Abstract
Megakaryocytopoiesis is a complex differentiation process driven by the hormone thrombopoietin by which haematopoietic progenitor cells give rise to megakaryocytes, the giant bone marrow cells that in turn break down to form blood platelets. The Tribbles Pseudokinase 3 gene (TRIB3) encodes a pleiotropic protein increasingly implicated in the regulation of cellular differentiation programmes. Previous studies have hinted that TRIB3 could be also involved in megakaryocytopoiesis but its role in this process has so far not been investigated. Using cellular model systems of haematopoietic lineage differentiation here we demonstrate that TRIB3 is a negative modulator of megakaryocytopoiesis. We found that in primary cultures derived from human haematopoietic progenitor cells, thrombopoietin-induced megakaryocytic differentiation led to a time and dose-dependent decrease in TRIB3 mRNA levels. In the haematopoietic cell line UT7/mpl, silencing of TRIB3 increased basal and thrombopoietin-stimulated megakaryocyte antigen expression, as well as basal levels of ERK1/2 phosphorylation. In primary haematopoietic cell cultures, silencing of TRIB3 facilitated megakaryocyte differentiation. In contrast, over-expression of TRIB3 in these cells inhibited the differentiation process. The in-vitro identification of TRIB3 as a negative regulator of megakaryocytopoiesis suggests that in-vivo this gene could be important for the regulation of platelet production.
Introduction
TRIB3, a mammalian orthologue of Drosophila Tribbles, is a member of an emerging group of genes encoding pseudo-kinases, which are increasingly implicated in the regulation of signal transduction and gene transcription1, 2. Mammals express three tribbles proteins: TRIB1, TRIB2 and TRIB33. TRIB3 can bind and inhibit the protein kinases AKT4 and MEK15, as well as interact with E3 ubiquitin ligases such as SMURF16 and COP17, targeting proteins for degradation. In addition, TRIB3 can act as a transcriptional repressor by interacting with a number of transcription factors, including ATF48, DDIT39, C/EBPβ10 and PPARγ11. Consistent with this multiplicity of binding partners and functions, TRIB3 has been linked to the modulation of diverse biological processes, including cellular metabolism, stress responses, cell survival, proliferation and differentiation.
Recently, in a study investigating the gene expression signature of the platelet-lowering agent anagrelide we found that TRIB3 is up-regulated when megakaryocytopoiesis is inhibited by this drug12. TRIB3 has also been listed in a microarray data set among the down-regulated genes of a thrombopoietin (TPO)-response signature13. While these findings raise the possibility that TRIB3 could be involved in the control of megakaryocytopoiesis, its function in this process has not been formally investigated.
Here we show that TRIB3 expression is down-regulated during the ex vivo differentiation of haematopoietic progenitor cells into the megakaryocytic lineage, that silencing of this gene enhances megakaryocyte differentiation and conversely, that its over-expression inhibits this process. In addition, we provide evidence suggesting that the underlying mechanism of action of TRIB3 involves inhibition of the MAPK pathway. These findings identify TRIB3 as a potential negative modulator of megakaryocytopoiesis in haematopoietic cells.
Results
TRIB3 mRNA expression is down-regulated during megakaryocyte differentiation
To assess whether TRIB3 could be involved in the process of megakaryocyte differentiation we initially examined its expression in cultures of primary haematopoietic cells grown in the presence of TPO. Under these conditions there was a time-dependent decrease in TRIB3 mRNA levels, with the maximal effect (~75% reduction) being observed after four days in culture (Fig. 1a). As shown in Fig. 1b the reduction in TRIB3 expression was maximized with increasing concentrations of TPO. Importantly, these changes were mirrored by a time- and dose-dependent increase in the expression of the megakaryocyte specific gene ITGA2B (aka, GPIIb).
