“…In particular, we showed that TPO is a pivotal regulator of this function by inducing TGF-β1 release, thus controlling ECM component synthesis in an autocrine manner. TGF-β1, as well as other soluble factors (e.g., ADP, VEGF, PF4) and ECM components (e.g., vWF, fibronectin), have been shown to be constitutively released by megakaryocytes to regulate their own differentiation and proplatelet formation [134,136,142,143,144,145,146], indicating that in physiological conditions megakaryocytes can activate an autocrine/paracrine loop which contribute to both their own development and overall bone marrow homeostasis [147]. Consistently, impaired synthesis and release of these proteins has been linked to altered megakaryocyte maturation, proplatelet formation and/or ECMs production [141,142,143,148], leading to a broad spectrum of clinical outcomes, from defective peripheral blood platelet count to deregulated bone marrow homeostasis [147,149,150].…”