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Blood, 1 July 2006, Vol. 108, No. 1, pp. 134-140.
Prepublished online as a Blood First Edition Paper on March 7, 2006; DOI 10.1182/blood-2005-03-1219.


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Submitted March 25, 2005
Accepted February 16, 2006

Deficiency in the Wiskott Aldrich protein induces premature proplatelet formation and platelet production in the bone marrow compartment

Siham Sabri, Adlen Foudi, Siham Boukour, Brigitte Franc, Sabine Charrier, Martine Jandrot-Perrus, Richard W Farndale, Abdelali Jalil, Mike P Blundell, Elisabeth M Cramer, Fawzia Louache, Najet Debili, Adrian J Thrasher, and William Vainchenker*

INSERM U790, Universite Paris XI, Institut Gustave Roussy, Villejuif, France
Departement d'Hematologie, INSERM U567, Institut Cochin, Maternite Port Royal, Paris, France
Departement de Pathology, A. Pare Hospital (APHP), Universite de Versailles, Saint Quentin en Yvelines, France
INSERM E348, Faculte Xavier Bichat, Paris, France
Department of Biochemistry, University of Cambridge, Cambridge, United Kingdom
IFR54, Universite Paris XI, Institut Gustave Roussy, Villejuif, France
Molecular Immunology Unit, Institute of Child Health, University College London, London, United Kingdom

* Corresponding author; email: verpre{at}igr.fr.

The pathophysiology of microthrombocytopenia in the Wiskott-Aldrich syndrome (WAS), and its milder form, X-linked thrombocytopenia (XLT) is unclear. Although quantitative defects are correctable by splenectomy, residual platelet abnormalities are suggestive of intrinsic disturbances of production. In contrast to human patients, murine models of WASp-deficiency exhibit only mild thrombocytopenia, and platelets are of normal size. Here we have identified a critical role for WASp during murine platelet biogenesis. By electron microscopy WASp-deficient MKs appeared to have shed platelets ectopically within the bone marrow space. WASp-deficient megakaryocytes (MKs) also displayed defects in response to fibrillar collagen I (CI) in vitro, the major matrix component of bone. These included a loss of normal CI receptor ({alpha}2{beta}1 integrin)-mediated inhibition of proplatelet formation, a marked abrogation of SDF-1-induced chemotactic migration of CD41+ MKs adherent to CI, and an almost complete lack of actin-rich podosomes, normally induced by interaction between CI and its receptors GPVI or {alpha}2{beta}1 integrin. These findings highlight the central and highly specialized role of WASp in MKs during platelet biogenesis, and may provide a mechanism for the mild thrombocytopenia observed in WASp-deficient mice. In addition, they suggest a novel explanation for some of the platelet abnormalities characteristic of patients with the WAS.


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