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Blood:非肌球蛋白IIA突变导致巨核细胞迁移缺陷是MYH9相关疾病血小板减少症的潜在机制

2020-02-14 QQY MedSci原创

巨核细胞(MKs),血小板的前体细胞,从骨髓(BM)的骨内膜壁龛中迁移至脉管系统,将原血小板延伸至血窦,在血窦中循环血液逐渐将其碎裂成血小板。非肌肉肌球蛋白II (NMIIA)重链基因(MYH9)突变可导致巨血小板减少症,其特征是血小板数量减少而体积增大,从而导致凝血障碍,称为肌球蛋白9相关障碍 (MYH9-RD)MYH9-RD患者MKs的前血小板较厚,分支较少,产生的血小板前体较少而较大,在MY

巨核细胞(MKs),血小板的前体细胞,从骨髓(BM)的骨内膜壁龛中迁移至脉管系统,将原血小板延伸至血窦,在血窦中循环血液逐渐将其碎裂成血小板。非肌肉肌球蛋白II (NMIIA)重链基因(MYH9)突变可导致巨血小板减少症,其特征是血小板数量减少而体积增大,从而导致凝血障碍,称为肌球蛋白9相关障碍 (MYH9-RD)

MYH9-RD患者MKs的前血小板较厚,分支较少,产生的血小板前体较少而较大,在MYH9-RD小鼠模型中可再现这些表型。血小板形成缺陷被认为是巨血小板减少症表型的主要机制。但MYH9-RD患者MKs可能还有其他缺陷,因为NMII与肌动蛋白丝相互作用调节包括趋化、细胞迁移和粘附等多种生理过程。MYH9-RD突变如何影响MK在BM中的迁移和粘附,或NMIIA在血小板生成前的活性和组装仍未明确。

NMIIA是成熟MKs中唯一表达的NMII亚型,这使得我们可以在不受其他NMII亚型影响的情况下展开研究。

Pal等人通过MYH9-RD小鼠模型 (NMIIAR702C+/-GFP+/-、NMIIAD1424N+/-和NMIIAE1841K+/-)和体外实验研究了MK在BM中的分布、基质衍生因子(SDF)-1的趋化性、NMIIA活性和双丝组装。结果显示,不同的MYH9-RD突变抑制了MK在BM中的迁移,且不影响双丝的形成,但会导致不同的粘附表型和NMIIA的收缩活性,这取决于突变。

综上所述,本研究表明MYH9-RD突变通过多种机制破坏MK向脉管系统的迁移,影响血小板前体释放并导致巨血小板减少症,从而削弱了MK的趋化性。

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    2020-07-21 xzw113
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    2020-02-15 肿肿

    机制研究离临床仍然有距离,不过与临床结合思考,仍然有帮助的,不能仅仅是纯临床思维,转化思维同样重要

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