促血小板生成素受体——原癌基因c—Mpl蛋白的研究进展

促血小板生成素(TPO)专一性促进巨核细胞的生长发育和血小板的生成,其生物学功能由其受体c-Mpl介导。c-Mpl的发现源于其同源对应物v-Mpl的克隆。c-Mpl是位于造血干细胞、巨核细胞、血小板表面的跨膜蛋白。其表达专一而保守。c-Mpl属于造血因子受体超家族,保守的造血功能区决定结合TPO的能力,其膜内结构具有一些与传导细胞生长、增殖和分化信号相关的保守结构。TPO的信号传导途径涉及c-Mpl自身及部分相关蛋白的磷酸化,除了Jak-STAT途径和Ras途径外,TPO可能还激活其他与c-Cbl有关的途径。     

血小板生成素及其研究进展

血小板生成素(TPO)是最近被描述的一种新型细胞因子,相对分子质量在35×10³以上,是一种糖蛋白.人和鼠TPO成熟蛋白分别由332和335个氨基酸残基组成.TPO的受体与造血生长因子受体超家族成员c-Mpl相关.TPO不仅对巨核系祖细胞的增殖、分化具有明显的调控作用,而巨对血小板的生成同样具有促进作用.     

用酵母双杂合系统筛选与人血小板生成素受体c-Mpl相互作用的蛋白质

血小板生成素(thrombopoietin,TPO)是调节血小板生成最主要的细胞因子,其生物学效应由其受体c-Mpl介导.利用酵母双杂合系统(two-hybrid system)筛选与c-Mpl相互作用的蛋白质因子.首先将c-Mpl膜内部分cDNA克隆至pAS2双杂合载体中,重组质粒命名为pASMM;然后以pASMM为靶蛋白质粒,筛选了人胎盘cDNA文库.在1.5×106个转化子中筛选到7个阳性克隆.序列测定表明,分离到编码人波形纤维蛋白(vimentin)的第611 bp至C末端的cDNA顺序(包括3'非翻译区),从而发现波形纤维蛋白可与TPO受体相互作用,这提示细胞骨架蛋白在TPO的信号转导过程中可能起着重要的作用.     

血小板生成素研究进展

血小板生成素(thrombopoietin,TPO)是近几年发现的一种造血生长因子,其功能是促进巨核细胞的发育成熟,调节血液中血小板的水平。由于它在临床上纠正较难对付的血小板减少症方面具有较好的应用前景,短短两年时间其开发研究已进入了Ⅰ/Ⅱ期临床试验,据称初步结果比较乐观;在理论研究方面,TPO基因的克隆大大丰富了人们对巨核细胞发育过程和调控机制的认识,出现了大量相关文献。本文根据最新文献,综述人们在有关TPO的表达调控、信号转导、生物活性、临床应用等方面的认识。     

血小板生成素诱导胎肝CD34^＋造血干／祖细胞增殖分化与周期蛋白表达的关系

为了解胚胎时期巨核细胞增殖分化特有的内在机制,本研究观察了在体外培养体系中,胎肝源CD34+造血干/祖细胞在血小板生成素(thrombopoietin,TPO)作用下增殖分化特征与相关周期蛋白B1、D1和D3表达及细胞内水平变化的关系。结果发现(1)经12d培养后,TPO使胎肝源CD34     

血小板生成素基因治疗血小板减少症的研究

血小板生成素 (TPO)有望成为特异性治疗血小板减少症的理想药物 .对TPOcDNA离体细胞表达和基因治疗血小板减少症进行了初步尝试 :构建了pcDNA3 TPO高表达质粒 ,基因转移离体细胞 ,检测表达产物rhTPO具有完整的生物学活性 ;pcDNA3 TPO分别注射正常小鼠和血小板减少症小鼠 ,小鼠血浆中检测到rhTPO的表达 ,并且正常小鼠血小板水平上升至 1 .9倍 ,血小板减少症小鼠血小板降低的幅度减小、恢复的速度加快并达到原来值的 1 .8～ 2 .0倍 .该结果为TPO基因治疗血小板减少症提供了实验依据 .     

