Key result
rhTPO increases CFU-GM activity ~129% and improves long-term hematopoietic reconstitution in irradiated mice.
Why the study?
Ionizing radiation induces long-term bone marrow suppression, but the effect of recombinant human thrombopoietin on this long-term suppression remains unknown.
Does rhTPO ameliorate radiation-induced long-term hematopoietic stem cell injury in mice exposed to total body irradiation?
Does rhTPO ameliorate radiation-induced long-term hematopoietic stem cell injury in mice exposed to total body irradiation?
Absolute Event Rate: 32% vs 14%
p-value: p=<0.05
rhTPO is an effective agent for treating ionizing radiation-induced long-term bone marrow injury in a mouse model.
Supports rhTPO in murine radiation marrow injury models; leaves open human translation and prospective trials.
Exposure to medium and high doses of ionizing radiation (IR) can induce long-term bone marrow (BM) suppression. We previously showed that recombinant human thrombopoietin (rhTPO) significantly promotes recovery from hematopoietic-acute radiation syndrome, but its effect on long-term BM suppression remains unknown. C57BL/6 mice were exposed to 6.5 Gy γ-rays of total body irradiation (TBI) at a dose-rate of 63.01 cGy per minute, and the mice were treated with rhTPO (100 μg; intramuscular injection) or vehicle at 2 h after TBI. All mice were killed one or two months after TBI for analysis of peripheral blood cell counts, long-term hematopoietic stem cell (HSC) frequency, and BM-derived clonogenic activity. The HSC self-renewal capacity was analyzed by BM transplantation. The levels of reactive oxygen species (ROS) production and ratios of γH2AX+ and p16, p53, and p21 mRNA in HSCs were measured by flow cytometry and real-time polymerase chain reaction, respectively. Treatment with rhTPO reduced long-term myelosuppression by improving long-term hematopoietic reconstitution (p < 0.05) after transplantation and resting state maintenance of HSCs (p < 0.05). Moreover, rhTPO treatment was associated with a sustained reduction in long-term ROS production, reduction of long-term DNA damage, diminished p53/p21 mRNA expression, and prevention of senescence after TBI. This study suggests rhTPO is an effective agent for treating IR-induced long-term BM injury because it regulates hematopoietic remodeling and HSC cycle disorder through the ROS/p53/p21/p16 pathway long term after IR.
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Luan et al. (2023) studied Radiation-induced long-term hematopoietic stem cell injury. Recombinant human thrombopoietin (rhTPO) vs. Vehicle (phosphate-buffered saline) was evaluated on CFU-GM clonogenic activity at one month after 6.5 Gy TBI (p=<0.05). Treatment with rhTPO significantly increased CFU-GM clonogenic activity (32.0 vs 14.0 colonies) and improved long-term hematopoietic reconstitution after total body irradiation in mice.
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