Silencing of TRIB3 expression enhances megakaryocyte differentiation
To test the functional significance of the above described TRIB3 down-regulation we examined the effects of TRIB3 silencing in the haematopoietic cell line UT7/mpl, using lentiviral-mediated shRNA interference. Five TRIB3 shRNAs (designated shTRIB3.1 to shTRIB3.5) were initially surveyed in HT1080 cells. Of these, one was found to be ineffective (shTRIB3.1) while the other four reduced TRIB3 expression by at least 50% (data not shown). In UT7/mpl cells three of the four positive shRNAs also caused a marked increase in the expression of the megakaryocytic surface marker CD61, under both basal and TPO-stimulated conditions, while the fourth shRNA (shTRIB3.2) only affected expression under basal conditions (Supplementary Table S1). Additional experiments demonstrated that shTRIB3.3 and shTRIB3.4 were consistently the most effective shRNAs, producing similar results. Results with shTRIB3.4 are shown in Fig. 2.
We next assessed whether TRIB3 silencing affected the development of megakaryocytes in liquid cultures of CD34+-derived human haematopoietic cells. Initial experiments with a mixture of TRIB3 shRNAs (shTRIB3.3, shTRIB3.4 and shTRIB3.5) showed a >50% reduction in TRIB3 mRNA expression and a marked increase in the final number of megakaryocytes in the cultures when compared to a control shRNA (Supplementary Fig. S1). Further transductions carried out with shTRIB3.4 alone resulted in a similar degree of silencing (Fig. 3a). Furthermore, this level of silencing resulted in a >50% increase in ITGA2B mRNA and in similar increases in the expression of various transcription factors known to be implicated in the execution of the megakaryocyte differentiation program, namely GATA1 14, FOG1 15, FLI1 16 and NFE2 17. Accordingly, TRIB3 silencing also resulted in noticeable increases in the surface expression of the antigens CD61 and CD42b and in the overall percentage and number of differentiated megakaryocytes in the cultures (Fig. 3b,c). The potentiating action of TRIB3 silencing on megakaryocyte development was much more manifested at submaximal doses of TPO, both in terms of the effect on the proportion and the absolute number of CD61+ cells in the cultures (Fig. 4). Taken together these results indicated that TRIB3 acts as a negative modulator of megakaryocyte differentiation.
Over-expression of TRIB3 inhibits megakaryocyte differentiation
To confirm that TRIB3 represses megakaryocyte differentiation, we ectopically over-expressed it in CD34+-derived human haematopoietic cells using a dual promoter lentiviral construct which includes eGFP as a reporter gene. We then differentiated the infected cells under standard megakaryocyte culture conditions. As shown in Fig. 5a, compared with an empty vector control, transduction with the TRIB3-engineered vector resulted in a large increase in the expression of this gene. Flow cytometric analysis of the eGFP-positive cells, showed that inclusion of the TRIB3 transgene resulted in a consistent decrease in the percentage of differentiated cells (Fig. 5b,c), thus confirming its inhibitory effect on megakaryocyte development.
Silencing of TRIB3 expression enhances the basal levels of ERK1/2 phosphorylation
To investigate the potential underlying mechanism by which TRIB3 regulates megakaryocyte differentiation we examined the effect of TRIB3 silencing on the phosphorylation levels of AKT and ERK1/2 in UT7/mpl cells. As shown in Fig. 6, compared to shControl-transduced cells, shTRIB3-transduced cells showed significantly higher basal levels of ERK1/2 phosphorylation. In contrast, on average, no significant differences could be detected in the basal levels of AKT phosphorylation or in the phosphorylation levels of each of these proteins following stimulation with maximal concentrations of TPO.
Discussion
The present study strongly suggests that TRIB3 may function as a negative modulator of megakaryocytopoiesis. This conclusion is based on the following findings: Firstly, TRIB3 expression decreased during TPO-induced differentiation of primary haematopoietic progenitors. Secondly, silencing of TRIB3 enhanced megakaryocyte differentiation, both in a megakaryocytic cell line and in normal haematopoietic progenitors. Thirdly, ectopic over-expression of TRIB3 attenuated the extent of this differentiation. TRIB3 has been previously implicated in the regulation of intracellular mechanisms that control adipocyte, muscle cell, and embryonic stem cell differentiation10, 11, 18, 19. Thus, our findings add to an incipient body of evidence indicating that a major function of TRIB3 is to act as negative regulator of terminal differentiation programmes.
