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Blood, Vol. 94 No. 6 (September 15), 1999:
pp. 1952-1960
From the Department of Medicine and Clinical Science, Kyoto
University Graduate School of Medicine, Kyoto, Japan; the Department of
Hematology and Clinical Immunology, Kobe City General Hospital, Kobe,
Japan; the Pharmaceutial Reseach Laboratory, Kirin Brewery Co,
Takasaki, Japan; the College of Medical Technology, Kyoto University,
Kyoto, Japan; and the Department of Immunology and Medical Zoology,
Faculty of Medicine, Fukui Medical University, Fukui, Japan.
Thrombocytosis is occasionally seen in patients with carcinomas and
has been assumed to be attributable to interleukin-6 or granulocyte-macrophage colony-stimulating factor produced by carcinoma cells. In this study, we clarified whether thrombopoietin (TPO) is
involved in carcinoma-associated thrombocytosis. Expression of TPO mRNA
was observed in the majority of 27 carcinoma cell lines as determined
by reverse transcriptase-polymerase chain reaction (RT-PCR). There were
6 PCR products differing in size; sequence analysis showed the
full-length TPO mRNA (TPO-1), 12- and 116-bp deleted variants (TPO-2
and TPO-3, respectively), and 3 novel isoforms (197- and 128-bp deleted
forms and a 60-bp insert form of TPO-3; named TPO-4, TPO-5, and TPO-6,
respectively). Of 27 lines, 24 expressed TPO-1 mRNA with various other
isoforms. Culture supernatants of COS-1 cells transfected with TPO-5 or TPO-6 cDNA did not promote the proliferation of TPO-responsive cells,
whereas Western blot analysis on the cell lysates demonstrated TPO-5
but not TPO-6 protein, suggesting poor extracellular secretion (TPO-5)
or poor protein synthesis (TPO-6). TPO protein was detected in 10-fold
concentrated culture supernatants of cells of these carcinoma lines,
with a median concentration of 0.38 fmol/mL as evaluated by
enzyme-linked immunosorbent assay. High blood TPO levels were observed
with a median value of 3.46 fmol/mL (range, 0.34 to 8.67 fmol/mL) in
patients with advanced carcinomas associated with thrombocytosis. These
results indicate that thrombocytosis in patients with carcinomas might
be caused, at least in part, by TPO produced by carcinoma cells.
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