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Concentrations of Thrombopoietin in Bone Marrow in Normal Subjects
and in Patients With Idiopathic Thrombocytopenic Purpura, Aplastic
Anemia, and Essential Thrombocythemia Correlate With Its mRNA
Expression of Bone Marrow Stromal Cells
Yasuo Hirayama,
Sumio Sakamaki,
Takuya Matsunaga,
Takashi Kuga,
Hiroyuki Kuroda,
Toshiro Kusakabe,
Katsunori Sasaki,
Koshi Fujikawa,
Junji Kato,
Katsuhisa Kogawa,
Ryuzo Koyama, and
Yoshiro Niitsu
From the 4th Department of Internal Medicine, Sapporo Medical
University School of Medicine, Sapporo, Japan; and Hokkaido Prefectural
Sapporo Kitano Hospital, Sapporo, Japan.
The function of bone marrow (BM) stromal thrombopoietin (TPO) in
megakaryopoiesis remains unknown. In the present study we attempted to
clarify the pathophysiological implications of stromal TPO in normal
subjects (NS) and in patients with idiopathic thrombocytopenic purpura
(ITP), aplastic anemia (AA), and essential thrombocythemia (ET) by
measuring TPO concentrations in BM and peripheral blood (PB) and by
estimating the levels of stromal TPO mRNA with TaqMan fluorescence-based post-reverse transcription-polymerase chain reaction product detection system. The results showed that TPO concentrations in PB were significantly elevated in patients with ITP
(34.9 ± 11.7 pg/mL) and AA (364.1 ± 153.5 pg/mL) but within normal
range in patients with ET (each 20.0 and 22.1; NS, 22.1 ± 8.2 pg/mL).
In all subjects, the TPO concentrations in BM correlated well with the
PB levels, and the former were consistently higher than the latter. The
concentrations of TPO in BM also correlated with the levels of TPO mRNA
in stromal cells. Furthermore, expression levels of TPO mRNA clearly
correlated with megakaryocyte counts in NS and patients with ITP,
indicating that stromal TPO actually enhances megakaryopoiesis. Thus,
our results in the present study indicate that TPO from BM stromal
cells is considered to play an essential role for megakaryopoiesis
under various patho-physiological conditions.
Blood, Vol. 92 No. 1 (July 1), 1998:
pp. 46-52
© 1998 by The American Society of Hematology.

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