Center for Pediatric Biomedical Research, Department of Pediatrics, and Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY.
Center for Pediatric Biomedical Research, Department of Pediatrics, and.
Blood. 2014 Jul 10;124(2):277-86. doi: 10.1182/blood-2014-01-547638. Epub 2014 Apr 15.
Megakaryocyte (MK) development in the bone marrow progresses spatially from the endosteal niche, which promotes MK progenitor proliferation, to the sinusoidal vascular niche, the site of terminal maturation and thrombopoiesis. The chemokine stromal cell-derived factor-1 (SDF-1), signaling through CXCR4, is implicated in the maturational chemotaxis of MKs toward sinusoidal vessels. Here, we demonstrate that both IV administration of SDF-1 and stabilization of endogenous SDF-1 acutely increase MK-vasculature association and thrombopoiesis with no change in MK number. In the setting of radiation injury, we find dynamic fluctuations in marrow SDF-1 distribution that spatially and temporally correlate with variations in MK niche occupancy. Stabilization of altered SDF-1 gradients directly affects MK location. Importantly, these SDF-1-mediated changes have functional consequences for platelet production, as the movement of MKs away from the vasculature decreases circulating platelets, while MK association with the vasculature increases circulating platelets. Finally, we demonstrate that manipulation of SDF-1 gradients can improve radiation-induced thrombocytopenia in a manner additive with earlier TPO treatment. Taken together, our data support the concept that SDF-1 regulates the spatial distribution of MKs in the marrow and consequently circulating platelet numbers. This knowledge of the microenvironmental regulation of the MK lineage could lead to improved therapeutic strategies for thrombocytopenia.
巨核细胞(MK)在骨髓中的发育在空间上从促进 MK 祖细胞增殖的骨内膜龛进展到终末成熟和血小板生成的窦状血管龛。趋化因子基质细胞衍生因子-1(SDF-1)通过 CXCR4 信号传导,参与 MK 向窦状血管的成熟趋化作用。在这里,我们证明 SDF-1 的 IV 给药和内源性 SDF-1 的稳定急性增加了 MK-血管的关联和血小板生成,而 MK 数量没有变化。在辐射损伤的情况下,我们发现骨髓 SDF-1 分布的动态波动在空间和时间上与 MK 龛位占有率的变化相关。改变的 SDF-1 梯度的稳定直接影响 MK 的位置。重要的是,这些 SDF-1 介导的变化对血小板生成具有功能后果,因为 MK 从血管的迁移减少了循环血小板,而 MK 与血管的关联增加了循环血小板。最后,我们证明 SDF-1 梯度的操纵可以以与早期 TPO 治疗相加的方式改善辐射引起的血小板减少症。总之,我们的数据支持 SDF-1 调节骨髓中 MK 谱系的空间分布的概念,从而影响循环血小板数量。对 MK 谱系的微环境调节的这种了解可能会导致改善血小板减少症的治疗策略。