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A pathobiologic pathway linking thrombopoietin, GATA-1, and TGF-beta1 in the development of myelofibrosis
Alessandro M Vannucchi1, Lucia Bianchi, Francesco Paoletti
1Clinical Biochemistry, Istituto Superiore Sanità, Viale Regina Elena 299, 00161 Rome, Italy. migliar@iss.it
Abstract:
Idiopathic myelofibrosis (IM) is a disease characterized by marrow fibrosis, abnormal stem/progenitor cell trafficking, and extramedullary hematopoiesis frequently associated with alterations in megakaryocytes (Mks). Mice harboring genetic alterations in either the extrinsic (ectopic thrombopoietin expression, TPO(high) mice) or intrinsic (hypomorphic GATA-1 mutation, GATA-1(low) mice) control of Mk differentiation develop myelofibrosis, a syndrome similar to IM. The relationship, if any, between the pathobiologic mechanism leading to the development of myelofibrosis in the 2 animal models is not understood. Here we show that plasma from GATA-1(low) mice contained normal levels of TPO. On the other hand, Mks from TPO-treated wild-type animals (TPO(high) mice), as those from GATA-1(low) animals, had similar morphologic abnormalities and contained low GATA-1. In both animal models, development of myelofibrosis was associated with high transforming growth factor beta1 (TGF-beta1) content in extracellular fluids of marrow and spleen. Surprisingly, TPO treatment of GATA-1(low) mice restored the GATA-1 content in Mks and halted both defective thrombocytopoiesis and fibrosis. These data indicate that the TPO(high) and GATA-1(low) alterations are linked in an upstream-downstream relationship along a pathobiologic pathway leading to development of myelofibrosis in mice and, possibly, of IM in humans.
Insights
Thrombopoietin (TPO) signaling and GATA-1 regulation are linked in myelofibrosis development. TPO treatment in GATA-1 deficient mice reversed fibrosis, suggesting a shared pathway for this bone marrow disease.
Area of Science:
- Hematology
- Molecular Biology
- Pathology
Background:
- Idiopathic myelofibrosis (IM) involves bone marrow fibrosis and abnormal megakaryocyte (Mk) differentiation.
- Existing animal models of myelofibrosis (TPO(high) and GATA-1(low) mice) have distinct genetic alterations but similar disease phenotypes.
- The pathobiologic link between these models and IM remains unclear.
Purpose of the Study:
- To investigate the relationship between extrinsic (TPO) and intrinsic (GATA-1) factors in myelofibrosis pathogenesis.
- To understand the shared mechanisms underlying myelofibrosis in TPO(high) and GATA-1(low) mouse models.
Main Methods:
- Comparison of TPO levels and Mk morphology in GATA-1(low) and TPO(high) mice.
- Assessment of transforming growth factor beta1 (TGF-beta1) levels in marrow and spleen.
- Therapeutic intervention with TPO in GATA-1(low) mice to evaluate effects on GATA-1 content, thrombocytopoiesis, and fibrosis.
Main Results:
- GATA-1(low) mice had normal plasma TPO levels, but Mks showed abnormalities similar to TPO-treated wild-type mice, with low GATA-1.
- Myelofibrosis in both models correlated with elevated TGF-beta1.
- TPO treatment normalized GATA-1 in GATA-1(low) Mks, corrected thrombocytopoiesis, and resolved fibrosis.
Conclusions:
- The TPO(high) and GATA-1(low) alterations represent an upstream-downstream relationship in a common myelofibrosis pathway.
- These findings suggest a potential therapeutic target for human idiopathic myelofibrosis.
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