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2.
Medicina (B Aires) ; 66(6): 540-6, 2006.
Artigo em Espanhol | MEDLINE | ID: mdl-17240625

RESUMO

Megakaryopoiesis and platelet production are driven by transcription factors and cytokines present in bone marrow environment. Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by high platelet count and megakaryocytic hyperplasia. In the present work we evaluated plasmatic levels of cytokines involved in megakaryocytic development in a group of patients with ET that were not on treatment, as well as thrombopoietin (TPO) levels before and during anagrelide treatment. The assays were carried out using ELISA techniques. Among the cytokines mainly involved in proliferation of megakaryocytic progenitors, interleukin 3 (IL-3) levels were found increased in patients compared to normal controls (p = 0.0383). Granulocyte-macrophage colony stimulating factor and stem cell factor levels were normal. Interleukin 6, as well as interleukin 11 and erythropoietin (EPO), cytokines mainly related to megakaryocytic maturation, were normal. Plasma TPO levels before treatment were within the normal range and increased during treatment but the difference was not statistically significant. Patients who displayed spontaneous platelet aggregation had higher plasma TPO levels compared to those who did not (p = 0.049). We did not find any relationship between cytokine levels and clinical or laboratory parameters. The high IL-3 levels seen in some patients with ET could contribute to megakaryocytic proliferation. The simultaneous occurrence of higher TPO levels and elevated platelet count could be a predisposing factor for the development of spontaneous platelet aggregation in ET patients.


Assuntos
Megacariócitos/fisiologia , Trombocitemia Essencial/sangue , Trombopoese/fisiologia , Trombopoetina/sangue , Ensaio de Imunoadsorção Enzimática , Fator Estimulador de Colônias de Granulócitos e Macrófagos/sangue , Fator Estimulador de Colônias de Granulócitos e Macrófagos/efeitos dos fármacos , Humanos , Interleucina-3/sangue , Megacariócitos/efeitos dos fármacos , Agregação Plaquetária/efeitos dos fármacos , Agregação Plaquetária/fisiologia , Inibidores da Agregação Plaquetária/uso terapêutico , Quinazolinas/uso terapêutico , Estudos Retrospectivos , Estatísticas não Paramétricas , Fator de Células-Tronco/sangue , Fator de Células-Tronco/efeitos dos fármacos , Trombocitemia Essencial/tratamento farmacológico , Trombocitose/induzido quimicamente , Trombopoese/efeitos dos fármacos , Trombopoetina/efeitos dos fármacos
3.
Medicina (B.Aires) ; 66(6): 540-546, 2006. graf, tab
Artigo em Espanhol | LILACS | ID: lil-453022

RESUMO

La megacariocitopoyesis y la producción de plaquetas están regidas por factores de transcripción y citoquinas presentes en el microambiente medular. La trombocitemia esencial (TE) es una enfermedad mieloproliferativa crónica caracterizada por aumento del recuento de plaquetas e hiperplasia megacariocítica. En el presente trabajo se evaluaron los niveles de las citoquinas que participan en el desarrollo megacariocítico en plasma de pacientes con TE que se encontraban sin tratamiento y los de trombopoyetina (TPO) antes y durante el tratamiento con anagrelide. Las determinaciones se realizaron por técnica de ELISA. Dentro de las citoquinas involucradas en la etapa de proliferación, los niveles de interleuquina 3 (IL-3) se encontraron aumentados en los pacientes (p=0.0383) respecto al grupo control. Los niveles de factor estimulante de colonias granulocito-macrofágico y stem cell factor fueron normales. Dentro de las citoquinas con acción sobre la maduración megacariocítica, tanto la interleuquina 6 como la interleuquina 11 y la eritropoyetina estuvieron normales. Los niveles de TPO antes del tratamiento no difirieron del grupo control y durante el tratamiento aumentaron de manera no significativa. Los pacientes que presentaron agregación espontánea tuvieron niveles más altos de TPO que los que no lo hicieron (p=0.049). Los niveles de las citoquinas no tuvieron relación con ninguno de los parámetros clínicos ni de laboratorio evaluados. El aumento de los niveles de IL-3 podría contribuir al incremento en la proliferación megacariocítica en este grupo. La presencia simultánea de niveles más altos de TPO y trombocitosis sería un factor predisponente para la ocurrencia de agregación espontánea en los pacientes con TE


Megakaryopoiesis and platelet production are driven by transcription factors and cytokines present in bone marrow environment. Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by high platelet count and megakaryocytic hyperplasia. In the present work we evaluated plasmatic levels of cytokines involved in megakaryocytic development in a group of patients with ET that were not on treatment, as well as thrombopoietin (TPO) levels before and during anagrelide treatment. The assays were carried out using ELISA techniques. Among the cytokines mainly involved in proliferation of megakaryocytic progenitors, interleukin 3 (IL-3) levels were found increased in patients compared to normal controls (p=0.0383). Granulocyte-macrophage colony stimulating factor and stem cell factor levels were normal. Interleukin 6, as well as interleukin 11 and erythropoietin (EPO), cytokines mainly related to megakaryocytic maturation, were normal. Plasma TPO levels before treatment were within the normal range and increased during treatment but the difference was not statistically significant. Patients who displayed spontaneous platelet aggregation had higher plasma TPO levels compared to those who did not (p=0.049). We did not find any relationship between cytokine levels and clinical or laboratory parameters. The high IL-3 levels seen in some patients with ET could contribute to megakaryocytic proliferation. The simultaneous occurrence of higher TPO levels and elevated platelet count could be a predisposing factor for the development of spontaneous platelet aggregation in ET patients


