Gandhi Manish J, Drachman Jonathan G, Reems Jo-Anna, Thorning David, Lannutti Brian J
Puget Sound Blood Center, 921 Terry Avenue, Seattle, WA 98104, USA.
Blood Cells Mol Dis. 2005 Jul-Aug;35(1):70-3. doi: 10.1016/j.bcmd.2005.04.002.
Transfusion of allogeneic platelets is the mainstay of therapy for patients with thrombocytopenic hemorrhage. However, donated platelets can only be stored for 5 days and are maintained at room temperature, increasing the risk of bacterial growth. Developing a method to produce functional platelets in vitro would greatly advance transfusion therapy. During our studies to understand megakaryocyte development, we discovered that a Src kinase inhibitor, SU6656, induces cellular enlargement, polyploidization, and cytoplasmic fragmentation of several hematopoietic cell lines. Therefore, we tested the hypothesis that these fragments possess platelet-like activity. We studied a megakaryocytic cell-line, UT-7/TPO, and immature human primary megakaryocytes. After 6 days in the presence of thrombopoietin and SU6656, the majority of cells became polyploid and started shedding platelet-like fragments. These fragments were tested for aggregation and analyzed by electron microscopy. The platelet-like fragments did not undergo spontaneous activation but did show rapid and sustained aggregation in response to each of the standard agonists collagen, arachidonic acid, adenosine diphosphate, and epinephrine. Platelet-like fragments generated in SU6656 had higher amplitude and more prolonged aggregation in each of three experiments. Primary progenitors developed demarcation membranes within 72 h and evidence of dense granules and platelet-like fragments after 6 days. These cell fragments demonstrated properties consistent with platelet aggregation in response to multiple agonists without spontaneous aggregation. These studies provide evidence that SU6656 promotes megakaryocytic differentiation and thrombopoiesis in vitro.
输注异体血小板是血小板减少性出血患者治疗的主要手段。然而,捐献的血小板只能在室温下储存5天,这增加了细菌生长的风险。开发一种体外生产功能性血小板的方法将极大地推动输血治疗的发展。在我们了解巨核细胞发育的研究过程中,我们发现一种Src激酶抑制剂SU6656可诱导几种造血细胞系发生细胞肿大、多倍体化和细胞质碎片化。因此,我们验证了这些碎片具有类血小板活性的假说。我们研究了一种巨核细胞系UT-7/TPO和未成熟的人原代巨核细胞。在血小板生成素和SU6656存在的情况下培养6天后,大多数细胞变成多倍体并开始脱落类血小板碎片。对这些碎片进行聚集试验并通过电子显微镜分析。类血小板碎片未发生自发激活,但在受到标准激动剂胶原、花生四烯酸、二磷酸腺苷和肾上腺素刺激时确实表现出快速且持续的聚集。在三个实验中的每一个实验中,SU6656诱导产生的类血小板碎片都具有更高的聚集幅度和更长的聚集时间。原代祖细胞在72小时内形成分界膜,6天后出现致密颗粒和类血小板碎片的迹象。这些细胞碎片表现出与血小板聚集一致的特性,即对多种激动剂作出反应但无自发聚集。这些研究提供了证据,表明SU6656在体外可促进巨核细胞分化和血小板生成。