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Hematopoiesis II JC Kostyak 10-22-09
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Megakaryocytes Must Migrate When Ready to Produce Platelets SDF-1 CXCR4 Stromal Cells
Megakaryocytes Require PECAM-1 for Polarity ,[object Object],[object Object],[object Object],Dhanjal et al., Blood 2007
Migration Through the Basement Membrane Bone Sinusoidal Vessel Endothelial Cells MMP
Megakaryocyte Docking ? PECAM-1 ? MK MK Once the Mk has docked, it can begin to produce proplatelet processes ?
Is PECAM-1 Required for MK Docking? Dhanjal et al., Blood 2007
Once Docked MKs Produce Proplatelets Patel et al., JCI 2005
Microtubule Elongation MT form long extensions which bend and branch MT line the membrane of the newly formed platelet In order to branch MT must elongate, then fold (B) and extend due to sliding (C).  This bending allows the MT to form the next platelet (as seen above). Patel et al., JCI 2005
MT Review Conde and Cesares, Nature 2009
Microtubule Sliding www.Stanford.edu Mitotic Kinesin Small molecular motors use ATP
Kinesins and Dynein V Kinesin Retrograde MTOC Anterograde + - + - Retrograde Dynein There are many examples of each! V
Proplatelet Formation Originates Opposite the Nucleus Italiano et al., JCB 1999
The Theatrical Version
Kinesins Localize in the Cytosol while Dynein is Localized to the Proplatelets Patel et al., Blood 2005
Proplatelets Extend into BM Sinusoidal Vessels PI = Circulating platelet, BI = Bulbous tip, Er = Erythrocyte, MP = Proplatelet, SW = Sinusoidal vessel Kessel and Kardon, Tissues and Organs 1979
New “Reticulated” Platelets ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Aging Platelet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelets are Cleared by Kupffer Cells in the Liver ,[object Object],[object Object],[object Object]
…and in the Spleen ,[object Object],[object Object],[object Object]
In Vivo  Biotinylation to Track Platelet Clearance NH 2 Sulfo-NHS-Biotin + +
IVB Procedure Tail vein injection of biotin Collect blood sample (~5ul) at various times beginning 1 hr after injection Stain with streptavidin and Thiazole Orange and analyze by flow cytometry
Typical IVB Data  Streptavidin+ quadrant Thiazole orange+,  streptavidin + ,[object Object],[object Object],[object Object],[object Object],Prislovsky et al., Exp Hematol 2008
Platelet Related Disorders
Platelets in Cardiovascular Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],R. Ross, NEJM 1986
Diabetes Mellitus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelets and Atherosclerotic Plaque Formation in Diabetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Endothelial cells PDGF monocyte
Clinical Approach to Disorders of Platelet Number and Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wiskott-Aldrich Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immune Thrombocytopenic Purpura ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bernard-Soulier Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glanzmann Thrombasthenia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelet Transfusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiopulmonary Bypass ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thrombocytopenia in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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