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However, subsequent investigations revealed that nearly 10% of individuals treated with ESAs develop resistance to erythropoietin, potentially associated with iron insufficiency and inflammatory conditions ( 2 Molecular mechanism and regulatory network of eryptosis 2.1 Molecular mechanism of eryptosis Eryptosis, the programmed death of erythrocytes, can be triggered prematurely under various pathological conditions or by therapeutic interventions, including oxidative stress, hyperosmolarity, heavy metal exposure, energy deficiency, xenobiotics, and antibiotics (Figure 1, characteristic alterations in the erythrocyte membrane, such as blebbing, cellular shrinkage, and externalization of phosphatidylserine (PS), are observed during eryptosis, mirroring features typical of apoptotic cell death ( FIGURE 1 A key mediator of eryptosis is the rise in cytosolic Ca 2+ , which can be induced by osmotic shock, oxidative stress, or other stimuli ( 2+ influx occurs through several Ca 2+ -permeable channels