TPO的分子生物学研究进展

本文综述了人TPO的基因结构及表达、TPO的结构与功能的关系、TPO与其受体相互作用及信号传导等方面的研究进展。TPO基因和蛋白均存在有多态性,可能与基因的剪接方式有关。N端结构域的氨基酸有很高的保守性,含有两个与TPO受体结合的位点,这两个位点同时作用于两个TPO受体,使受体形成二聚体,受体胞内区的酪氨酸或丝氨酸的磷酸化,激活胞膜内G蛋白信号系统,从而激活其后的一系列信号传导。两对二硫键Cys^7-Cys^151和Cys^29-Cys^85对保证N端功能域的形成起重要作用。TPO的C端结构域氨基酸变异较大,富含丝氨酸、苏氨酸和脯氨酸,C端的功能为：调节TPO特异活性;调控TPO的循环半衰期;促进TPO生物合成和分泌。     

血小板生成素基因在NIH/3T3细胞中的表达与调控

应用 Tet- On基因表达系统 ,调控血小板生成素 (TPO)基因在 NIH/3T3细胞中的表达时间与水平 .籍脂质体介导的基因转移方法 ,p Tet- On质粒转染 NIH/3T3细胞株 ,得到稳定细胞株NIH/3T3- Tet- On.p TRE/TPO与 p TK- Hyg质粒共转染 NIH/3T3- Tet- On细胞株 ,得到双稳定细胞株 NIH/3T3- Tet- On- TPO.在培养基中加入或不加强力霉素 ,RT- PCR、Western印迹及 ELISA法检测培养上清 TPO表达 .结果表明 ,当培养基中不加强力霉素时 ,TPO无明显表达 (0 .1 μg/L) ;当培养基中加入 2 mg/L强力霉素时 ,TPO表达明显增高 (1 0 .8μg/L) .TPO表达水平与强力霉素浓度有关 ,随强力霉素浓度增高 ,TPO表达增加 .TPO表达水平还与强力霉素作用时间有关 ,加入强力霉素 6 h后 ,TPO表达明显增加 (1 .2μg/L) ,随培养时间延长 ,TPO表达增加 ,2 4 h达到峰值(1 0 .8μg/L) ,而且这种诱导作用是可逆的 .为进一步进行 TPO基因表达调控的体内研究奠定基础 ,有望为 TPO基因治疗提供一条可控的安全途径     

重组人血小板生成素治疗血小板减少性紫癜

目的:分析重组人血小板生成素(rh TPO)治疗血小板减少性紫癜(ITP)的临床疗效。方法:选取100例难治性ITP患者为研究对象,随机分作两组,即观察组50例,采用rh TPO治疗;对照组50例,采用达那唑治疗。比较两组疗效及不良反应。结果:观察组总有效率90%优于对照组72%,差异明显有统计学意义(P<0.05);输注rh TPO之后,有7例患者出现不良反应,主要包括血清丙氨酸氨基转移酶升高、乏力、头晕以及注射处疼痛等,症状较轻且自行缓解。结论:在难治性ITP的临床治疗中,rh TPO具有诸多优势,不仅安全,而且有效,临床疗效优于达那唑,能够实现对出血症状的理想控制,表现出了比较良好的临床应用价值以及前景。     

小剂量利妥昔单抗联合龙花胶囊对成人血小板减少症患者促血小板生成素及肾功能水平的影响

目的:探讨小剂量利妥昔单抗联合龙花胶囊对成人血小板减少症患者促血小板生成素,肾功能水平及临床疗效的影响。方法:收集我院就收治的90例免疫性血小板减少症患者,随机分为实验组和对照组,每组45例。对照组患者给予小剂量利妥昔单抗治疗;实验组患者在对照组基础上使用龙花胶囊治疗。观察并比较两组患者血小板(PLT)计数、促血小板生成素(TPO)、肾功能水平以及临床治疗总有效率。结果:与治疗前相比,治疗后两组患者的PLT、TPO水平均升高,差异具有统计学意义(P0.05);与治疗前相比,治疗后两组患者的肌酐(Scr)、尿素氮(BUN)水平均下降,差异具有统计学意义(P0.05);与对照组相比,实验组患者PLT、TPO水平较低,Scr、BUN水平较高,差异具有统计学意义(P0.05);与对照组相比,实验组患者临床治疗有效率较高,差异具有统计学意义(P0.05)。结论:小剂量利妥昔单抗联合龙花胶囊能够升高血小板减少症患者血小板以及促血小板生成素水平,改善患者肾功能,临床疗效较好,提高了治疗效果。     