Assuntos
Humanos , Hematopoese/fisiologia , Megacariócitos/fisiologia , Trombocitemia Essencial/sangue , Trombopoetina/sangue , Ensaio de Imunoadsorção Enzimática , Fator Estimulador de Colônias de Granulócitos e Macrófagos/sangue , Fator Estimulador de Colônias de Granulócitos e Macrófagos/efeitos dos fármacos , Hematopoese/efeitos dos fármacos , /sangue , Megacariócitos/efeitos dos fármacos , Inibidores da Agregação Plaquetária/uso terapêutico , Agregação Plaquetária/efeitos dos fármacos , Agregação Plaquetária/fisiologia , Quinazolinas/uso terapêutico , Estudos Retrospectivos , Estatísticas não Paramétricas , Fator de Células-Tronco/sangue , Fator de Células-Tronco/efeitos dos fármacos , Trombocitemia Essencial/tratamento farmacológico , Trombocitose/induzido quimicamente , Trombopoetina/efeitos dos fármacos
4.
Medicina (B.Aires) ; 66(6): 540-546, 2006. graf, tab
Artigo em Espanhol | BINACIS | ID: bin-123174

RESUMO

La megacariocitopoyesis y la producción de plaquetas están regidas por factores de transcripción y citoquinas presentes en el microambiente medular. La trombocitemia esencial (TE) es una enfermedad mieloproliferativa crónica caracterizada por aumento del recuento de plaquetas e hiperplasia megacariocítica. En el presente trabajo se evaluaron los niveles de las citoquinas que participan en el desarrollo megacariocítico en plasma de pacientes con TE que se encontraban sin tratamiento y los de trombopoyetina (TPO) antes y durante el tratamiento con anagrelide. Las determinaciones se realizaron por técnica de ELISA. Dentro de las citoquinas involucradas en la etapa de proliferación, los niveles de interleuquina 3 (IL-3) se encontraron aumentados en los pacientes (p=0.0383) respecto al grupo control. Los niveles de factor estimulante de colonias granulocito-macrofágico y stem cell factor fueron normales. Dentro de las citoquinas con acción sobre la maduración megacariocítica, tanto la interleuquina 6 como la interleuquina 11 y la eritropoyetina estuvieron normales. Los niveles de TPO antes del tratamiento no difirieron del grupo control y durante el tratamiento aumentaron de manera no significativa. Los pacientes que presentaron agregación espontánea tuvieron niveles más altos de TPO que los que no lo hicieron (p=0.049). Los niveles de las citoquinas no tuvieron relación con ninguno de los parámetros clínicos ni de laboratorio evaluados. El aumento de los niveles de IL-3 podría contribuir al incremento en la proliferación megacariocítica en este grupo. La presencia simultánea de niveles más altos de TPO y trombocitosis sería un factor predisponente para la ocurrencia de agregación espontánea en los pacientes con TE (AU)


Megakaryopoiesis and platelet production are driven by transcription factors and cytokines present in bone marrow environment. Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by high platelet count and megakaryocytic hyperplasia. In the present work we evaluated plasmatic levels of cytokines involved in megakaryocytic development in a group of patients with ET that were not on treatment, as well as thrombopoietin (TPO) levels before and during anagrelide treatment. The assays were carried out using ELISA techniques. Among the cytokines mainly involved in proliferation of megakaryocytic progenitors, interleukin 3 (IL-3) levels were found increased in patients compared to normal controls (p=0.0383). Granulocyte-macrophage colony stimulating factor and stem cell factor levels were normal. Interleukin 6, as well as interleukin 11 and erythropoietin (EPO), cytokines mainly related to megakaryocytic maturation, were normal. Plasma TPO levels before treatment were within the normal range and increased during treatment but the difference was not statistically significant. Patients who displayed spontaneous platelet aggregation had higher plasma TPO levels compared to those who did not (p=0.049). We did not find any relationship between cytokine levels and clinical or laboratory parameters. The high IL-3 levels seen in some patients with ET could contribute to megakaryocytic proliferation. The simultaneous occurrence of higher TPO levels and elevated platelet count could be a predisposing factor for the development of spontaneous platelet aggregation in ET patients(AU)