A salient finding of the present study is that TPO down-regulated the expression of TRIB3 in a dose-dependent manner, with the decline mirroring the increase in the expression of ITGA2B. This result indicates that the down-regulation of TRIB3 is intimately coupled to the differentiation process. In this respect, it was also notable that the potentiating effect of TRIB3 silencing on the extent of differentiation was more manifested at sub-maximal concentrations of TPO, suggesting that the presence of TRIB3 interferes with the action of the hormone and hence, that its down-regulation is required for the full effect of TPO to be manifested. TPO drives megakaryocytopoiesis by binding to the MPL receptor and thereby choreographing changes in the activity, deployment and/or expression of a complex network of signalling proteins and transcription factors, which ultimately coordinate a specific programme of gene expression20, 21. Precisely how TRIB3 interacts with this network is presently unknown. However, a plausible scenario is that it normally represses a pathway that transduces a MPL differentiation signal, and that one of the primary actions of TPO is to down-regulate TRIB3 expression to de-repress this pathway. This possibility is entirely consistent with the notions that firstly, TRIB3 is known to inhibit the protein kinase MEK15, which is also a down-stream effector of MPL, secondly, that strong, long-lasting activation of the MAPK pathway is required for TPO-induced megakaryocytic lineage commitment and differentiation22, 23 and thirdly, that MEK inhibitors restrict the development of megakaryocytes from human haematopoietic progenitors, giving rise to a more immature phenotype24. In support of this mechanism of action we found that TRIB3 silencing enhanced the basal phosphorylation levels of ERK1 and ERK2, which are downstream MEK1 substrates. Importantly, while TPO also signals through AKT and despite the fact that in other systems AKT is susceptible to regulation by TRIB34, 18, in UT7/mpl cells the effect of TRIB3 silencing appeared to be circumscribed specifically to the MAPK pathway. Interestingly, TRIB3 silencing did not affect ERK1/2 phosphorylation when cells were stimulated with maximal concentrations of TPO, seemingly suggesting that strong MPL signalling may overcome the inhibition of MEK1 by TRIB3. Thus, more detailed phosphorylation studies with submaximal concentrations of TPO will be required to determine the extent to which TRIB3 affects TPO signalling through this pathway. Furthermore, while these findings suggest that mechanistically TRIB3 fulfils a specific role in the regulation of megakaryocytopoiesis, namely the inhibition of MEK1, they do not rule out the possibility that additionally it interacts directly with the transcription machinery that controls differentiation, as it was shown to be the case in cellular models of adipogenesis10, 11.
In the present work we found that silencing of TRIB3 enhanced the TPO-stimulated increase in the mRNA levels of GATA1, FOG1, FLI1 and NFE2. GATA1 and FOG1 are essential for complete development of the megakaryocytic lineage, being required from the progenitor stage throughout to the final stages of differentiation14, 15 whereas FLI1 and NFE2 act at late stages, affecting primarily the early maturing megakaryocyte16, 25 and pro-platelet formation17, respectively. Thus, while these results clearly support the conclusion that TRIB3 suppresses megakaryocytopoiesis, they do not provide an answer as to which specific stage(s) of the process it inhibits. In this context it is noteworthy that a recent study has implicated TRIB3 as a positive modulator of stress erythropoiesis26. Given that the differentiation of the erythroid and megakaryocytic lineages are intimately ligated, sharing common progenitors and overlapping signal transduction pathways, our results are also compatible with the possibility that TRIB3 could be involved in the regulation of lineage fate decisions at the megakaryocytic/erythroid bi-potential progenitor stage. It would be therefore also interesting to analyse if Trib3 deficiency affects the balance between erythropoiesis and megakaryocytopoiesis under conditions of experimental-induced anaemia.