Thrombopoietin stimulates proliferation and megakaryocytic differentiation of mouse pro-B cell line BF-TE22

We have isolated and characterized a thrombopoietin (TPO)-dependent BF-TE22 cell line endogenously expressing murine Mpl, which is a subclone of murine pro-B Ba/F3 cells. TPO stimulated the proliferation of BF-TE22 cells in a dose-dependent manner, and also induced the expression of megakaryocyte lineage-specific AP-51 and CD61 cell surface antigens. The results indicate that the murine Mpl on BF-TE22 cells can transmit both proliferation and megakaryocyte lineage-specific differentiation signals to cells. Furthermore, it was shown that IL-3 inhibits the TPO-induced differentiation signals of BF-TE22 cells. These results suggest that the signals mediated by IL-3 predominate over those of TPO in BF-TE22 cells. Thus, BF-TE22 cells will be useful for the biological and biochemical studies of the TPO-Mpl signal transduction mechanism. This revised version was published online in June 2006 with corrections to the Cover Date.     

Role of the thrombopoietin (TPO)/Mpl system: c-Mpl-like molecule/TPO signaling enhances early hematopoiesis in Xenopus laevis

Multiple organs are induced in the primitive embryonic ectoderm excised from blastula stage Xenopus laevis embryos, under the strict control of mesoderm inducing factors. This in vitro system is useful for exploring the mechanisms of development. In this study, the function of thrombopoietin (TPO)/c-Mpl signaling in the development of hematopoietic cells was investigated. An optimal hematopoietic cell induction system was established to evaluate the influence of growth factors on hematopoiesis. It was found that exogenous TPO enhanced hematopoiesis in explants induced by activin and bone morphogenetic protein (BMP)-4 and increased the number of both erythrocytes and leukocytes in a dose-dependent manner. Addition of anti-c-Mpl antibody completely inhibited the expansion of hematopoietic cells stimulated by TPO, and the antibody specifically recognized blood-like cells. These results demonstrate that TPO acts on hematopoietic progenitors induced in explants and the c-Mpl-like molecule in Xenopus mediates the cellular function of TPO. We also found that forced expression of TPO in embryos promoted hematopoiesis in the ventral blood island and the dorsal-- lateral plate mesoderm. These results suggest that hematopoietic stem and progenitor cells are regulated by TPO/c-Mpl signaling from when they appear in their ontogeny. They also suggest that TPO/c-Mpl signaling play a crucial role in the formation of hematopoietic cells in Xenopus.     

TPO内含子Ⅴ可显著增强人血小板生成素基因在乳腺细胞中的表达

人血小板生成素（thrombopoietin,TPO）基因组包括6个外显子和5个内含子,内含子在其表达过程中可能扮演着重要作用.为了研究人TPO基因组中不同内含子对TPO表达的影响,构建可在转基因动物乳腺中高水平表达人TPO的乳腺特异性表达质粒.本研究以65 kb的山羊β-casein启动子为调控元件,构建了包括人TPO cDNA(pTPOA)、TPO intronⅠ-TPO cDNA (pTPOB)、ΔTPO intronⅠ-TPO cDNA (pTPOC)、TPO intronⅤ-TPO cDNA (pTPOD)和TPO gDNA (pTPOE)等5种TPO乳腺特异性表达质粒,并在人乳腺细胞HC-11细胞上进行了瞬间表达研究.在转染48 h后,通过双抗体夹心的ELISA方法定量分析上述质粒在HC-11细胞上的表达水平.结果表明,含有内含子Ⅴ的 pTPOD的表达量最高,而含有整个基因组TPO的pTPOE表达水平最低.为了进一步证实pTPOD可在乳腺细胞中高水平表达,将pTPOD经脂质体包埋后注射到泌乳期山羊的乳腺中.结果显示,在山羊乳汁中可连续14 d检测到人TPO的表达.上述实验证实,人TPO基因组中的内含子V可显著提高TPO在HC-11细胞内的表达水平,并提示内含子Ⅴ中可能含有特殊的调控序列.     

