PMID- 21304100 OWN - NLM STAT- MEDLINE DCOM- 20110621 LR - 20211203 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 117 IP - 15 DP - 2011 Apr 14 TI - Developmental differences in megakaryocytopoiesis are associated with up-regulated TPO signaling through mTOR and elevated GATA-1 levels in neonatal megakaryocytes. PG - 4106-17 LID - 10.1182/blood-2010-07-293092 [doi] AB - Multiple observations support the existence of developmental differences in megakaryocytopoiesis. We have previously shown that neonatal megakaryocyte (MK) progenitors are hyperproliferative and give rise to MKs smaller and of lower ploidy than adult MKs. Based on these characteristics, neonatal MKs have been considered immature. The molecular mechanisms underlying these differences are unclear, but contribute to the pathogenesis of disorders of neonatal megakaryocytopoiesis. In the present study, we demonstrate that low-ploidy neonatal MKs, contrary to traditional belief, are more mature than adult low-ploidy MKs. These mature MKs are generated at a 10-fold higher rate than adult MKs, and result from a developmental uncoupling of proliferation, polyploidization, and terminal differentiation. This pattern is associated with up-regulated thrombopoietin (TPO) signaling through mammalian target of rapamycin (mTOR) and elevated levels of full-length GATA-1 and its targets. Blocking of mTOR with rapamycin suppressed the maturation of neonatal MKs without affecting ploidy, in contrast to the synchronous inhibition of polyploidization and cytoplasmic maturation in adult MKs. We propose that these mechanisms allow fetuses/neonates to populate their rapidly expanding bone marrow and intravascular spaces while maintaining normal platelet counts, but also set the stage for disorders restricted to fetal/neonatal MK progenitors, including the Down syndrome-transient myeloproliferative disorder and the thrombocytopenia absent radius syndrome. FAU - Liu, Zhi-Jian AU - Liu ZJ AD - Division of Newborn Medicine, Children's Hospital Boston, Boston, MA, USA. FAU - Italiano, Joseph Jr AU - Italiano J Jr FAU - Ferrer-Marin, Francisca AU - Ferrer-Marin F FAU - Gutti, Ravi AU - Gutti R FAU - Bailey, Matthew AU - Bailey M FAU - Poterjoy, Brandon AU - Poterjoy B FAU - Rimsza, Lisa AU - Rimsza L FAU - Sola-Visner, Martha AU - Sola-Visner M LA - eng GR - R01 HL069990/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110208 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (GATA1 Transcription Factor) RN - 0 (GATA1 protein, human) RN - 0 (Transcription Factors) RN - 9014-42-0 (Thrombopoietin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM CIN - Blood. 2011 Apr 14;117(15):3940-1. PMID: 21493803 MH - Cell Differentiation/physiology MH - Fetal Blood/cytology MH - GATA1 Transcription Factor/*metabolism MH - Hematopoietic Stem Cells/cytology/*metabolism MH - Humans MH - Infant, Newborn MH - Megakaryocytes/*metabolism/ultrastructure MH - Microscopy, Electron, Transmission MH - Signal Transduction/physiology MH - TOR Serine-Threonine Kinases/*metabolism MH - Thrombopoiesis/*physiology MH - Thrombopoietin/*metabolism MH - Transcription Factors/metabolism MH - Up-Regulation/physiology PMC - PMC3087534 EDAT- 2011/02/10 06:00 MHDA- 2011/06/22 06:00 PMCR- 2012/04/14 CRDT- 2011/02/10 06:00 PHST- 2011/02/10 06:00 [entrez] PHST- 2011/02/10 06:00 [pubmed] PHST- 2011/06/22 06:00 [medline] PHST- 2012/04/14 00:00 [pmc-release] AID - S0006-4971(20)45280-2 [pii] AID - 2010/293092 [pii] AID - 10.1182/blood-2010-07-293092 [doi] PST - ppublish SO - Blood. 2011 Apr 14;117(15):4106-17. doi: 10.1182/blood-2010-07-293092. Epub 2011 Feb 8.