To further explore the mechanism of the effect of thrombopoietin (TPO) on e
rythropoiesis, we used a two-phase culture system to investigate the effect
of TPO on late-stage human erythroid lineage differentiation. In serum-fre
e suspension and semisolid cultures of human peripheral blood derived eryth
roid progenitors, TPO alone did not produce benzidine-positive cells, Howev
er, in serum-containing culture, TPO alone stimulated erythroid cell prolif
eration and differentiation, demonstrated by erythroid colony formation, pr
oduction of benzidine-positive cells and haemoglobin (Hb) synthesis. Monocl
onal anti-human erythropoietin antibody and anti-human erythropoietin recep
tor antibody completely abrogated the erythroid differentiative ability of
TPO in the serum-containing systems. This implied that binding of EPO and E
PO-R was essential for erythropoiesis and the resultant signal transduction
may be augmented by the signals emanating from TPO-c-Mp interaction. Exper
iment of withdrawal of TPO further demonstrated the involvement of TPO in l
ate-stage erythropoiesis. RT-PCR results showed that there was EPO-R but no
t c-Mpl expression on developing erythroblasts induced by TPO in serum-cont
aining system. Our results establish that TPO affects not only the prolifer
ation of erythroid progenitors but also the differentiation of erythroid pr
ogenitors to mature erythroid cells.