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Published on: September 8, 2021
Megakaryocytes in pulmonary diseases
Di-Yun Huang1, Guan-Ming Wang1, Zhuo-Ran Ke1
1Department of Physiology, School of Basic Medical Science, Central South University, Changsha, Hunan 410078, China.
Abstract:
Megakaryocytes (MKs) are typical cellular components in the circulating blood flowing from the heart into the lungs. Physiologically, MKs function as an important regulator of platelet production and immunoregulation. However, dysfunction in MKs is considered a trigger in various diseases. It has been described that the lung is an important site of platelet biogenesis from extramedullary MKs, which may play an essential role in various pulmonary diseases. With detailed studies, there are different degrees of numerical changes of MKs in coronavirus disease 2019 (COVID-19), acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD), lung cancer, pulmonary fibrosis (PF), and other pulmonary diseases. Also, MKs inhibit or promote the development of pulmonary diseases through various pathways. Here, we summarize the current knowledge of MKs in pulmonary diseases, highlighting the physiological functions and integrated molecular mechanisms. We aim to shine new light on not only the subsequent study of MKs but also the diagnosis and treatment of pulmonary diseases.
Insights
Megakaryocytes (MKs), crucial for platelet production, are increasingly linked to lung diseases like COVID-19 and COPD. Understanding MK roles in pulmonary conditions offers new diagnostic and therapeutic avenues.
Area of Science:
- Pulmonary Medicine
- Hematology
- Cell Biology
Background:
- Megakaryocytes (MKs) regulate platelet production and immune responses.
- The lungs are a significant site for extramedullary megakaryopoiesis.
- MK dysfunction is implicated in various pathologies.
Purpose of the Study:
- To review the role of MKs in pulmonary diseases.
- To highlight MK physiological functions and molecular mechanisms in lung conditions.
- To inform future research and clinical applications for MKs in lung disease.
Main Methods:
- Literature review of studies on MKs and pulmonary diseases.
- Analysis of numerical changes in MKs across different lung conditions.
- Summary of molecular pathways influenced by MKs in lung disease.
Main Results:
- MKs exhibit altered numbers in COVID-19, ARDS, COPD, lung cancer, and pulmonary fibrosis.
- MKs can both inhibit and promote the progression of pulmonary diseases.
- Specific molecular mechanisms of MK involvement are being elucidated.
Conclusions:
- MKs play a complex role in the pathogenesis of various pulmonary diseases.
- Further investigation into MKs is crucial for advancing the diagnosis and treatment of lung conditions.
- Targeting MKs may offer novel therapeutic strategies for respiratory diseases.
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