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Thrombopoietin and its receptor expression in pediatric patients with chronic immune thrombocytopenia
Shanshan Li1, Jingbo Shao1, Min Xia2
1a Department of Hematology and Oncology , Shanghai Children's Hospital, Shanghai Jiao Tong University , Shanghai , People's Republic of China.
Insights
Thrombopoietin (TPO) and its receptor c-Mpl levels are decreased in children with chronic immune thrombocytopenia (cITP). This suggests TPO and c-Mpl play a role in the development of childhood cITP.
Area of Science:
- Hematology
- Immunology
- Pediatrics
Background:
- Chronic immune thrombocytopenia (cITP) is a prevalent condition in children.
- The exact mechanisms driving childhood cITP remain incompletely understood.
Purpose of the Study:
- To investigate the potential role of thrombopoietin (TPO) and its receptor, c-Mpl, in the pathogenesis of childhood cITP.
- To compare TPO and c-Mpl levels in children with newly diagnosed ITP (nITP), persistent ITP, cITP, and healthy controls.
Main Methods:
- Plasma TPO levels were quantified using ELISA.
- c-Mpl expression was determined by flow cytometry.
- TPO and c-Mpl mRNA expression were analyzed using quantitative real-time PCR.
Main Results:
- Plasma TPO levels were significantly lower in the cITP group compared to the nITP group.
- c-Mpl expression (MFI) was significantly reduced in children with cITP versus those with nITP.
- TPO and c-Mpl mRNA expression levels were also found to be decreased in the cITP group.
Conclusions:
- Reduced expression of TPO and c-Mpl in children with cITP suggests their involvement in the disease's development.
- These findings highlight TPO and c-Mpl as potential targets for understanding and managing childhood cITP.
Objectives:
Chronic immune thrombocytopenia (cITP) is common in children. However, the pathogenesis has not been fully elucidated. This study aimed to determine whether thrombopoietin (TPO) and its receptor c-mannosylation of the TPO receptor (c-Mpl) have an impact on childhood cITP.
Methods:
Sixty-four patients with newly diagnosed ITP (nITP), 64 patients with persistent ITP, 80 patients with cITP, and 64 healthy children (control) were enrolled in this study. Plasma TPO was measured with an ELISA, and c-Mpl was determined by flow cytometry.
Results:
Plasma TPO levels showed differences among the four groups (p = 0.001). TPO levels in the cITP group were significantly decreased compared to those in the nITP group (p < 0.05). The mean fluorescence intensity (MFI) of c-Mpl was significantly different among the four groups (p = 0.0275). c-Mpl MFI was lower in the cITP group than in the nITP group(p < 0.05). Quantitative real-time PCR analysis showed that TPO mRNA expression was higher in the control group than in the ITP groups (p < 0.0001). The c-Mpl mRNA levels also showed significant differences among the four groups (p = 0.023). The control group, compared with the other groups, had lower levels of c-Mpl mRNA.
Conclusions:
The expression of TPO and c-Mpl was significantly decreased in the cITP group compared to the nITP group, suggesting that TPO and its receptor may play important roles in childhood cITP pathogenesis.
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