Dj. Kuter et al., THE PURIFICATION OF MEGAPOIETIN - A PHYSIOLOGICAL REGULATOR OF MEGAKARYOCYTE GROWTH AND PLATELET PRODUCTION, Proceedings of the National Academy of Sciences of the United Statesof America, 91(23), 1994, pp. 11104-11108
The circulating blood platelet is produced by the bone marrow megakary
ocyte. In response to a decrease in the platelet count, megakaryocytes
increase in number and ploidy. Although this feedback loop has long b
een thought to be mediated by a circulating hematopoietic Factor, no s
uch factor has been purified. Using a model of thrombocytopenia in she
ep, we have identified an active substance called megapoietin, which s
timulated an increase in the number and ploidy of megakaryocytes in bo
ne marrow culture. Circulating levels of this factor could be quantifi
ed with this assay and were found to be inversely proportional to the
platelet count of the sheep. Levels increased from <0.26 pM in normal
sheep to 25-40 pM in thrombocytopenic sheep. From large amounts of thr
ombo cytopenic sheep plasma we have purified a 31,200-Da protein and f
ound that it retained the ability to stimulate both megakaryocyte numb
er and ploidy in vitro. Injection of partially purified megapoietin in
to rats stimulated a 24% increase in megakaryocyte number and a 60% in
crease in mean ploidy as well as a 77% increase in the platelet count.
Sheep platelets bound megapoietin and the amount of platelets require
d to eliminate half the activity in vitro was close to the amount asso
ciated with this same level of activity in vivo. We believe that megap
oietin is the physiologically relevant mediator of megakaryocyte growt
h and platelet production. Moreover, our data suggest that the level o
f megapoietin is directly determined by the ability of platelets to re
move megapoietin from the circulation.