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Thrombopoietin primes human platelet aggregation induced by shear stress
and by multiple agonists
A Oda, Y Miyakawa, BJ Druker, K Ozaki, K Yabusaki, Y Shirasawa, M Handa, T Kato, H Miyazaki, A Shimosaka and Y Ikeda
Division of Hematology, Department of Internal Medicine, Keio University,
Tokyo, Japan.
Recombinant thrombopoietin has been reported to stimulate
megakaryocytopoiesis and thrombopoiesis and it may be quite useful to treat
patients with low platelet counts after chemotherapy. As little is known
regarding the possible activation of platelets by thrombopoietin, we
examined the effects of thrombopoietin on platelet aggregation induced by
shear stress and various agonists in native plasma. Using hirudin as an
anticoagulant, thrombopoietin (1 to 100 ng/mL) enhanced platelet
aggregation induced by 2 micromol/L adenosine- diphosphate (ADP) in a dose
dependent fashion. The enhancement was not affected by treatment of
platelets with 1 mmol/L aspirin plus SQ-29548 (a thromboxane antagonist, 1
micromol/L) but was inhibited by a soluble form of the thrombopoietin
receptor, suggesting that the enhancement was mediated by the specific
receptors and does not require thromboxane production. Epinephrine (1
micromol/L), which does not induce platelet aggregation in hirudin platelet
rich plasma (PRP), did so in the presence of thrombopoietin (10 ng/mL).
Thrombopoietin (10 ng/mL) also enhanced or primed platelet aggregation
induced by collagen (0.5 micron.mL),. thrombin, serotonin, and vasopressin.
Thrombopoietin does not induce any rise in cytosolic ionized calcium
concentration nor activation of protein kinase C, as estimated by
phosphorylation of preckstrin, indicating that the priming effects of
thrombopoietin does not require those processes. The ADP- or
thrombin-induced rise in cytosolic ionized calcium concentration was not
enhanced by thrombopoietin (100 ng/mL). Further, shear (ca. 90
dyn/cm2)-induced platelet aggregation was also potentiated by
thrombopoietin. The priming effect on epinephrine-induced platelet
aggregation in hirudin PRP was unique to thrombopoietin, with no effects
seen using interleukin-6 (IL-6), IL-11, IL-3, erythropoietin,
granulocyte-colony stimulating factor, granulocyte macrophage-colony
stimulating factor, or c-kit ligand. These data indicate that monitoring of
platelet functions may be necessary in the clinical trials of
thrombopoietin.
Volume 87,
Issue 11,
pp. 4664-4670,
06/01/1996
Copyright © 1996 by The American Society of Hematology

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