The dysfunction of genes known to regulate megakaryocytopoiesis has been found in some cases to cause platelet disorders21, 27. Whether TRIB3 also falls into this category remains to be established. In this respect, the present findings, together with our previous work showing that a major transcriptional effect of the platelet-lowering agent anagrelide was to increase TRIB3 expression12, highlight the potential role that this gene could play, both as a biomarker and as drug target in the development of approaches to modulate platelet counts in diverse pathological states.
Methods
UT7/mpl cell culture
UT7/mpl cells (clone 5.1)28 were propagated in Iscove’s modified Dulbecco’s medium (GIBCO Life Technologies, UK) supplemented with 10% foetal calf serum (Hyclone, Perbio Sciences, UK), 2.5 ng/mL granulocyte-macrophage colony-stimulating factor (R&D Systems) and 0.5 mg/mL G418 as previously described29. To induce megakaryocytic differentiation cells were subcultured in fresh medium containing 100 ng/mL TPO. Cultures were maintained at 37 °C in a humidified incubator under 5% CO2/ 95% air.
Primary megakaryocyte culture
Megakaryocytes were generated ex-vivo from human umbilical cord blood-derived CD34+ cells in a two-step liquid culture system, as previously described12. Briefly cryopreserved CD34+ cells (Stem Cell Technologies, Vancouver, Canada) were first thawed and expanded for 4–5 days in StemspanTM medium (Stem Cell Technologies) supplemented with 2% human umbilical cord blood plasma and a mixture of haematopoietic growth factors consisting of TPO (Insight, UK), SCF, Flt3 ligand and IL-3 (all from R&D Systems, Abingdon, UK). Subsequently, to promote terminal differentiation cells were sub-cultured for up to ten days in fresh medium supplemented with 2% cord blood plasma and TPO only, at the indicated concentrations.
Lentiviral particles and cell transductions
TRC1-pLKO.1-puro plasmids carrying short hairpin sequences targetted against TRIB3 (shTRIB3) or a non-targeting control sequence (shControl) were obtained from the Mission TRC shRNA library (Sigma-Aldrich, Dorset, UK). Short hairpin sequences are listed online in the Supplementary Table S2. The lentiviral expression constructs EX-V1552-Lv201, which contains the protein-coding open reading frame of TRIB3, and the negative control EX-NEG-Lv201 were purchased from Genecopoeia (Rockville, MD, USA). The packaging plasmid psPAX2 and the envelop plasmid pMD2.G were obtained from AddGene (Cambridge, MA, USA). Lentiviral particles were produced by co-transfection of HEK293T cells. Pseudoviruses were harvested after 48 h and concentrated by ultrafiltration on Amicon Ultra-15 100K filters (Millipore UK, Hertforshire, UK). Lentiviral titers were determined by transduction of HT1080 cells followed by drug selection and counting of puromycin-resistant colonies (for shRNAs) or by flow cytometric determination of eGFP+ cells (for lentiviral expression constructs).
Infection of UT7/mpl cells with lentiviral shRNAs was carried out by spinoculation at 900 g for 30 min at 21 °C in the presence of 4 μg/mL polybrene (Sigma-Aldrich, Dorset, UK) and at a MOI of 5, followed by overnight culture. Transduced cells were then selected in the presence of 1 μg/mL puromycin (Invitrogen, Paysley, UK).
Infection of CD34+ cells with lentiviral shRNAs was carried out after one day of expansion by spinoculation at 1450 g for 90 min at 21 °C in the presence of 4 μg/mL polybrene and at a MOI of 8, followed by overnight culture. shRNA-transduced cells were then selected with 1 μg/mL puromycin for two days and then grown for a further 24 h in fresh normal expansion medium prior to culture under differentiation conditions.
