ABSTRACT. Anemia is a major secondary symptom in chronic renal disorder (CRD), but the precise cause of insufficient production of erythropoietin (EPO) remains unclear owing to the controversial localization of EPO-producing cells in the kidneys. The ICR-derived glomerulonephritis (ICGN) mouse, a new hereditary nephrotic mouse, is an appropriate model of anemia associated with CRD. By using an amplified in situ hybridization technique, we detected and counted the renal EPO-producing cells under both normoxic and hypoxic conditions. The expression levels of renal EPO mRNA were quantified and oxygen gradients were also assessed immunohistochemically. Amplified in situ hybridization clarified that EPO-producing cells were peritubular interstitial cells in the middle region of renal cortex in both ICR and ICGN mice. Hypoxia (7% O 2 ) induced low oxygen tension in proximal tubular epithelial cells of renal cortex, and increased the expression of EPO mRNA and the number of EPO-producing cells in both ICR and ICGN mice. However, hypoxia did not increase the serum EPO levels in ICGN mice. The ICGN mouse is a good model for anemia associated with CRD, and the suppression of EPO protein production in the renal EPO-producing cells is considered to be a potential cause of anemia associated with CRD. KEY WORDS: amplified in situ hybridization, anemia with chronic renal disorder (CRD), erythropoietin (EPO)-producing cell, hereditary nephrotic ICR-derived glomerulonephritis (ICGN) mouse, kidney.J. Vet. Med. Sci. 67(9): 891-899, 2005 Anemia associated with chronic renal disorder (CRD) is a major secondary symptom that appears in the early stages of renal disease. This anemia is initially mild; however, ultimately, severe anemia directly affects the quality of life (QOL) [25,37]. Anemia associated with CRD is normochromic and normocytic, and, based on case studies, insufficient serum levels of erythropoietin (EPO) are considered to be a major cause [6,25,37].EPO, a 30-34 kDa glycoprotein, is classified as part of the hematopoietic cytokine family [5,14,24], controls the erythropoiesis in the bone marrow, and regulates the proliferation, differentiation and survival of erythroid progenitor cells through EPO receptor (EPOR)-mediated signal transduction [5,12,14,24]. The kidney is a principal organ of EPO production, accounting for more than 90% under normal conditions, with extra-renal sources estimated to produce than 10% [3,26]. Due to its strong erythropoietic effect, recombinant human EPO (rhEPO) is generally used as a therapeutic agent for anemia associated with CRD [7,19]. However, the precise cause of the insufficient serum levels of EPO in anemia associated with CRD remains unclear, primarily owing to the lack of knowledge of the identity of the EPO-producing cells and how they are regulated in the kidneys.Studies on anemia associated with CRD have been mainly accomplished by using artificial models of acute renal failure, i.e. drug-induced, antibody-induced and/or nephrectomized animal models. Compared with these exper...