Assuntos
Humanos , Megacariócitos/fisiologia , Hematopoese/fisiologia , Trombopoetina/sangue , Trombocitemia Essencial/sangue , Megacariócitos/efeitos dos fármacos , Hematopoese/efeitos dos fármacos , Trombopoetina/efeitos dos fármacos , Interleucina-3/sangue , Trombocitemia Essencial/tratamento farmacológico , Fator Estimulador de Colônias de Granulócitos e Macrófagos/sangue , Fator Estimulador de Colônias de Granulócitos e Macrófagos/efeitos dos fármacos , Fator de Células-Tronco/sangue , Fator de Células-Tronco/efeitos dos fármacos , Quinazolinas/uso terapêutico , Inibidores da Agregação Plaquetária/uso terapêutico , Trombocitose/induzido quimicamente , Agregação Plaquetária/efeitos dos fármacos , Agregação Plaquetária/fisiologia , Ensaio de Imunoadsorção Enzimática , Estudos Retrospectivos , Estatísticas não Paramétricas
5.
Medicina (B.Aires) ; 66(6): 540-546, 2006. graf, tab
Artigo em Espanhol | BINACIS | ID: bin-119053

RESUMO

La megacariocitopoyesis y la producción de plaquetas están regidas por factores de transcripción y citoquinas presentes en el microambiente medular. La trombocitemia esencial (TE) es una enfermedad mieloproliferativa crónica caracterizada por aumento del recuento de plaquetas e hiperplasia megacariocítica. En el presente trabajo se evaluaron los niveles de las citoquinas que participan en el desarrollo megacariocítico en plasma de pacientes con TE que se encontraban sin tratamiento y los de trombopoyetina (TPO) antes y durante el tratamiento con anagrelide. Las determinaciones se realizaron por técnica de ELISA. Dentro de las citoquinas involucradas en la etapa de proliferación, los niveles de interleuquina 3 (IL-3) se encontraron aumentados en los pacientes (p=0.0383) respecto al grupo control. Los niveles de factor estimulante de colonias granulocito-macrofágico y stem cell factor fueron normales. Dentro de las citoquinas con acción sobre la maduración megacariocítica, tanto la interleuquina 6 como la interleuquina 11 y la eritropoyetina estuvieron normales. Los niveles de TPO antes del tratamiento no difirieron del grupo control y durante el tratamiento aumentaron de manera no significativa. Los pacientes que presentaron agregación espontánea tuvieron niveles más altos de TPO que los que no lo hicieron (p=0.049). Los niveles de las citoquinas no tuvieron relación con ninguno de los parámetros clínicos ni de laboratorio evaluados. El aumento de los niveles de IL-3 podría contribuir al incremento en la proliferación megacariocítica en este grupo. La presencia simultánea de niveles más altos de TPO y trombocitosis sería un factor predisponente para la ocurrencia de agregación espontánea en los pacientes con TE (AU)


Megakaryopoiesis and platelet production are driven by transcription factors and cytokines present in bone marrow environment. Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by high platelet count and megakaryocytic hyperplasia. In the present work we evaluated plasmatic levels of cytokines involved in megakaryocytic development in a group of patients with ET that were not on treatment, as well as thrombopoietin (TPO) levels before and during anagrelide treatment. The assays were carried out using ELISA techniques. Among the cytokines mainly involved in proliferation of megakaryocytic progenitors, interleukin 3 (IL-3) levels were found increased in patients compared to normal controls (p=0.0383). Granulocyte-macrophage colony stimulating factor and stem cell factor levels were normal. Interleukin 6, as well as interleukin 11 and erythropoietin (EPO), cytokines mainly related to megakaryocytic maturation, were normal. Plasma TPO levels before treatment were within the normal range and increased during treatment but the difference was not statistically significant. Patients who displayed spontaneous platelet aggregation had higher plasma TPO levels compared to those who did not (p=0.049). We did not find any relationship between cytokine levels and clinical or laboratory parameters. The high IL-3 levels seen in some patients with ET could contribute to megakaryocytic proliferation. The simultaneous occurrence of higher TPO levels and elevated platelet count could be a predisposing factor for the development of spontaneous platelet aggregation in ET patients(AU)


Assuntos
Humanos , Megacariócitos/fisiologia , Hematopoese/fisiologia , Trombopoetina/sangue , Trombocitemia Essencial/sangue , Megacariócitos/efeitos dos fármacos , Hematopoese/efeitos dos fármacos , Trombopoetina/efeitos dos fármacos , Interleucina-3/sangue , Trombocitemia Essencial/tratamento farmacológico , Fator Estimulador de Colônias de Granulócitos e Macrófagos/sangue , Fator Estimulador de Colônias de Granulócitos e Macrófagos/efeitos dos fármacos , Fator de Células-Tronco/sangue , Fator de Células-Tronco/efeitos dos fármacos , Quinazolinas/uso terapêutico , Inibidores da Agregação Plaquetária/uso terapêutico , Trombocitose/induzido quimicamente , Agregação Plaquetária/efeitos dos fármacos , Agregação Plaquetária/fisiologia , Ensaio de Imunoadsorção Enzimática , Estudos Retrospectivos , Estatísticas não Paramétricas
6.
Biotechnol Prog ; 21(1): 50-7, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15903240

