PMID- 15085152 OWN - NLM STAT- MEDLINE DCOM- 20040623 LR - 20191210 IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 18 IP - 6 DP - 2004 Jun TI - Constitutively activated phosphatidylinositol 3-kinase primes platelets from patients with chronic myelogenous leukemia for thrombopoietin-induced aggregation. PG - 1127-37 AB - In this study, we examined the effect of thrombopoietin (TPO) on the aggregation of platelets from 40 patients with myeloproliferative disorders (MPDs), including 17 patients with chronic myelogenous leukemia in the chronic phase (CML-CP), 10 with polycythemia vera, 10 with essential thrombocythemia, and three with myelofibrosis. TPO by itself dose-dependently induced the aggregation of platelets from patients with CML-CP but not from those with other MPDs or with CML-CP in cytogenetical complete remission. The expression of CD63 in CML-CP platelets was induced by TPO treatment. Phosphatidylinositol 3-kinase (PI3-kinase) was constitutively activated in CML-CP platelets. Pretreatment with PI3-kinase inhibitors (wortmannin and LY294002) dose-dependently inhibited TPO-induced aggregation of CML-CP platelets. The Abl kinase inhibitor imatinib mesylate and the Jak inhibitor AG490 suppressed TPO-induced aggregation of CML-CP platelets. Pretreatment with imatinib mesylate, but not with AG490, inhibited the activity of PI3-kinase in CML-CP platelets. In addition, tyrosine phosphorylation of Jak2 was undetected in CML-CP platelets before TPO treatment. These findings indicate that the constitutive activation of PI3-kinase primes CML-CP platelets for the aggregation induced by TPO, and that Bcr-Abl, but not Jak family protein tyrosine kinases, are involved in the constitutive activation of PI3-kinase in CML-CP platelets. FAU - Kubota, Y AU - Kubota Y AD - The Department of Transfusion Medicine, Faculty of Medicine, Kagawa University, Kagawa, Japan. yokubota@kms.ac.jp FAU - Tanaka, T AU - Tanaka T FAU - Ohnishi, H AU - Ohnishi H FAU - Kitanaka, A AU - Kitanaka A FAU - Okutani, Y AU - Okutani Y FAU - Taminato, T AU - Taminato T FAU - Ishida, T AU - Ishida T FAU - Kamano, H AU - Kamano H LA - eng PT - Journal Article PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Androstadienes) RN - 0 (Chromones) RN - 0 (Enzyme Inhibitors) RN - 0 (Morpholines) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 31M2U1DVID (2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-one) RN - 42HK56048U (Tyrosine) RN - 9014-42-0 (Thrombopoietin) RN - XVA4O219QW (Wortmannin) SB - IM MH - Androstadienes/pharmacology MH - Blood Platelets/*enzymology MH - Chromones/pharmacology MH - Dose-Response Relationship, Drug MH - Enzyme Activation/physiology MH - Enzyme Inhibitors/pharmacology MH - Humans MH - In Vitro Techniques MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*metabolism MH - Morpholines/pharmacology MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Phosphoinositide-3 Kinase Inhibitors MH - Phosphorylation MH - Platelet Aggregation/*drug effects/physiology MH - Thrombopoietin/*pharmacology MH - Tyrosine/metabolism MH - Wortmannin EDAT- 2004/04/16 05:00 MHDA- 2004/06/24 05:00 CRDT- 2004/04/16 05:00 PHST- 2004/04/16 05:00 [pubmed] PHST- 2004/06/24 05:00 [medline] PHST- 2004/04/16 05:00 [entrez] AID - 2403370 [pii] AID - 10.1038/sj.leu.2403370 [doi] PST - ppublish SO - Leukemia. 2004 Jun;18(6):1127-37. doi: 10.1038/sj.leu.2403370.