Department of Hematology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
Shandong Provincial Key Laboratory of Immunohematology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
Thromb Haemost. 2019 Mar;119(3):377-383. doi: 10.1055/s-0038-1677032. Epub 2019 Jan 10.
Immune thrombocytopaenia (ITP) is the most common autoimmune bleeding disorder, where platelets are destroyed by auto-antibodies and/or cell-mediated mechanisms. To understand the pathogenesis of ITP and explore novel therapeutics, three types of animal models have been used: passive ITP, secondary ITP and platelet-induced ITP. However, the first two are not ideal for chronic ITP pathophysiology where both T cell and B cell play important roles in platelet destruction. The most efficient model to mimic chronic ITP is developed by Chow et al through transferring splenocytes from platelet-immune CD61-knockout (KO) mice into mice with severe combined immunodeficiency (SCID). However, placental defects are evident in 25% of CD61-KO females and post-natal haemorrhage does occur, reducing the survival rate of embryos and pups. Compared with CD61-KO mice, CD41-KO ones do not present such problems. In our study, we employ CD41-KO mice as another source of immunized spleen cells. We evaluated our model with existing standards. Transferred SCID mice presented typical features of ITP, such as reduced platelet counts in the peripheral blood, increased anti-platelet antibody levels in the serum and reduced mature megakaryocytes in the bone marrow. What is more, lymphocyte-depletion experiments showed the role of CD8 T cells in mature megakaryocyte decrease and thrombocytopaenia. And we confirmed the antibody-mediated platelet destruction by phagocytosis in the spleen. Our study develops another efficient murine ITP model through immunized CD41-KO mice.
免疫性血小板减少症(ITP)是最常见的自身免疫性出血性疾病,其中血小板被自身抗体和/或细胞介导的机制所破坏。为了了解 ITP 的发病机制并探索新的治疗方法,已经使用了三种类型的动物模型:被动性 ITP、继发性 ITP 和血小板诱导性 ITP。然而,前两种模型并不适合慢性 ITP 病理生理学,因为 T 细胞和 B 细胞在血小板破坏中都起着重要作用。Chow 等人通过将来自血小板免疫 CD61 敲除(KO)小鼠的脾细胞转移到严重联合免疫缺陷(SCID)小鼠中,开发了最有效的模拟慢性 ITP 的模型。然而,在 25%的 CD61-KO 雌性中存在胎盘缺陷,并且会发生产后出血,这降低了胚胎和幼崽的存活率。与 CD61-KO 小鼠相比,CD41-KO 小鼠不存在这些问题。在我们的研究中,我们使用 CD41-KO 小鼠作为免疫脾细胞的另一个来源。我们用现有的标准来评估我们的模型。转移到 SCID 小鼠中的脾细胞呈现出 ITP 的典型特征,例如外周血中的血小板计数减少、血清中抗血小板抗体水平升高以及骨髓中成熟巨核细胞减少。更重要的是,淋巴细胞耗竭实验表明 CD8 T 细胞在成熟巨核细胞减少和血小板减少中的作用。我们还通过脾脏中的吞噬作用证实了抗体介导的血小板破坏。我们的研究通过免疫 CD41-KO 小鼠开发了另一种有效的小鼠 ITP 模型。