RESUMO

When sodium butyrate (NaBu) was added to serum-free suspension culture of recombinant CHO (rCHO) cells for enhanced expression of human thrombopoietin (hTPO), apoptotic cell death of rCHO cells was induced in a dose-dependent manner and hTPO quality was deteriorated in regard to sialic acid and acidic isoform contents. To overcome these problems, we overexpressed Bcl-2 protein, an antiapoptotic protein, in rCHO cells producing hTPO. Compared to serum-free suspension culture of control cells without Bcl-2 overexpression (R-neo cells) and NaBu addition, a more than 10-fold increase in the maximum hTPO concentration was obtained in serum-free suspension culture of cells with Bcl-2 overexpression (R-bc12-14 cells) and 3 mM NaBu addition. Both the enhanced specific productivity endowed by NaBu and the extended culture longevity provided by the antiapoptotic effect of Bcl-2 overexpression contributed to the enhancement of maximum hTPO concentration. The problem of quality reduction of hTPO induced by NaBu was not solved by Bcl-2 overexpression, but it was not that significant. Compared to the culture in the absence of NaBu, the percentage of hTPO isoforms in pI 3-5 with high in vivo biological activity produced by R-bc12-14 cells was decreased by approximately 18% in the presence of 3 mM. As a result, a more than 6-fold increase in the production of hTPO isoforms in pI 3-5 was achieved in R-bcl2-14 cell culture with 3 mM NaBu addition. Taken together, the data obtained suggest that Bcl-2 overexpression in rCHO cells and NaBu addition in serum-free suspension culture can be an effective means to enhance the production of highly glycosylated protein such as hTPO.


Assuntos
Ácido Butírico/farmacologia , Proteínas Proto-Oncogênicas c-bcl-2/biossíntese , Trombopoetina/biossíntese , Animais , Apoptose/fisiologia , Células CHO , Proliferação de Células/efeitos dos fármacos , Células Cultivadas , Cricetinae , Meios de Cultura Livres de Soro/farmacologia , Técnicas de Cultura/métodos , Relação Dose-Resposta a Droga , Glicosídeo Hidrolases/metabolismo , Humanos , L-Lactato Desidrogenase/metabolismo , Proteínas Proto-Oncogênicas c-bcl-2/efeitos dos fármacos , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/efeitos dos fármacos , Ácidos Siálicos/metabolismo , Suspensões , Trombopoetina/efeitos dos fármacos , Fatores de Tempo , Transfecção
7.
Arzneimittelforschung ; 52(11): 857-61, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12489258

RESUMO

Interleukin-11 (IL-11, CAS 145941-26-0) is a cytokine that ameliorates thrombocytopenia induced by chemotherapy. Granulocyte colony-stimulating factor (G-CSF) is frequently used clinically as an adjuvant therapy to ameliorate neutropenia. In this study, it has been investigated whether IL-11 influences the hematopoietic action of G-CSF in vitro. IL-11 alone did not stimulate CFU-Meg colony formation in the absence of interleukin-3 (IL-3), but did in the presence of IL-3. However, IL-11 alone stimulated the formation of CFU-E, BFU-E and CFU-GM colonies, which were further enhanced by IL-3. G-CSF alone stimulated in a concentration dependent manner colony formation of CFU-GM and CFU-E, but not BFU-E or CFU-Meg. The addition of IL-11 enhanced the stimulatory effect of G-CSF on CFU-GM colony formation, and enabled G-CSF to stimulate colony formation of BFU-E, but not CFU-E. The addition of IL-3 further enhanced the stimulatory effect of G-CSF on CFU-E, BFU-E, and CFU-GM colony formation. However, G-CSF was unable to stimulate CFU-Meg colony formation for any of the cytokine combinations tested. These studies demonstrate that IL-11 has significant stimulatory effects on G-CSF-induced CFU-GM colony formation, suggesting that the therapeutic combination of the two growth factors could be beneficial for the treatment of myelosuppression induced by chemotherapy.


Assuntos
Fator Estimulador de Colônias de Granulócitos/farmacologia , Hematínicos/farmacologia , Interleucina-11/farmacologia , Animais , Células da Medula Óssea/efeitos dos fármacos , Células Cultivadas , Sinergismo Farmacológico , Células Precursoras Eritroides/efeitos dos fármacos , Feminino , Células-Tronco Hematopoéticas/efeitos dos fármacos , Interleucina-3/farmacologia , Camundongos , Camundongos Endogâmicos C57BL , Proteínas Recombinantes/farmacologia , Trombopoetina/efeitos dos fármacos
8.
Blood ; 98(9): 2720-5, 2001 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-11675343

RESUMO

Baseline platelet production is dependent on thrombopoietin (TPO). TPO is constitutively produced and primarily regulated by receptor-mediated uptake by platelets. Inflammatory thrombocytosis is thought to be related to increased interleukin-6 (IL-6) levels. To address whether IL-6 might act through TPO to increase platelet counts, TPO was neutralized in vivo in C57BL/10 mice treated with IL-6, and hepatic TPO mRNA expression and TPO plasma levels were studied. Transcriptional regulation of TPO mRNA was studied in the hepatoblastoma cell line HepG2. Furthermore, TPO plasma levels were determined in IL-6-treated cancer patients. It is shown that IL-6-induced thrombocytosis in C57BL/10 mice is accompanied by enhanced hepatic TPO mRNA expression and elevated TPO plasma levels. Administration of IL-6 to cancer patients results in a corresponding increase in TPO plasma levels. IL-6 enhances TPO mRNA transcription in HepG2 cells. IL-6-induced thrombocytosis can be abrogated by neutralization of TPO, suggesting that IL-6 induces thrombocytosis through TPO. A novel pathway of TPO regulation by the inflammatory mediator IL-6 is proposed, indicating that the number of platelets by themselves might not be the sole determinant of circulating TPO levels and thus of thrombopoiesis. This regulatory pathway might be of relevance for the understanding of reactive thrombocytosis.


