Erythropoietin (EPO) from pulmonary arterial hypertension (PAH) serum promotes pulmonary artery smooth muscle cell (SMC) proliferation in vitro. A, Increased concentrations of recombitant human EPO (10, 50, or 100 IU/mL) promote SMC proliferation in a dose-dependent manner. B, C, Treatment of SMCs with 10% idiopathic PAH (IPAH) serum increases their proliferation, which was inhibited by EPO-neutralizing antibody in a dose-dependent manner. Immunoglobulin G (IgG) control antibody did not affect SMC proliferation (B). Asterisk indicates P < 0.05.