无巨核细胞条件下促血小板生成素对骨髓基质细胞纤维形成的影响

目的：观察无巨核细胞存在的条件下促血小板生成素能否刺激骨髓基质细胞纤维形成。方法：用改良Dexter培养法进行体外不同浓度促血小板生成素（TPO）作用下的基质细胞培养,在培养过程中检测基质细胞相对增殖指数,纤维连接蛋白、层粘素和Ⅳ型胶原的表达,以及Ⅲ型前胶原蛋白的合成。结果：TPO可刺激基质细胞增殖,相对增殖指数随TPO浓度增加而增强,但不随作用时间延长而增强;纤维连接素、层粘素和Ⅳ型胶原在对照组与实验组均有阳性表达,但实验组强于对照组,但阳性强度不随培养时间的延长而增强;标记的Ⅲ型前胶原蛋白平均荧光强度实验组高于对照组,差异明显,但这种作用的强弱与TPO浓度相关性不强。结论：无巨核细胞存在的条件下,TPO可直接刺激骨髓基质细胞产生细胞外基质和胶原,促进其纤维形成。     

Asn-linked sugar chain structures of recombinant human thrombopoietin produced in Chinese hamster ovary cells

Human thrombopoietin (TPO) that regulates the numbers of megakaryocytes and platelets is a heavily N- and O-glycosylated glycoprotein hormone with partial homology to human erythropoietin (EPO). We prepared recombinant human TPO produced in Chinese hamster ovary (CHO) cells and analyzed the sugar chain structures quantitatively using 2-aminobenzamide labeling, sequential glycosidase digestion and matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF/MS).We found bi-, tri- and tetraantennary complex-type sugar chains with one or two N-acetyllactosamine repeats, which are common to recombinant human EPO produced in CHO cells. On the other hand, there were triantennary sugar chains with one or two N-acetyllactosamine repeats that were specific to the recombinant human TPO, and their distributions of branch structures were also different. These results suggested that proximal protein structure should determine the branch structure of Asn-linked sugar chains in addition to the glycosyltransferases subset.     

Effect of doxycycline-regulated calnexin and calreticulin expression on specific thrombopoietin productivity of recombinant Chinese hamster ovary cells

In an attempt to increase the specific thrombopoietin (TPO) productivity (q(TPO)) of recombinant Chinese hamster ovary (rCHO) cells (CHO-TPO), the effect of expression level of calnexin (CNX) and calreticulin (CRT) on q(TPO) was investigated. To control both CNX and CRT expression levels simultaneously, the Tet-Off system was first introduced in CHO-TPO cells, and stable Tet-Off cells (TPO-Tet-Off) were screened by luciferase assay. The doxycycline-regulated CNX and CRT expression system in rCHO cells (TPO-CNX/CRT) was established by cotransfection of CNX and CRT expression vector and pTK-Hyg vector into TPO-Tet-Off cells and subsequent screening by Western blot analysis of CNX and CRT. The expression levels of CNX and CRT in TPO-CNX/CRT cells could be tightly controlled by adding different concentrations of doxycycline to a culture medium. Compared with the basal level (2 microg/mL doxycyline), a 2.9-fold increase in CNX expression and a 2.8-fold increase in CRT expression were obtained in the absence of doxycycline. This, in turn, resulted in a 1.9-fold increase in q(TPO), not inhibiting cell growth or changing in vivo biological activity of TPO. Taken together, these results demonstrate that a simultaneous overexpression of CNX and CRT can increase the q(TPO) of rCHO cells.     

Isolation and characterization of mouse homolog of the neutrophil activating peptide-2.

In the presence of thrombopoietin (TPO), megakaryocytes mature by polyploidization and cytoplasmic maturation, and the matured megakaryocytes induce drastic morphological change and proplatelet formation and release a number of platelets. However, the regulatory mechanism of this unique differentiation process is still obscure. We therefore attempted to identify the factors, expression of which is induced by TPO stimulation in mouse bone marrow megakaryocytes. We isolated the mouse homolog of the neutrophil activating peptide-2 (NAP-2). Mouse NAP-2 cDNA encodes a predicted sequence of 113 amino acids and contains the Cys motif (CXC) found in other members of the alpha-chemokine family. At the amino acid level, the predicted mouse NAP-2 has 50.4%, 51.8%, and 72.6% identity with the predicted human, pig, and rat NAP-2, respectively. Northern blot analysis demonstrates that mouse NAP-2 is expressed only in spleen. Furthermore, the RT-PCR technique shows that the mouse NAP-2 gene is clearly upregulated by TPO stimulation in mouse megakaryocytes.     

