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Publication : Platelet production proceeds independently of the intrinsic and extrinsic apoptosis pathways.

First Author  Josefsson EC Year  2014
Journal  Nat Commun Volume  5
Pages  3455 PubMed ID  24632563
Mgi Jnum  J:210320 Mgi Id  MGI:5570490
Doi  10.1038/ncomms4455 Citation  Josefsson EC, et al. (2014) Platelet production proceeds independently of the intrinsic and extrinsic apoptosis pathways. Nat Commun 5:3455
abstractText  BH3 mimetic drugs that target BCL-2 family pro-survival proteins to induce tumour cell apoptosis represent a new era in cancer therapy. Clinical trials of navitoclax (ABT-263, which targets BCL-2, BCL-XL and BCL-W) have shown great promise, but encountered dose-limiting thrombocytopenia. Recent work has demonstrated that this is due to the inhibition of BCL-XL, which is essential for platelet survival. These findings raise new questions about the established model of platelet shedding by megakaryocytes, which is thought to be an apoptotic process. Here we generate mice with megakaryocyte-specific deletions of the essential mediators of extrinsic (Caspase-8) and intrinsic (BAK/BAX) apoptosis. We show that megakaryocytes possess a Fas ligand-inducible extrinsic apoptosis pathway. However, Fas activation does not stimulate platelet production, rather, it triggers Caspase-8-mediated killing. Combined loss of Caspase-8/BAK/BAX does not impair thrombopoiesis, but can protect megakaryocytes from death in mice infected with lymphocytic choriomeningitis virus. Thus, apoptosis is dispensable for platelet biogenesis.
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