Thrombopoietin
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Thrombopoietin (THPO) also known as megakaryocyte growth and development factor (MGDF) is a protein that in humans is encoded by the THPO gene.
Thrombopoietin is a
Megakaryocytopoiesis is the cellular development process that leads to platelet production. The protein encoded by this gene is a humoral growth factor necessary for megakaryocyte proliferation and maturation, as well as for thrombopoiesis. This protein is the ligand for MLP/C_MPL, the product of myeloproliferative leukemia virus oncogene.[6]
Genetics
The thrombopoietin
Function and regulation
Thrombopoietin is produced in the liver by both parenchymal cells and
Thrombopoietin regulates the differentiation of
Its negative feedback is different from that of most hormones in
TPO, like EPO, plays a role in brain development. It promotes apoptosis of newly generated neurons, an effect counteracted by EPO and neurotrophins.[8]
Therapeutic use
Despite numerous trials, thrombopoietin has not been found to be useful therapeutically. Theoretical uses include the procurement of platelets for donation,[9] and recovery of platelet counts after myelosuppressive chemotherapy.[5]
Trials of a modified recombinant form, megakaryocyte growth and differentiation factor (MGDF), were stopped when healthy volunteers developed autoantibodies to endogenous thrombopoietin and then developed thrombocytopenia.[10] Romiplostim and Eltrombopag, structurally different compounds that stimulate the same pathway, are used instead.[11]
A quadrivalent peptide analogue is being investigated, as well as several small-molecule agents,[5] and several non-peptide ligands of c-Mpl, which act as thrombopoietin analogues.[12][13]
Discovery
Thrombopoietin was cloned by five independent teams in 1994. Before its identification, its function has been hypothesized for as much as 30 years as being linked to the cell surface receptor c-Mpl, and in older publications thrombopoietin is described as c-Mpl ligand (the agent that binds to the c-Mpl molecule). Thrombopoietin is one of the Class I hematopoietic cytokines.[5]
See also
References
- ^ a b c GRCh38: Ensembl release 89: ENSG00000090534 – Ensembl, May 2017
- ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000022847 – Ensembl, May 2017
- ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
- ^ PMID 16687716.
- ^ "Entrez Gene: THPO thrombopoietin (myeloproliferative leukemia virus oncogene ligand, megakaryocyte growth and development factor)".
- ^ Online Mendelian Inheritance in Man (OMIM): 600044
- PMID 15642952.
- S2CID 12119556.
- PMID 11719360.
- PMID 21864167.
- PMID 16484588.
- PMID 17327409.
Further reading
- Hitchcock IS, Kaushansky K (April 2014). "Thrombopoietin from beginning to end". British Journal of Haematology. 165 (2): 259–68. S2CID 39360961.
- Wörmann B (October 2013). "Clinical indications for thrombopoietin and thrombopoietin-receptor agonists". Transfusion Medicine and Hemotherapy. 40 (5): 319–25. PMID 24273485.
- Kuter DJ (July 2013). "The biology of thrombopoietin and thrombopoietin receptor agonists". International Journal of Hematology. 98 (1): 10–23. PMID 23821332.
- Lupia E, Goffi A, Bosco O, Montrucchio G (2012). "Thrombopoietin as biomarker and mediator of cardiovascular damage in critical diseases". Mediators of Inflammation. 2012: 390892. PMID 22577249.
- Liebman HA, Pullarkat V (2011). "Diagnosis and management of immune thrombocytopenia in the era of thrombopoietin mimetics" (PDF). Hematology. American Society of Hematology. Education Program. 2011: 384–90. PMID 22160062.