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MBBS QUESTION #10224
Question 1
In an adult, erythropoietin — the principal hormonal driver of red blood cell production — is synthesized mainly by which cells?
  • Bone marrow stromal cells
  • Hepatocytes
  • Peritubular interstitial cells of the kidney✔️
  • Splenic red pulp macrophages
Correct Answer Explanation
The peritubular interstitial cells of the renal cortex sense local tissue oxygen tension and are the principal source of erythropoietin in adults (the liver contributes more in fetal life); this is why chronic kidney disease characteristically produces anemia via reduced erythropoietin production.