly affected the neurons in this structure.
"EPO had pronounced effects on short-term and long-term plasticity in the hippocampus as well as on synaptic transmission", the researchers report.
"Treatment with EPO seems to increase the number of inhibitory circuits, which actually increases the efficiency of transmission of excitatory nerve impulses in specific neurons, resulting in greater short-term and long-term plasticity in memory pathways in the hippocampus," they added.