McGarry M P, Novak E K, Swank R T
Exp Hematol. 1986 May;14(4):261-5.
Two human platelet storage pool deficiencies (SPD), Hermansky-Pudlak syndrome and Chediak-Higashi syndrome, are recessively inherited and characterized by hypopigmentation, prolonged bleeding, and normal platelet numbers accompanied by a reduction of platelet dense granules. Seven independent and unique mouse pigment mutations regulated by separate genes have been proposed as animal models for SPD. Mice homozygous for the recessive mutations have diluted pigmentation, prolonged bleeding times, normal platelet concentrations, and reduced numbers of platelet dense granules. Reciprocal bone marrow transplantations were carried out between normal C57Bl/6J mice and five of these mutants, pearl, light ear, pale ear, ruby-eye, and maroon, to test whether the platelet defects are due to platelet progenitor cells or to humoral regulatory factors. Recipient mice were transplanted with marrow after 950-rad whole body irradiation. The prolonged bleeding time and low serotonin concentrations of the five mutants were converted to normal values after transplantation with normal marrow. Normal mice displayed characteristics of platelet SPD when transplanted with mutant marrow. This study demonstrates that in each of five independent mouse models the thrombopathy of SPD is due to a platelet progenitor cell defect correctable by bone marrow transplantation. These findings suggest that in severe cases human SPD may be amenable to treatment by bone marrow transplantation.
两种人类血小板贮存池缺陷(SPD),即Hermansky-Pudlak综合征和Chediak-Higashi综合征,为隐性遗传,其特征为色素沉着减退、出血时间延长、血小板数量正常但伴有血小板致密颗粒减少。已提出由不同基因调控的7种独立且独特的小鼠色素突变作为SPD的动物模型。隐性突变纯合子小鼠具有色素沉着稀释、出血时间延长、血小板浓度正常以及血小板致密颗粒数量减少的特点。在正常C57Bl/6J小鼠与其中5种突变体(珍珠色、淡耳色、浅耳色、红宝石眼和栗色)之间进行了相互骨髓移植,以测试血小板缺陷是由于血小板祖细胞还是体液调节因子所致。受体小鼠在接受950拉德全身照射后接受骨髓移植。用正常骨髓移植后,5种突变体延长的出血时间和低血清素浓度恢复到正常水平。当用突变体骨髓移植时,正常小鼠表现出血小板SPD的特征。本研究表明,在5种独立的小鼠模型中,每种模型的SPD血栓形成异常均是由于血小板祖细胞缺陷所致,可通过骨髓移植纠正。这些发现提示,在严重的人类SPD病例中,可能适合采用骨髓移植进行治疗。