Expression, purification and characterization of soluble human thrombopoietin receptor from Escherichia coli

The extracellular domain (edMpl) of human thrombopoietin (TPO) receptor, c-Mpl was expressed in Escherichia coli by changing some nucleotides before and after the translation initiation codon. The mutations increased the expression by approx. 15-fold. The inclusion bodies were solubilized in 8 M guanidine-HCl under reducing conditions and refolded using a glutathione-redox system. The monomeric form of edMpl was purified to near homogeneity by two successive steps of ion-exchange chromatography using DEAE-Sephacel and Mono Q columns. The purified monomeric edMpl inhibited the TPO-dependent cell proliferation, suggesting that it was binding to TPO. Also, antisera raised against the edMpl bound specifically to the soluble receptor secreted by mammalian cells.     

Fibronectin promotes proplatelet formation in the human megakaryocytic cell line UT-7/TPO

We investigated PPF (proplatelet formation) in the human megakaryocytic cell line UT-7/TPO in vitro and signal transduction pathways responsible for PPF. The megakaryocytic cell lines are useful for studying megakaryocyte biology, although PPF is induced only in the presence of phorbol ester. TPO (thrombopoietin) stimulates megakaryocyte proliferation and differentiation; however, no PPF occurred in the megakaryocytic cell lines, even after the addition of TPO. Therefore, factors other than TPO may play an important role in the process of PPF. As PPF occurs in the bone marrow in vivo, we noted extracellular matrix proteins and found that soluble FN (fibronectin) induced potent PPF in UT-7/TPO without phorbol ester. A Western blot analysis showed that the expression of integrins was not increased by FN treatment. Anti-β1 antibody and the RGD (arginine-glycine-aspartate) peptide inhibited FN-induced PPF. This result indicates that the signal originated from integrin β1, which is essential to inducing PPF in UT-7/TPO. Results of the experiments using several inhibitors suggest that activation of the MEK [MAPK (mitogen-activated protein kinase)/ERK (extracellular-signal-regulated kinase) kinase]-ERK and PI3K (phosphoinositide 3-kinase) pathways are necessary for PPF. The phosphorylation of ERK gradually increased for 2 h after the addition of soluble FN, which suggests that activation of ERK is essential for the initial induction of FN-induced PPF in UT-7/TPO. UT-7/TPO is a useful cell line that enables us to study the signals of PPF without effects of chemical compounds.     

Effect of doxycycline-regulated protein disulfide isomerase expression on the specific productivity of recombinant CHO cells: thrombopoietin and antibody

Protein disulfide isomerase (PDI), one of the ER-resident molecular chaperones, forms and isomerizes disulfide bonds. This study attempts to investigate the effect of PDI expression level on specific productivity (q) of recombinant Chinese hamster ovary (rCHO) cells producing thrombopoietin (TPO) and antibody (Ab). To regulate the PDI expression level, the Tet-Off system was introduced in TPO and Ab producing CHO cells, and stable Tet-Off cells (TPO-Tet-Off and Ab-Tet-Off) were screened using the luciferase assay. The doxycycline-regulated PDI expression system in Tet-Off rCHO cells (Tet-TPO-PDI and Tet-Ab-PDI) was established by the cotransfection of pTRE-PDI and pTK-Hyg expression vector into TPO-Tet-Off and Ab-Tet-Off cells, respectively. Subsequent screening was done by Western blot analysis of PDI and an enzyme-linked immunosorbent assay of the secreted TPO and antibody. We cultured two Tet-TPO-PDI and two Tet-Ab-PDI clones, and all these clones showed an average of 2.5-fold increase in PDI expression when compared to the basal level. In both these cell lines the PDI expression was tightly controlled by various concentrations of doxycycline. The q of TPO (q(TPO)) was unaffected but that of antibody producing cells was increased by 15-27% due to the PDI expression level.