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Publication : Megakaryocyte TGFβ1 partitions erythropoiesis into immature progenitor/stem cells and maturing precursors.

First Author  Di Giandomenico S Year  2020
Journal  Blood Volume  136
Issue  9 Pages  1044-1054
PubMed ID  32548608 Mgi Jnum  J:301396
Mgi Id  MGI:6503715 Doi  10.1182/blood.2019003276
Citation  Di Giandomenico S, et al. (2020) Megakaryocyte TGFbeta1 partitions erythropoiesis into immature progenitor/stem cells and maturing precursors. Blood 136(9):1044-1054
abstractText  Erythropoietin (EPO) provides the major survival signal to maturing erythroid precursors (EPs) and is essential for terminal erythropoiesis. Nonetheless, progenitor cells can irreversibly commit to an erythroid fate well before EPO acts, risking inefficiency if these progenitors are unneeded to maintain red blood cell (RBC) counts. We identified a new modular organization of erythropoiesis and, for the first time, demonstrate that the pre-EPO module is coupled to late EPO-dependent erythropoiesis by megakaryocyte (Mk) signals. Disrupting megakaryocytic transforming growth factor beta1 (Tgfb1) disorganized hematopoiesis by expanding the pre-EPO pool of progenitor cells and consequently triggering significant apoptosis of EPO-dependent EPs. Similarly, pharmacologic blockade of TGFbeta signaling in normal mice boosted the pre-EPO module, leading to apoptosis of EPO-sensitive EPs. Subsequent treatment with low-dose EPO triggered robust RBC production in both models. This work reveals modular regulation of erythropoiesis and offers a new strategy for overcoming chronic anemias.
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