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Thrombopoietic effect of VPAC1 inhibition during megakaryopoiesis
Author(s) -
Peeters Karen,
Loyen Serena,
Van kerckhoven Soetkin,
Stoffels Katinka,
Hoylaerts Marc F.,
Van Geet Chris,
Freson Kathleen
Publication year - 2010
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1111/j.1365-2141.2010.08327.x
Subject(s) - thrombopoiesis , platelet , vasoactive intestinal peptide , pituitary adenylate cyclase activating peptide , thrombopoietin , immune system , immunology , cancer research , pharmacology , megakaryocyte , medicine , receptor , neuropeptide , haematopoiesis , biology , microbiology and biotechnology , stem cell
Summary Megakaryocytes and platelets express the stimulatory G protein (Gs)‐coupled VPAC1 receptor, for which the pituitary adenylyl cyclase‐activating peptide (PACAP) and vasoactive intestinal peptide (VIP) are agonists. The neuropeptide PACAP and VPAC1 were previously found to negatively regulate megakaryopoiesis, and inhibition of their physiological pathway was found to have a thrombopoietic effect in conditions where megakaryo‐poiesis and thrombopoiesis were impaired, such as chemotherapy‐induced thrombocytopenia and congenital thrombocytopenia. The present study explored the thrombopoietic effect of VPAC1 inhibition in a murine model of syngeneic bone marrow transplantation (BMT) and in passive immune thrombocytopenia. Treatment of donor mice with a neutralizing anti‐VPAC1 antibody stimulated the initial, most critical recovery of the platelets in irradiated mice. In the passive immune thrombocytopenia model, we observed a thrombopoietic effect, resulting in a less severe platelet drop after induction of their removal in the spleen by an anti‐platelet antibody. We concluded that inhibition of the physiological PACAP/VPAC1 pathway could stimulate in vivo megakaryopoiesis. This inhibition can be applied to attenuate thrombocytopenia in conditions where platelets are destroyed as the major pathogenetic mechanism, e.g. immune thrombocytopenia purpura, or need to be produced de novo , e.g. after irradiation and BMT.