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Blood, 15 August 2001, Vol. 98, No. 4, pp. 1019-1027
HEMATOPOIESIS
Thrombocytopenic c-mpl / mice can produce a normal
level of platelets after administration of 5-fluorouracil: the effect
of age on the response
Jack Levin,
Laurence Cocault,
Corinne Demerens,
Cécile Challier,
Michèle Pauchard,
Jacques Caen, and
Michèle Souyri
From INSERM U506, Hôpital Paul Brousse,
Villejuif, France; Institut des Vaisseaux et du Sang, Paris, France;
and INSERM U363, Hôpital Cochin, Paris, France.
Administration of 5-fluorouracil (5-FU) to mice results in a marked
increase in the level of circulating platelets in 10 days. Mice lacking
Mpl, the receptor for thrombopoietin (TPO), are thrombocytopenic. To
gain insight into the mechanism by which 5-FU produces such a
substantial stimulation of platelet production, this study investigated whether 5-FU (150 mg/kg) produced thrombocytosis in
c-mpl / mice, thus establishing whether TPO was required
for this response. A 5- to 6-fold increase in platelet levels in
c-mpl / mice (to approximately
1000 × 109/L) was observed on days 20 and 25 after 5-FU injection. Thus, at the peak of the response,
c-mpl / mice had platelet levels comparable to those in
normal mice. Administration of 5-FU also produced thrombocytosis in
previously splenectomized c-mpl / mice. Comparison of
the platelet response to 5-FU in young (6-12 weeks) and old (33-46 weeks) c-mpl / mice found that older mice produced a
much more marked response than younger mice, with a mean maximum
platelet level of approximately 1700 × 109/L. To
determine whether this increase in circulating platelets was
preceded by an increase in hematopoietic progenitors, serial cultures
of bone marrow and spleen were evaluated. A considerable increase
in all colony types studied was observed on days 15 and 20 in spleens
of c-mpl / mice, but no similar elevations were detected
in bone marrow. These results indicate that c-mpl / mice
can achieve a normal level of platelets after 5-FU injection, by means
of a TPO-independent mechanism, and that they respond to 5-FU
myelosuppression by producing large numbers of megakaryocytic, myeloid, and erythroid progenitors.

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