Mutational inhibition of c-Myb or p300 ameliorates treatment-induced thrombocytopenia

Blood. 2009 May 28;113(22):5599-604. doi: 10.1182/blood-2008-12-195255. Epub 2009 Feb 27.

Abstract

The transcription factor c-Myb and coregulator p300 have a key role in maintaining production of controlled numbers of megakaryocytes and platelets. In mice, mutations in c-Myb or p300 cause thrombocytosis in otherwise wild-type animals and can ameliorate the thrombocytopenia in mice lacking the thrombopoietin receptor, c-Mpl, a model for human congenital amegakaryocytic thrombocytopenia. To examine whether inhibition of c-Myb/p300 is effective in other models of thrombocytopenia, the effect of the c-Myb(Plt4) mutation on thrombocytopenia associated with reduced platelet life span in Bcl-X(Plt20/Plt20) mice was assessed, as were responses in c-Myb(Plt4) and/or p300(Plt6) mutant mice to thrombocytopenia associated with antiplatelet antibodies, chemotherapy, or bone marrow transplantation. Homozygosity of the c-Myb(Plt4) allele ameliorated thrombocytopenia associated with reduced platelet life span, and c-Myb(Plt4/+) mice exhibited more rapid than normal recovery from thrombocytopenia caused by antiplatelet serum or bone marrow transplantation. Recovery to pretreatment platelet levels was unaltered in 5-fluorouracil-treated c-Myb(Plt4/+) mice relative to wild-type controls, but enhanced platelet production during subsequent thrombocytosis was evident. More modest enhancement of platelet recovery after 5-fluorouracil or bone marrow transplantation was also evident in p300(Plt6/+) animals. The data suggest potential utility of c-Myb/p300 as a target for therapeutic intervention in thrombocytopenia of diverse origins.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Bone Marrow Transplantation / rehabilitation
  • Cells, Cultured
  • Cytoprotection / drug effects
  • Cytoprotection / genetics
  • Down-Regulation / genetics
  • Down-Regulation / physiology
  • E1A-Associated p300 Protein / genetics*
  • Fluorouracil / pharmacology
  • Genes, myb*
  • Mice
  • Mice, Transgenic
  • Mutation / physiology*
  • Neoplasms / drug therapy
  • Platelet Aggregation Inhibitors / pharmacology
  • Receptors, Thrombopoietin / genetics
  • Thrombocytopenia / chemically induced*
  • Thrombocytopenia / genetics
  • Thrombocytopenia / rehabilitation
  • bcl-X Protein / genetics

Substances

  • Antineoplastic Agents
  • Mpl protein, mouse
  • Platelet Aggregation Inhibitors
  • Receptors, Thrombopoietin
  • bcl-X Protein
  • E1A-Associated p300 Protein
  • Ep300 protein, mouse
  • Fluorouracil