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Publication : The Y14-p53 regulatory circuit in megakaryocyte differentiation and thrombocytopenia.

First Author  Su CH Year  2021
Journal  iScience Volume  24
Issue  11 Pages  103368
PubMed ID  34816104 Mgi Jnum  J:316135
Mgi Id  MGI:6833977 Doi  10.1016/j.isci.2021.103368
Citation  Su CH, et al. (2021) The Y14-p53 regulatory circuit in megakaryocyte differentiation and thrombocytopenia. iScience 24(11):103368
abstractText  Thrombocytopenia-absent radius (TAR) syndrome is caused by RBM8A insufficiency. We generated megakaryocyte-specific Rbm8a knockout (Rbm8aKO(MK)) mice that exhibited marked thrombocytopenia, internal hemorrhage, and splenomegaly, providing evidence that genetic deficiency of Rbm8a causes a disorder of platelet production. Rbm8aKO(MK) mice accumulated low-ploidy immature megakaryocytes in the bone marrow and exhibited defective platelet activation and aggregation. Accordingly, depletion of Y14 (RBM8A) in human erythroleukemia (HEL) cells compromised phorbol-ester-induced polyploidization. Notably, Y14/RBM8A deficiency induced both p53 and p21 in megakaryocytes and HEL cells. Treatment with a p53 inhibitor restored ex vivo differentiation of Rbm8aKO(MK) megakaryocytes and unexpectedly activated Y14 expression in HEL cells. Trp53 knockout partially restored megakaryocyte differentiation by reversing cell-cycle arrest and increased platelet counts of Rbm8aKO(MK), indicating that excess p53 in part accounts for thrombocytopenia in TAR syndrome. This study provides evidence for the role of the Y14-p53 circuit in platelet production and a potential therapeutic strategy.
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