Assuntos
Plaquetas/citologia , Hematopoese/efeitos dos fármacos , Interleucina-6/farmacologia , Trombopoetina/efeitos dos fármacos , Animais , Humanos , Inflamação/induzido quimicamente , Inflamação/etiologia , Interleucina-6/fisiologia , Fígado/química , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Contagem de Plaquetas , RNA Mensageiro/efeitos dos fármacos , RNA Mensageiro/metabolismo , Trombocitose/induzido quimicamente , Trombocitose/etiologia , Trombopoetina/sangue , Trombopoetina/genética , Trombopoetina/farmacologia , Células Tumorais Cultivadas
9.
Pharmacol Toxicol ; 89(5): 231-6, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11881976

RESUMO

Research focused on the development of new anticancer agents has been based mainly on the assessment of the antitumour activity. This yields a large number of newly developed drugs endowed with good antitumour properties, but heavy side-effects on myelopoiesis. In this work, we validate a new method potentially useful to assess myelotoxic effect of newly developed agents. The proposed technique uses peripheral blood CD34+ cells as source of haematopoietic progenitors. These cells are grown in liquid culture in the presence of cytokines able to induce differentiation versus the three main lineages. Doxorubicin, carboplatin and topotecan served as reference drugs to investigate the accuracy of the technique. The three drugs mimick the effects reported in vivo. Doxorubicin and carboplatin produce a specific effect toward erythropoietic and thrombopoietic lineages, respectively, and topotecan a three-lineage toxicity. An advantage of the technique is the possibility to further investigate myelotoxicity. Here, we assessed differentiation markers in CD34+ cells to evaluate if the three drug treatments can affect the process of differentiation. Data show that the drug treatments were unable to modulate the expression of the selected differentiation markers in the surviving population. We propose this method as an innovative tool to score the myelotoxic effect of compounds in the first steps of drug development to further develop those compounds with the best ratio between activity and myelotoxic effects. Moreover, the fact that the method is performed in liquid phase allows its optimisation in a conventional "high throughput system".


Assuntos
Antineoplásicos/farmacologia , Células Progenitoras Mieloides/efeitos dos fármacos , Antígenos CD34/análise , Carboplatina/farmacologia , Diferenciação Celular/efeitos dos fármacos , Divisão Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Doxorrubicina/farmacologia , Eritropoese/efeitos dos fármacos , Citometria de Fluxo/métodos , Glicoforinas/efeitos dos fármacos , Glicoforinas/metabolismo , Granulócitos/citologia , Granulócitos/efeitos dos fármacos , Humanos , Leucaférese/métodos , Células Progenitoras Mieloides/citologia , Reprodutibilidade dos Testes , Trombopoetina/efeitos dos fármacos , Trombopoetina/metabolismo , Fatores de Tempo , Topotecan/farmacologia
10.
Br J Haematol ; 109(3): 534-6, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10886200

RESUMO

Thrombopoietin (TPO) is the key growth factor for platelet production and is elevated in states of platelet depletion. As thrombocytopenia is a common finding in malaria, we analysed TPO regulation before, during and after antimalarial treatment. Before treatment, TPO serum levels were significantly higher in patients with severe malaria (n = 35) than in patients with uncomplicated malaria (n = 44; P = 0.024), normalizing within 14-21 d of therapy. The rapid normalization of TPO levels and increase in low peripheral platelet counts after treatment indicate that the biosynthesis of TPO and its regulation in malaria patients are normal.


Assuntos
Antimaláricos/uso terapêutico , Artemisininas , Malária Cerebral/sangue , Malária Falciparum/sangue , Sesquiterpenos/uso terapêutico , Trombopoetina/efeitos dos fármacos , Injúria Renal Aguda/sangue , Injúria Renal Aguda/parasitologia , Artesunato , Humanos , Malária Cerebral/tratamento farmacológico , Malária Falciparum/tratamento farmacológico , Contagem de Plaquetas , Estatísticas não Paramétricas
11.
Thromb Haemost ; 83(6): 909-14, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10896248

RESUMO

Several observations suggest that limited proteolysis of full-length 70 kD human thrombopoietin (Tpo) may be important for Tpo biology. Recently, it was reported that thrombin cleaves full-length recombinant human Tpo (rhTpo) sequentially at two sites, Arg(195) within the glycan domain followed by Arg(117) within the cytokine domain, and that these cleavages modulate Tpo activity in vitro. We demonstrate that urokinase and plasmin also cleave rhTpo in a time-dependent manner. Urokinase cleavage is confined to the glycan domain, and generates a 35 kD N-terminal fragment that contains the intact cytokine domain, and is associated with increased Tpo activity. In contrast, plasmin cleaves Tpo sequentially at two specific sites (Arg(205) within the glycan domain followed by Lys(52) within the cytokine domain), and is associated with a marked decrease in Tpo activity. These proteolytic events have potential implications for regulation of Tpo activity in vivo.


