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Blood, 1 July 2007, Vol. 110, No. 1, pp. 171-179.
Prepublished online as a Blood First Edition Paper on March 28, 2007; DOI 10.1182/blood-2007-02-071589.


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Submitted February 1, 2007
Accepted March 21, 2007

The May-Hegglin anomaly gene Myh9 is a negative regulator of platelet biogenesis modulated by the Rho-ROCK pathway

Zhao Chen, Olaia Naveiras, Alessandra A Balduini, Akiko Mammoto, Mary Anne Conti, Robert S Adelstein, Donald Ingber, George Q Daley, and Ramesh A Shivdasani*

Department of Medical Oncology, Dana-Farber Cancer Institute, and Dept of Medicine, Harvard Medical School, Boston, MA, United States
Division of Hematology & Oncology, Children's Hospital, & Dept of Biological Chemistry & Molecular Pharmacology, Harvard Medical School, Boston, MA, United States
Department of Biochemistry, University of Pavia, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
Vascular Biology Program, Children's Hospital, & Depts of Pathology & Surgery, Harvard Medical School, Boston, MA, United States
Laboratory of Molecular Cardiology, National Heart, Lung and Blood Institute, Bethesda, MD, United States

* Corresponding author; email: ramesh_shivdasani{at}dfci.harvard.edu.

The gene implicated in the May-Hegglin anomaly and related macrothrombocytopenias, MYH9, encodes myosin-IIA, a protein that enables morphogenesis in diverse cell types. Defective myosin-IIA complexes are presumed to perturb megakaryocyte (MK) differentiation or generation of proplatelets. We observed that Myh9-/- mouse embryonic stem (ES) cells differentiate into MKs that are fully capable of proplatelet formation (PPF). In contrast, elevation of myosin-IIA activity, by overexpression or by mimicking constitutive phosphorylation of its regulatory myosin light chain (MLC), significantly attenuates PPF. This effect occurs only in the presence of myosin-IIA and implies that myosin-IIA influences thrombopoiesis negatively. MLC phosphorylation in MKs is regulated by Rho-associated kinase (ROCK), and consistent with our model, ROCK inhibition enhances PPF. Conversely, expression of RhoAv14, a constitutive form of the ROCK upstream activator Rho, blocks PPF, and this effect is rescued by simultaneous expression of a dominant inhibitory form of MLC. Hematopoietic transplantation studies in mice confirm that interference with the putative Rho-ROCK-myosin-IIA pathway selectively decreases the number of circulating platelets. Our studies unveil a key regulatory pathway for platelet biogenesis and point to Sdf-1/CXCL12 as one possible extra-cellular mediator. The unexpected mechanism for Myh9-associated thrombocytopenia may lead to new molecular approaches to manipulate thrombopoiesis.


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