The glycoprotein (Gp) IIb/IIIa integrin, also called CD41, is the platelet
receptor for fibrinogen and several other extracellular matrix molecules. R
ecent evidence suggests that its expression is much wider in the hematopoie
tic system than was previously thought. To investigate the precise expressi
on of the CD41 antigen during megakaryocyte (MK) differentiation, CD34(+) c
ells from cord blood and mobilized blood cells from adults were grown for 6
days in the presence of stem cell factor and thrombopoietin. Two different
pathways of differentiation were observed: one in the adult and one in the
neonate cells. In the neonate samples, early MK differentiation proceeded
from CD34(+)CD41(-) through a CD34(-)CD41(+)CD42(-) stage of differentiatio
n to more mature cells. In contrast, in the adult samples, CD41 and CD42 we
re co-expressed on a CD34(+) cell. The rare CD34(+)CD41(+)CD42(-) cell subs
et in neonates was not committed to MK differentiation but contained cells
with all myeloid and lymphoid potentialities along with long-term culture i
nitiating cells (LTC-ICs) and nonobese diabetic/severe combined immune-defi
cient repopulating cells. In the adult samples, the CD34(+)CD41(+)CD42(-) s
ubset was enriched in MK progenitors, but also contained erythroid progenit
ors, rare myeloid progenitors, and some LTC-ICs. All together, these result
s demonstrate that the CD41 antigen is expressed at a low level on primitiv
e hematopoietic cells with a myeloid and lymphoid potential and that its ex
pression is ontogenically regulated, leading to marked differences in the s
urface antigenic properties of differentiating megakaryocytic cells from ne
onates and adults. (Blood, 2001;97: 2023-2030) (C) 2001 by The American Soc
iety of Hematology.