Assuntos
Serina Endopeptidases/metabolismo , Trombopoetina/metabolismo , Sítios de Ligação , Divisão Celular/efeitos dos fármacos , Fibrinolisina/metabolismo , Fibrinolisina/farmacologia , Fibrinolíticos/metabolismo , Fibrinolíticos/farmacologia , Hemostáticos/metabolismo , Hemostáticos/farmacologia , Humanos , Peso Molecular , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/farmacologia , Ativadores de Plasminogênio/metabolismo , Ativadores de Plasminogênio/farmacologia , Proteínas Recombinantes/efeitos dos fármacos , Proteínas Recombinantes/metabolismo , Análise de Sequência de Proteína , Serina Endopeptidases/farmacologia , Trombina/metabolismo , Trombina/farmacologia , Trombopoetina/efeitos dos fármacos , Ativador de Plasminogênio Tipo Uroquinase/metabolismo , Ativador de Plasminogênio Tipo Uroquinase/farmacologia
12.
Blood Coagul Fibrinolysis ; 11(2): 121-5, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10759004

RESUMO

Thrombopoietin (TPO), which is the main regulator of megakaryo/thrombopoiesis, has been recently cloned and purified, and shown to be useful in discriminating thrombocytopenia due to decreased production or increased platelet destruction. However, there are no detailed investigations about the drug effects on TPO levels during childhood. This study was conducted to measure the TPO levels of children with immune thrombocytopenic purpura (ITP) during steroid and immunoglobulin treatment. Twelve patients with acute ITP were treated with high-dose methyl prednisolone and five patients were treated with intravenous immunoglobulin. Neither steroids nor immunoglobulin were found to have any effect on TPO levels.


Assuntos
Imunoglobulinas Intravenosas/farmacologia , Metilprednisolona/farmacologia , Púrpura Trombocitopênica Idiopática/tratamento farmacológico , Trombopoetina/efeitos dos fármacos , Doença Aguda , Administração Oral , Adolescente , Anti-Inflamatórios/farmacologia , Criança , Pré-Escolar , Relação Dose-Resposta a Droga , Feminino , Humanos , Lactente , Masculino , Metilprednisolona/administração & dosagem , Contagem de Plaquetas , Trombopoetina/sangue , Fatores de Tempo
13.
Curr Opin Hematol ; 7(3): 143-9, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10786650

RESUMO

Platelet production is primarily regulated by the thrombopoietic cytokine thrombopoietin (TPO). In most cases thrombopoietin serum levels are determined by the rate of c-mpl receptor-mediated degradation after TPO uptake into platelets and megakaryocytes. The contribution of increased TPO protein synthesis by a translational mechanism was recently appreciated as the cause for hereditary thrombocythemia and will have to be elucidated in other conditions of thrombocytosis in association with increased TPO levels.


Assuntos
Proteínas de Neoplasias , Trombopoetina/sangue , Síndrome de Imunodeficiência Adquirida/sangue , Adulto , Animais , Antineoplásicos/efeitos adversos , Pré-Escolar , Citocinas/sangue , Citocinas/farmacologia , Infecções por HIV/sangue , Doenças Hematológicas/sangue , Doenças Hematológicas/induzido quimicamente , Doenças Hematológicas/genética , Humanos , Lactente , Recém-Nascido , Proteínas Proto-Oncogênicas/metabolismo , Receptores de Citocinas/metabolismo , Receptores de Trombopoetina , Trombocitopenia/sangue , Trombocitose/etiologia , Trombocitose/metabolismo , Trombocitose/virologia , Trombopoetina/efeitos dos fármacos
14.
Int J Hematol ; 72(4): 455-62, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11197211

RESUMO

We have reported that simultaneous activation of glycoprotein (gp) 130 and c-kit signals by interleukin (IL)-6, soluble IL-6 receptor (sIL-6R), and stem cell factor (SCF) promotes proliferation of human hematopoietic progenitor cells and their differentiation into erythroid, myelocytic, and megakaryocytic cells. We recently found that erythropoietin produced by erythroid progenitors stimulates erythropoiesis via gp130 and c-kit signals. Here we examined thrombopoietin (TPO) production by hematopoietic cells cultured with IL-6, sIL-6R, and SCF. Reverse transcription-polymerase chain reaction analysis indicated that hematopoietic cells generated from cord blood CD34+ cells with the 3 factors expressed a minor splice variant of TPO messenger RNA, P1 delta E2, which can be translated to TPO protein more efficiently than regularly spliced isoforms. The reduction in c-mpl, receptors for TPO, by antisense oligodeoxynucleotides suppressed the generation of erythroid, myelocytic, and pluripotent progenitors in suspension culture, plus colony formation of megakaryocytic progenitors in addition to these progenitors in clonal culture of cord blood CD34+ cells with IL-6, sIL-6R, and SCF. The addition of anti-human TPO antibody to the clonal culture also suppressed colony formation. These findings indicate that TPO production by hematopoietic cells stimulated by IL-6, sIL-6R, and SCF is involved in promoting their own growth.


