Although the growth factors that regulate megakaryocytopoiesis are well kno
wn, the molecular determinants of platelet formation from mature megakaryoc
ytes remain poorly understood. Morphological changes in megakaryocytes asso
ciated with platelet formation and removal of senescent megakaryocytes are
suggestive of an apoptotic process. Previously, we have established that ni
tric oxide (NO) can induce apoptosis in megakaryocytoid cell lines. To dete
rmine whether there is an association between NO-induced apoptosis and plat
elet production, we exposed Meg-01 cells to S-nitrosoglutathione (GSNO) wit
h or without thrombopoeitin (TPO) pretreatment and used flow cytometry and
electron microscopy to assess platelet-sized particle formation. Meg-01 cel
ls treated with TPO alone produced few platelet-sized particles (<3% of tot
al counts), whereas treatment with GSNO alone produced a significant percen
tage of platelet-sized particles (22 +/- 4% of total counts); when combined
with TPO pretreatment, however, GSNO led to a marked increase in platelet-
sized particle production (48 +/- 3% of total counts). Electron microscopy
confirmed that Meg-01 cells treated with TPO and GSNO yielded platelet-size
d particles with morphological features specific for platelet forms. The pl
atelet-sized particle population appears to be functional, because addition
of calcium, fibrinogen, and thrombin receptor-activating peptide led to ag
gregation. These results demonstrate that NO facilitates platelet productio
n, thereby establishing the essential role of NO in megakaryocyte developme
nt and thrombopoiesis.