Abstract. Thrombopoietin (TPO), the ligand for c-mpl, has recently been demonstrated to be the primary regulator of megakaryocytopoiesis and platelet production. In addition, several studies have demonstrated that c-mpl is expressed on hematopoietic cell populations highly enriched in primitive progenitor cells. Here we summarize and discuss recent studies from our laboratory, as well as others, demonstrating that TPO has effects on primitive hematopoietic progenitor cells. When acting alone, TPO stimulates little or no growth, but promotes viability and suppresses apoptosis of murine multipotent (LinSca-1+) bone marrow progenitor cells in vitro. In addition, TPO directly and potently synergizes with other early acting cytokines (kit ligand, flu ligand and interleukin 3) to promote multilineage growth of the same progenitor cell population. Although it remains to be established whether TPO also acts on the long-term reconstituting pluripotent stem cells, these studies combined with progenitor cell studies in c-mpl-deficient mice, suggest that TPO, in addition to its key role in platelet production, might also have an important impact on early hematopoiesis. Stem Cells 1996;14(suppl 1):173-180
Cytokine Regulation of HematopoiesisHematopoiesis is a lifelong process involving the production of mature blood cells of all lineages from a pool of pluripotent long-term reconstituting stem cells (LTRC) capable of producing hematopoietic progenitor cells (HPC) with different proliferative as well as differentiation Correspondence: Dr. Sten Eirik W. Jacobsen, Blood Cell Growth Factors Laboratory, Hipple Cancer Research Center, 4100 South Kettering Boulevard, Dayton, OH 45439-2092, USA.Accepted for publication July 15, 1996. OAlphaMed Press 1066-5099/96/$5.00/0 potentials [l-31. The daily turnover of approximately lo'* cells in a normal adult human must be tightly regulated and involves, in part, a complex interaction between membrane-bound, as well as soluble stimulatory and inhibitory cytokines, and their corresponding receptors [I -31. In steady state, the most primitive hematopoietic stem cells are thought to be quiescent, and triggering their growth appears to require combined stimulation by multiple cytokines, whereas more committed progenitors frequently can be induced to proliferate by single cytokines [2, 31. Cytokines demonstrated to have activities on HPC can be classified based on distinct patterns of functional activities (Table 1) [2,3]. The first class of "colony-stimulating factors" (CSFs) is characterized by the unique ability of its members to efficiently stimulate the in vitro clonogenic growth of more committed progenitor cells when acting individually, and includes G-CSF, GM-CSF, M-CSF or CSF-I, interleukin 3 (IL-3), erythropoietin (EPO), IL-5 and IL-7. In addition, many of the CSFs can interact with cytokines of the other classes to synergistically enhance the growth of primitive HPC. The second class of "stem cell regulators" acts predominantly, but not exclusively, on primitive HPC, and includes t...