Infection of CD34+ cells with lentiviral expression vectors was carried out after 4 days of expansion by two consecutive spinoculations of 90 min each at 1450 g and 21 °C, separated by a 4 h interval, in the presence of 4 μg/mL polybrene and at a MOI of 10, followed by overnight culture. Expression vector-transduced cells were either differentiated without prior selection (for flow cytometric analysis) or were selected with puromycin for the last two days of differentiation (for mRNA analysis).
Analysis of megakaryocytic lineage differentiation
Megakaryocytic differentiation was monitored by flow cytometry as previously described30 using fluorescein isothiocyanate (FITC)-, R-phycoerythrin (RPE)- or allophycocyanin (APC)-conjugated monoclonal antibodies against CD61 (clone Y2/51, Dako, Ely, UK) and/or CD42b (clone HIP1, BD Biosciences, Oxford, UK). Dead cells were excluded using 7-amino actinomycin D (1 μg/mL, Invitrogen, Paisley, UK) or near-IR fluorescent reactive dye (1:250 dilution, Invitrogen, Paisley, UK), as appropriate. In experiments where the relative antigen expression was estimated using the median fluorescent intensity, nonspecific fluorescence of cells stained with an isotype-matched control antibody was subtracted from all determinations. When indicated, the number of differentiated cells was estimated by multiplying the percentage of antigen-positive cells by the total number of live cells in the culture.
RNA expression
Cellular RNA was extracted and then analysed by the quantitative polymerase chain reaction (Q-PCR) using gene-specific TaqMan probes (Applied Biosystems) as previously described31. Relative mRNA expression levels were calculated by the comparative cycle threshold (C T) method using β-glucuronidase (GUSB) or TATA-box binding protein (TBP) as internal references. Probes are listed online in the Supplementary Table S3.
Protein phosphorylation
AKT and ERK1/2 phosphorylation was examined by immunoblotting as previously described31. Primary antibodies are listed online in the Supplementary Table S4.
Statistical analysis
Differences between means were compared by a two tailed Student’s t-test (Graph Pad Prism, release 5.0). A value of p < 0.05 was considered to denote statistical significance.
Electronic supplementary material
Acknowledgements
We thank Ms Hannah Donovan and Mr Paul M Jones for their diligent technical assistance. This work was supported in part by research funding from Shire UK to JDE, by a Transatlantic Network of Excellence grant (10CVD03) from the Fondation Leducq to EKT, and by a long-term research program (SF0180175) of the Estonian Ministry of Education and Research and by grant PUT269 and PUT1701 from the Estonian Research Council to TõnisÖ.
Author Contributions
L.B., M.A. and TiitÖ designed and performed experiments and analysed data; J.J. performed experiments and analysed data; R.H.M., TõnisÖ and E.K.T. analysed data; J.D.E. conceived and supervised the study, analysed data and wrote the paper. All the authors interpreted the data and revised the manuscript for content and accuracy.
Competing Interests
JDE is a co-inventor in a patent (number US9017936B2) owned jointly by Cardiff Metropolitan University and Shire Pharmaceuticals that relate to the use of TRIB3 for the screening of anti-megakaryocytic agents. MA is a co-inventor in the said patent. This patent complies with Patent Policies implemented by Cardiff Metropolitan University. All other authors declare no competing financial interests.
