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Molecular Pathogenesis and Cellular-Based Therapies for Thrombocytopenia

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pharmacology".

Deadline for manuscript submissions: closed (30 November 2021) | Viewed by 4519

Special Issue Editors


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Guest Editor
Hannover Medical School, Hannover, Germany
Interests: transplant engineering; transplant immunology; genetic engineering; transfusion medicine

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Guest Editor
Institute for Transfusion Medicine and Transplant Engineering, Carl‐Neuberg‐Strasse 1, D‐30625 Hannover, Germany
Interests: transplantation; cell and gene therapy; immunology; histocompatibility
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Special Issue Information

Dear Colleagues,

Thrombocytopenia is a life-threatening hemostatic disorder with multiple etiologies linked to genetic, environmental or drug-associated factors. In thrombocytopenic patients, low platelet counts are associated with critical bleeding or thromboembolism and predict risk for morbidity and mortality. Platelets are anucleated blood cells produced and introduced into the reticuloendothelial system by megakaryocytes localized in the bone marrow. Recently, the lung was proposed as an additional site for platelet biogenesis. At the site of vascular injury, platelet adhesion, activation and coagulation serve as the first wave of hemostasis. Besides these classic functions, platelets were recently shown to play a relevant role in the modulation of immune responses. Hence, beyond the immediate effect of thrombocytopenia in preventing critical bleeding, low platelet counts may affect disease progression. An effective treatment of thrombocytopenia is tightly dependent on the differential diagnosis. Significant advances in characterizing cellular and molecular mechanisms involved in the development and refractoriness to treatment in auto- and allo-thrombocytopenia have been achieved. Furthermore, relevant technical advances in cell production and storage have been accomplished, and innovative cell therapies have been developed, including the generation of bioengineered platelets. These new developments may constitute an alternative strategy to the transfusion of donor platelets for the management of thrombocytopenic patients.

This Special Issue brings together original research and reviews elucidating molecular mechanisms involved in the pathophysiology of thrombocytopenia, molecular and cellular events of thrombosis, hemostasis maintenance and immune response regulation, as well as newly developed drug-, cell- and gene-based therapeutic strategies for the treatment of thrombocytopenia.

Prof. Dr. Rainer Blasczyk
Prof. Dr. Constança Figueiredo
Guest Editors

Manuscript Submission Information

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Keywords

  • Immune Thrombocytopenia
  • Drug-induced Thrombocytopenia
  • HLA
  • HPA
  • Platelet Transfusion
  • Megakaryocyte
  • Platelet
  • Hematopoiesis
  • Cell Therapy
  • Gene Therapy
  • Thrombosis

Published Papers (1 paper)

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Research

18 pages, 41309 KiB  
Article
Improving Human Induced Pluripotent Stem Cell-Derived Megakaryocyte Differentiation and Platelet Production
by Linda Krisch, Gabriele Brachtl, Sarah Hochmann, André Cronemberger Andrade, Michaela Oeller, Patricia Ebner-Peking, Katharina Schallmoser and Dirk Strunk
Int. J. Mol. Sci. 2021, 22(15), 8224; https://doi.org/10.3390/ijms22158224 - 30 Jul 2021
Cited by 4 | Viewed by 3925
Abstract
Several protocols exist for generating megakaryocytes (MKs) and platelets from human induced pluripotent stem cells (hiPSCs) with limited efficiency. We observed previously that mesoderm induction improved endothelial and stromal differentiation. We, therefore, hypothesized that a protocol modification prior to hemogenic endothelial cell (HEC) [...] Read more.
Several protocols exist for generating megakaryocytes (MKs) and platelets from human induced pluripotent stem cells (hiPSCs) with limited efficiency. We observed previously that mesoderm induction improved endothelial and stromal differentiation. We, therefore, hypothesized that a protocol modification prior to hemogenic endothelial cell (HEC) differentiation will improve MK progenitor (MKP) production and increase platelet output. We further asked if basic media composition affects MK maturation. In an iterative process, we first compared two HEC induction protocols. We found significantly more HECs using the modified protocol including activin A and CHIR99021, resulting in significantly increased MKs. MKs released comparable platelet amounts irrespective of media conditions. In a final validation phase, we obtained five-fold more platelets per hiPSC with the modified protocol (235 ± 84) compared to standard conditions (51 ± 15; p < 0.0001). The regenerative potency of hiPSC-derived platelets was compared to adult donor-derived platelets by profiling angiogenesis-related protein expression. Nineteen of 24 angiogenesis-related proteins were expressed equally, lower or higher in hiPSC-derived compared to adult platelets. The hiPSC-platelet’s coagulation hyporeactivity compared to adult platelets was confirmed by thromboelastometry. Further stepwise improvement of hiPSC-platelet production will, thus, permit better identification of platelet-mediated regenerative mechanisms and facilitate manufacture of sufficient amounts of functional platelets for clinical application. Full article
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