Ra. Shivdasani et al., REGULATION OF THE SERUM CONCENTRATION OF THROMBOPOIETIN IN THROMBOCYTOPENIC NF-E2 KNOCKOUT MICE, Blood, 90(5), 1997, pp. 1821-1827
The mechanisms that regulate circulating levels of thrombopoietin (Tpo
) are incompletely understood, According to one favored model, the rat
e of Tpo synthesis is constant, whereas the serum concentration of fre
e Tpo is modulated through binding to c-Mpl receptor expressed on bloo
d platelets. Additionally, a role for c-Mpl expressed on megakaryocyte
s is suggested, particularly by the observation that serum Tpo levels
are not elevated in human immune thrombocytopenic purpura. Whereas dir
ect binding of Tpo to platelets has been demonstrated in vitro and in
vivo, the role of megakaryocytes in modulating serum Tpo levels has no
t been addressed experimentally. The profoundly thrombocytopenic mice
lacking transcription factor p45 NF-EP do not show the predicted incre
ase in serum Tpo concentration. To evaluate the fate of the ligand in
these animals, we injected I-125-Tpo intravenously into mutant and con
trol mice. In contrast to normal littermates, NF-E2 knockout mice show
negligible association of radioactivity with blood cellular component
s, consistent with an absence of platelets. There is no corresponding
increase in plasma-associated radioactivity to suggest persistence in
the circulation. However, a greater fraction of the radioligand is bou
nd to hematopoietic tissues. In the bone marrow this is detected virtu
ally exclusively in association with megakaryocytes, whereas in the sp
leen it is associated with megakaryocytes and small, abnormal, platele
t-like particles or megakaryocyte fragments that are found within or i
n close contact with macrophages. These findings implicate the combina
tion of megakaryocytes and the latter particles as a sink for circulat
ing Tpo in NF-EP knockout mice, and provide an explanation for the lac
k of elevated serum Tpo levels in this unique animal model of thromboc
ytopenia. (C) 1997 by The American Society of Hematology.