Footnotes
Electronic supplementary material
Supplementary information accompanies this paper at doi:10.1038/s41598-017-07096-w
Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Boudeau J, Miranda-Saavedra D, Barton GJ, Alessi DR. Emerging roles of pseudokinases. Trends Cell Biol. 2006;16:443–452. doi: 10.1016/j.tcb.2006.07.003. [DOI] [PubMed] [Google Scholar]
- 2.Hegedus Z, Czibula A, Kiss-Toth E. Tribbles: a family of kinase-like proteins with potent signalling regulatory function. Cell Signal. 2007;19:238–250. doi: 10.1016/j.cellsig.2006.06.010. [DOI] [PubMed] [Google Scholar]
- 3.Eyers, P. A., Keeshan, K. & Kannan, N. Tribbles in the 21st Century: The Evolving Roles of Tribbles Pseudokinases in Biology and Disease. Trends Cell Biol. 27, 284–298 (2016). [DOI] [PMC free article] [PubMed]
- 4.Du K, Herzig S, Kulkarni RN, Montminy M. TRB3: A tribbles Homolog That Inhibits Akt/PKB Activation by Insulin in Liver. Science. 2003;300:1574–1577. doi: 10.1126/science.1079817. [DOI] [PubMed] [Google Scholar]
- 5.Kiss-Toth E, et al. Human Tribbles, a Protein Family Controlling Mitogen-activated Protein Kinase Cascades. J. Biol. Chem. 2004;279:42703–42708. doi: 10.1074/jbc.M407732200. [DOI] [PubMed] [Google Scholar]
- 6.Chan MC, et al. A novel regulatory mechanism of the bone morphogenetic protein (BMP) signaling pathway involving the carboxyl-terminal tail domain of BMP type II receptor. Mol. Cell Biol. 2007;27:5776–5789. doi: 10.1128/MCB.00218-07. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Qi L, et al. TRB3 links the E3 ubiquitin ligase COP1 to lipid metabolism. Science. 2006;312:1763–1766. doi: 10.1126/science.1123374. [DOI] [PubMed] [Google Scholar]
- 8.Ord D, Ord T. Mouse NIPK interacts with ATF4 and affects its transcriptional activity. Exp. Cell Res. 2003;286:308–320. doi: 10.1016/S0014-4827(03)00070-3. [DOI] [PubMed] [Google Scholar]
- 9.Ohoka N, Yoshii S, Hattori T, Onozaki K, Hayashi H. TRB3, a novel ER stress-inducible gene, is induced via ATF4-CHOP pathway and is involved in cell death. EMBO J. 2005;24:1243–1255. doi: 10.1038/sj.emboj.7600596. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Bezy O, Vernochet C, Gesta S, Farmer SR, Kahn CR. TRB3 Blocks Adipocyte Differentiation through the Inhibition of C/EBP{beta} Transcriptional Activity. Mol. Cell. Biol. 2007;27:6818–6831. doi: 10.1128/MCB.00375-07. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Takahashi Y, Ohoka N, Hayashi H, Sato R. TRB3 suppresses adipocyte differentiation by negatively regulating PPARgamma transcriptional activity. J Lipid Res. 2008;49:880–892. doi: 10.1194/jlr.M700545-JLR200. [DOI] [PubMed] [Google Scholar]
- 12.Ahluwalia M, et al. The gene expression signature of anagrelide provides an insight into its mechanism of action and uncovers new regulators of megakaryopoiesis. J. Thromb. Haemost. 2015;13:1103–1112. doi: 10.1111/jth.12959. [DOI] [PubMed] [Google Scholar]
- 13.de Graaf CA, et al. Regulation of hematopoietic stem cells by their mature progeny. Proc. Natl. Acad. Sci. USA. 2010;107:21689–21694. doi: 10.1073/pnas.1016166108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Shivdasani RA, Fujiwara Y, McDevitt MA, Orkin SH. A lineage-selective knockout establishes the critical role of transcription factor GATA-1 in megakaryocyte growth and platelet development. EMBO J. 1997;16:3965–3973. doi: 10.1093/emboj/16.13.3965. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Tsang AP, et al. FOG, a multitype zinc finger protein, acts as a cofactor for transcription factor GATA-1 in erythroid and megakaryocytic differentiation. Cell. 1997;90:109–119. doi: 10.1016/S0092-8674(00)80318-9. [DOI] [PubMed] [Google Scholar]
