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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2291-2298.
Prepublished online as a Blood First Edition Paper on June 1, 2004; DOI 10.1182/blood-2003-05-1745.


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Submitted May 30, 2003
Accepted April 29, 2004

Thrombopoietin responsiveness reflects the number of doublings undergone by megakaryocyte progenitors

Jean-Michel Paulus*, Najet Debili, Frederic Larbret, Jack Levin, and William Vainchenker

Laboratory of Hematology, CHU du Sart Tilman, University of Liege, Liege, Belgium
INSERM U 362, Institut Gustave Roussy, Villejuif, France, Metropolitan
Department of Laboratory Medicine, University of California School of Medicine, San Francisco, CA, USA

* Corresponding author; email: jmpaulus{at}ulg.ac.be.

To assess the variation of thrombopoietin (TPO) responsiveness associated with megakaryocyte (MK) progenitor amplification, TPO dose-response curves were obtained for normal human, single-cell plated CD34+CD41+ cells. The number of MK per well was determined in situ and expressed as number of doublings (NbD). Dose-response curves of the mean frequency of clones of each size vs logTPO concentration showed highly significant differences in the TPO concentration needed for half-maximum generation of clones of different sizes (TPO50): 1.89±0.51 pg/mL for 1 MK clones; 7.75±0.81 for 2-3 MK clones; 38.5±5.04 for 4-7 MK clones and 91.8±16.0 for 8-15 MK clones. These results were consistent with a prediction of the generation-age model, because the number of previous doublings in vivo was inversely correlated with the number of residual doublings in vitro. TPO responsiveness decreased in vitro by a factor of 3.5 per doubling, reflecting the recruitment of progressively more ancestral progenitors. In support of this hypothesis, the more mature CD34+CD41+CD42+ cell fraction had a lower TPO50 (p<0.001), underwent lesser NbD (p<0.001) and expressed a 2.8-fold greater median Mpl receptor density (p<0.001) than the CD34+CD41+CD42- fraction. Progenitors which have completed their proliferative program have maximum factor responsiveness and are preferentially induced to terminal differentiation.


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