Assuntos
Antígenos CD/farmacologia , Células-Tronco Hematopoéticas/metabolismo , Glicoproteínas de Membrana/farmacologia , Proteínas de Neoplasias , Proteínas Proto-Oncogênicas c-kit/farmacologia , Receptores de Citocinas , Trombopoetina/biossíntese , Antígenos CD/fisiologia , Receptor gp130 de Citocina , Sinergismo Farmacológico , Retroalimentação/efeitos dos fármacos , Sangue Fetal/citologia , Células-Tronco Hematopoéticas/efeitos dos fármacos , Humanos , Glicoproteínas de Membrana/fisiologia , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/farmacologia , Proteínas Proto-Oncogênicas c-kit/fisiologia , RNA Mensageiro/efeitos dos fármacos , RNA Mensageiro/metabolismo , Receptores de Trombopoetina , Transdução de Sinais/efeitos dos fármacos , Trombopoetina/efeitos dos fármacos , Trombopoetina/genética
15.
Transfus Sci ; 21(3): 207-10, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10848442

RESUMO

We have previously reported that the platelet count and an increase in platelet number reflect individual erythropoietic capacity in pre-operative autologous blood donation (PABD). We have examined the correlation between erythropoiesis and thrombopoiesis by quantitative in vitro determination of thrombopoietin (TPO), erythropoietin (EPO), and interleukin-6 (IL-6) in patients with PABD. A sequential increase in platelet count with donation could not be explained by an increase in TPO. TPO showed a tendency to be inversely related to the pre-donation platelet count, and to be related to the pre-donation hemoglobin level. There was an inverse relationship between the TPO and EPO levels. As seen with these results, a high erythropoietic state induces restraint of thrombopoiesis, and a low erythropoietic state induces an increase in thrombopoiesis. These effects modulate EPO and TPO via negative feedback. These results provide some practical important information for performing autologous blood donation. Further studies are needed to elucidate the details of these correlations.


Assuntos
Plaquetas/citologia , Transfusão de Sangue Autóloga/normas , Eritropoese/efeitos dos fármacos , Trombopoetina/efeitos dos fármacos , Adulto , Idoso , Doadores de Sangue , Eritropoese/fisiologia , Eritropoetina/sangue , Eritropoetina/farmacologia , Hematopoese/fisiologia , Humanos , Interleucina-6/sangue , Pessoa de Meia-Idade , Cuidados Pré-Operatórios , Trombopoetina/sangue , Trombopoetina/farmacologia
16.
Leuk Lymphoma ; 30(3-4): 279-92, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9713960

RESUMO

Thrombopoietin (TPO) has been successfully used to stimulate megakaryocyte progenitor proliferation and platelet production both in vitro and in vivo. We and other investigators have found that TPO also stimulates normal marrow colony-forming unit granulocyte-macrophage (CFU-GM) and burst-forming unit-erythroid (BFU-E) growth. In contrast to its effect on normal marrow precursors, TPO stimulates acute myelogenous leukemia (AML) progenitor proliferation in only 25% of the cases. Because the hematopoietic cells in Myelodysplastic syndrome (MDS) originate from both the normal and leukemic clones, we hypothesized that TPO may be a useful therapeutic agent for MDS. To test this hypothesis, we used fresh marrow samples taken from 14 MDS patients. We found that in the presence of fetal calf serum (FCS) and erythropoietin (EPO) TPO (5 to 40 ng/ml) MDS CFU-GM and BFU-E colony-forming cell proliferation were stimulated in a dose-dependent fashion by up to 103% and 93% respectively. This effect was similar to the stimulation obtained with optimal concentrations of granulocyte colony-stimulating factor (G-CSF), granulocyte-macrophage CSF (GM-CSF), or interleukin-3 (IL-3). Furthermore, TPO increased the colony-stimulatory effects of G-CSF, GM-CSF, IL-3, and stem cell factor (SCF) on MDS marrow cells. However, depletion of either T lymphocytes or adherent cells abrogated the effect of TPO, suggesting that the effect is not a direct one but is mediated through interaction with cytokines produced by accessory cells. Taken together, our data suggest that the therapeutic role of TPO in the management of MDS warrants further investigation.


Assuntos
Células Precursoras Eritroides/patologia , Granulócitos/patologia , Macrófagos/patologia , Síndromes Mielodisplásicas/tratamento farmacológico , Trombopoetina/efeitos dos fármacos , Idoso , Plaquetas/fisiologia , Divisão Celular , Ensaio de Unidades Formadoras de Colônias , Células Precursoras Eritroides/efeitos dos fármacos , Feminino , Fator Estimulador de Colônias de Granulócitos/fisiologia , Fator Estimulador de Colônias de Granulócitos e Macrófagos/fisiologia , Humanos , Interleucina-3/fisiologia , Leucemia Mieloide Aguda/patologia , Leucemia Mieloide Aguda/fisiopatologia , Masculino , Megacariócitos/patologia , Pessoa de Meia-Idade , Síndromes Mielodisplásicas/patologia , Fator de Células-Tronco/fisiologia
17.
Haemostasis ; 27(1): 1-8, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9097080

RESUMO

The regulator of platelet count is believed to be thrombopoietin (mpl ligand). It is thought to act on the megakaryocytic lineage affecting the proliferation of committed cells, the maturation of megakaryocytes and the blood platelet levels by activation of its receptor (the c-mpl). Recently, it has been purified and sequenced. Thrombopoietin offers potential applications for treatment of thrombocytopenia.


