Although the growth factors that regulate megakaryocytopoiesis are well known, the molecular determinants of platelet formation from mature megakaryocytes remain poorly understood. Morphological changes in megakaryocytes associated with platelet formation and removal of senescent megakaryocytes are suggestive of an apoptotic process. Previously, we have established that nitric oxide (NO) can induce apoptosis in megakaryocytoid cell lines. To determine whether there is an association between NO-induced apoptosis and platelet production, we exposed Meg-01 cells to S-nitrosoglutathione (GSNO) with or without thrombopoeitin (TPO) pretreatment and used flow cytometry and electron microscopy to assess platelet-sized particle formation. Meg-01 cells treated with TPO alone produced few platelet-sized particles (<3% of total counts), whereas treatment with GSNO alone produced a significant percentage of platelet-sized particles (22 ؎ 4% of total counts); when combined with TPO pretreatment, however, GSNO led to a marked increase in platelet-sized particle production (48 ؎ 3% of total counts). Electron microscopy confirmed that Meg-01 cells treated with TPO and GSNO yielded platelet-sized particles with morphological features specific for platelet forms. The platelet-sized particle population appears to be functional, because addition of calcium, fibrinogen, and thrombin receptor-activating peptide led to aggregation. These results demonstrate that NO facilitates platelet production, thereby establishing the essential role of NO in megakaryocyte development and thrombopoiesis.thrombopoiesis ͉ apoptosis ͉ guanylyl cyclase T he mechanism by which platelets are produced from megakaryocytes (thrombocytopoiesis) is not well understood. Megakaryocytes differentiate from pluripotent hematopoietic stem cells in a process orchestrated by a series of growth factors that regulate distinct stages of megakaryocyte maturation. These stages include proliferation of progenitor cells, nuclear polyploidization (via endomitosis), cytoplasmic maturation, and, ultimately, proplatelet formation and platelet release (1). Cytoplasmic maturation is characterized by the formation of platelet-specific granules and the development of a demarcation membrane system that delineates the platelet fields in the cytoplasm. In recent years, a theory of proplatelet development has emerged in which long cytoplasmic exvaginations form from the mature megakaryocyte cytoplasm in the terminal phase of megakaryocyte development. These proplatelets insinuate between bone marrow sinusoidal cells to enter the circulation (2). Circulatory shear force within the marrow or possibly in the pulmonary circulation results in the fragmentation of these proplatelets, thereby releasing platelets into the circulation (3, 4). Moreover, Italiano and colleagues have recently demonstrated that the number of platelets released per megakaryocyte is enhanced by coordinated bending and bifurcation of proplatelet processes (5).The recently discovered growth factor thrombopoeitin (TPO) i...