- 16.Hart A, et al. Fli-1 is required for murine vascular and megakaryocytic development and is hemizygously deleted in patients with thrombocytopenia. Immunity. 2000;13:167–177. doi: 10.1016/S1074-7613(00)00017-0. [DOI] [PubMed] [Google Scholar]
- 17.Shivdasani RA, et al. Transcription factor NF-E2 is required for platelet formation independent of the actions of thrombopoietin/MGDF in megakaryocyte development. Cell. 1995;81:695–704. doi: 10.1016/0092-8674(95)90531-6. [DOI] [PubMed] [Google Scholar]
- 18.Kato S, Du K. TRB3 modulates C2C12 differentiation by interfering with Akt activation. Biochem. Biophys. Res. Commun. 2007;353:933–938. doi: 10.1016/j.bbrc.2006.12.161. [DOI] [PubMed] [Google Scholar]
- 19.Roy L, et al. MiR-24 is required for hematopoietic differentiation of mouse embryonic stem cells. PLoS. Genet. 2015;11:e1004959. doi: 10.1371/journal.pgen.1004959. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Hitchcock IS, Kaushansky K. Thrombopoietin from beginning to end. Br. J. Haematol. 2014;165:259–268. doi: 10.1111/bjh.12772. [DOI] [PubMed] [Google Scholar]
- 21.Bianchi E, Norfo R, Pennucci V, Zini R, Manfredini R. Genomic landscape of megakaryopoiesis and platelet function defects. Blood. 2016;127:1249–1259. doi: 10.1182/blood-2015-07-607952. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Rouyez MC, Boucheron C, Gisselbrecht S, Dusanter-Fourt I, Porteu F. Control of thrombopoietin-induced megakaryocytic differentiation by the mitogen-activated protein kinase pathway. Mol. Cell Biol. 1997;17:4991–5000. doi: 10.1128/MCB.17.9.4991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Severin S, Ghevaert C, Mazharian A. The mitogen-activated protein kinase signaling pathways: role in megakaryocyte differentiation. J. Thromb. Haemost. 2010;8:17–26. doi: 10.1111/j.1538-7836.2009.03658.x. [DOI] [PubMed] [Google Scholar]
- 24.Fichelson S, et al. Megakaryocyte growth and development factor-induced proliferation and differentiation are regulated by the mitogen-activated protein kinase pathway in primitive cord blood hematopoietic progenitors. Blood. 1999;94:1601–1613. [PubMed] [Google Scholar]
- 25.Pang L, et al. Maturation stage-specific regulation of megakaryopoiesis by pointed-domain Ets proteins. Blood. 2006;108:2198–2206. doi: 10.1182/blood-2006-04-019760. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Dev, A. et al. Governing Roles for Trib3 Pseudokinase During Stress Erythropoiesis. Exp. Hematol. 49, 48–55 (2017). [DOI] [PMC free article] [PubMed]
- 27.Eto K, Kunishima S. Linkage between the mechanisms of thrombocytopenia and thrombopoiesis. Blood. 2016;127:1234–1241. doi: 10.1182/blood-2015-07-607903. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Goncalves F, et al. Inhibition of erythroid differentiation and induction of megakaryocytic differentiation by thrombopoietin are regulated by two different mechanisms in TPO-dependent UT-7/c-mpl and TF-1/c-mpl cell lines. Leukemia. 1998;12:1355–1366. doi: 10.1038/sj.leu.2401122. [DOI] [PubMed] [Google Scholar]
- 29.Hong Y, et al. Protein kinase C mediates the mitogenic action of thrombopoietin in c-Mpl-expressing UT-7 cells. Blood. 1998;91:813–822. [PubMed] [Google Scholar]
- 30.Wang G, Franklin R, Hong Y, Erusalimsky JD. Comparison of the biological activities of anagrelide and its major metabolites in haematopoietic cell cultures. Br. J Pharmacol. 2005;146:324–332. doi: 10.1038/sj.bjp.0706341. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Ahluwalia M, Donovan H, Singh N, Butcher L, Erusalimsky JD. Anagrelide represses GATA-1 and FOG-1 expression without interfering with thrombopoietin receptor signal transduction. J. Thromb. Haemost. 2010;8:2252–2261. doi: 10.1111/j.1538-7836.2010.03970.x. [DOI] [PubMed] [Google Scholar]
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