Assuntos
Proteínas de Neoplasias , Receptores de Citocinas , Trombopoetina , Animais , Regulação da Expressão Gênica , Humanos , Megacariócitos/metabolismo , Megacariócitos/fisiologia , Contagem de Plaquetas , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/metabolismo , Receptores de Trombopoetina , Trombopoetina/efeitos dos fármacos , Trombopoetina/genética , Trombopoetina/metabolismo , Trombopoetina/fisiologia
18.
Blood ; 86(12): 4532-43, 1995 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-8541543

RESUMO

Recently, the ligand for c-mpl, a member of the family of cytokine receptors, was cloned and found to be a physiologic regulator of platelet homeostasis. We report that megakaryocyte growth and development factor (MGDF, thrombopoietin [TPO], c-mpl ligand ) induces differentiation in a majority of mpl-transfected 32D cells, while interleukin (IL)-3 is exclusively mitogenic in this system. MGDF differentiation, as measured by decreased proliferation, changes in cellular morphology, increased adherence, and downregulation of very late antigen (VLA)-4, is dominant over IL-3 proliferation. MGDF induces tyrosine-phosphorylation of mpl, JAK2, SHC, SHPTP-1 (HCP, motheaten) and SHPTP-2 (Syp, PTP-1D) within 30 seconds of stimulation, as well as of vav and MAPK with slightly delayed kinetics. A fraction of mpl and JAK2 is preassociated, and the stoichiometry of this complex is unaltered by cytokine stimulation. After MGDF stimulation, we detect interactions among SHC, grb2, SHPTP-1, SHPTP-2, and the mpl/JAK2 complex. IL-3 induces phosphorylation of the above proteins with the exception of mpl and also causes weak JAK1 phosphorylation. Although similar in composition, the MGDF- and IL-3-induced complexes of signal transducers appear to be assembled in different configurations, especially with respect to SHPTP-2. Both MGDF and IL-3 induce tyrosine phosphorylation of STAT3 (APRF) and STAT5 (MGF), with MGDF favoring STAT3 while IL-3 predominantly causes STAT5 phosphorylation. In addition, some proteins become tyrosine-phosphorylated in response to MGDF only, suggesting that we may have detected differentiation-specific signal transducers. These include a number of high-molecular-weight proteins (140 to 200 kD) and one 28-kD protein that becomes tyrosine-phosphorylated only briefly.


Assuntos
Células-Tronco Hematopoéticas/efeitos dos fármacos , Interleucina-3/farmacologia , Megacariócitos/citologia , Processamento de Proteína Pós-Traducional/efeitos dos fármacos , Transdução de Sinais/fisiologia , Trombopoetina/farmacologia , Trombopoetina/fisiologia , Sequência de Aminoácidos , Animais , Diferenciação Celular/efeitos dos fármacos , Divisão Celular/efeitos dos fármacos , Linhagem Celular , Cães , Ativação Enzimática/efeitos dos fármacos , Células-Tronco Hematopoéticas/metabolismo , Camundongos , Dados de Sequência Molecular , Fosforilação/efeitos dos fármacos , Proteínas Quinases/metabolismo , Receptores de Interleucina-3/efeitos dos fármacos , Receptores de Interleucina-3/fisiologia , Proteínas Recombinantes de Fusão/metabolismo , Trombopoetina/efeitos dos fármacos , Trombopoetina/genética , Fatores de Transcrição/metabolismo , Transfecção
19.
Eksp Med Morfol ; 29(4): 24-7, 1990.
Artigo em Búlgaro | MEDLINE | ID: mdl-2098256

RESUMO

The influence of insulin on the number of thrombocytes of male and female rats as well as on the percentage of 75Selenomethionine (75Se-M) incorporated, on bone marrow megakaryocytes and thrombocytopoietic activity of the plasma was studied under normal conditions. It was established that a 3-day administration of insulin induced in both go groups of rats an increase in thrombocyte number, in the percentage of incorporated 75Se-M, in bone marrow megakaryocytes as well as in their total number and in all stages from I to IV with shift to mature cellular forms (III and IV stages). The thrombocytopoietic activity of the plasma was raised as well. In conclusion it could be said that insulin stimulates strongly thrombocytopoiesis in rats as it raises considerably the biosynthesis of its specific humoral regulator thrombocytopoietin. This effect of insulin does not demonstrate sex dependence.


Assuntos
Plaquetas/efeitos dos fármacos , Hematopoese/efeitos dos fármacos , Insulina/farmacologia , Trombopoetina/efeitos dos fármacos , Animais , Plaquetas/citologia , Relação Dose-Resposta a Droga , Feminino , Masculino , Megacariócitos/citologia , Megacariócitos/efeitos dos fármacos , Contagem de Plaquetas/efeitos dos fármacos , Ratos , Ratos Endogâmicos , Estimulação Química , Trombopoetina/biossíntese
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