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A murine model of severe immune thrombocytopenia is induced by antibody- and CD8+ T cell-mediated responses that are differentially sensitive to therapy

Chow, Leola ; Aslam, Rukhsana ; Speck, Edwin R ; Kim, Michael ; Cridland, Norman ; Webster, Michelle Lee ; Chen, Pingguo ; Sahib, Kim ; Ni, Heyu and Lazarus, Alan H , et al. (2010) In Blood 115(6). p.53-1247
Abstract

Immune thrombocytopenia (ITP) is a bleeding disorder characterized by antibody-opsonized platelets being prematurely destroyed in the spleen, although some patients with ITP may have a cell-mediated form of thrombocytopenia. Although several animal models of ITP have been developed, few mimic primary chronic ITP nor have any shown cell-mediated platelet destruction. To create this type of model, splenocytes from CD61 knockout mice immunized against CD61(+) platelets were transferred into severe combined immunodeficient (SCID) (CD61(+)) mouse recipients, and their platelet counts and phenotypes were observed. As few as 5 x 10(4) splenocytes induced a significant thrombocytopenia and bleeding mortality (80%) in recipients within 3 weeks... (More)

Immune thrombocytopenia (ITP) is a bleeding disorder characterized by antibody-opsonized platelets being prematurely destroyed in the spleen, although some patients with ITP may have a cell-mediated form of thrombocytopenia. Although several animal models of ITP have been developed, few mimic primary chronic ITP nor have any shown cell-mediated platelet destruction. To create this type of model, splenocytes from CD61 knockout mice immunized against CD61(+) platelets were transferred into severe combined immunodeficient (SCID) (CD61(+)) mouse recipients, and their platelet counts and phenotypes were observed. As few as 5 x 10(4) splenocytes induced a significant thrombocytopenia and bleeding mortality (80%) in recipients within 3 weeks after transfer. Depletion of lymphocyte subsets before transfer showed that the splenocyte's ability to induce thrombocytopenia and bleeding completely depended on CD4(+) T helper cells and that both CD19(+) B cell (antibody)- and CD8(+) T cell (cell)-mediated effector mechanisms were responsible. Treatment of the SCID mouse recipients with intravenous gamma-globulins raised platelet counts and completely prevented bleeding mortality induced by antibody-mediated effector mechanisms but did not affect cell-mediated disease. This novel model not only shows both antibody- and cell-mediated ITP and bleeding but also suggests that these 2 effector mechanisms have a differential response to therapy.

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@article{547c6648-1392-46c5-bf8f-f35af195cd99,
  abstract     = {{<p>Immune thrombocytopenia (ITP) is a bleeding disorder characterized by antibody-opsonized platelets being prematurely destroyed in the spleen, although some patients with ITP may have a cell-mediated form of thrombocytopenia. Although several animal models of ITP have been developed, few mimic primary chronic ITP nor have any shown cell-mediated platelet destruction. To create this type of model, splenocytes from CD61 knockout mice immunized against CD61(+) platelets were transferred into severe combined immunodeficient (SCID) (CD61(+)) mouse recipients, and their platelet counts and phenotypes were observed. As few as 5 x 10(4) splenocytes induced a significant thrombocytopenia and bleeding mortality (80%) in recipients within 3 weeks after transfer. Depletion of lymphocyte subsets before transfer showed that the splenocyte's ability to induce thrombocytopenia and bleeding completely depended on CD4(+) T helper cells and that both CD19(+) B cell (antibody)- and CD8(+) T cell (cell)-mediated effector mechanisms were responsible. Treatment of the SCID mouse recipients with intravenous gamma-globulins raised platelet counts and completely prevented bleeding mortality induced by antibody-mediated effector mechanisms but did not affect cell-mediated disease. This novel model not only shows both antibody- and cell-mediated ITP and bleeding but also suggests that these 2 effector mechanisms have a differential response to therapy.</p>}},
  author       = {{Chow, Leola and Aslam, Rukhsana and Speck, Edwin R and Kim, Michael and Cridland, Norman and Webster, Michelle Lee and Chen, Pingguo and Sahib, Kim and Ni, Heyu and Lazarus, Alan H and Garvey, M Bernadette and Freedman, John and Semple, John W}},
  issn         = {{1528-0020}},
  keywords     = {{Animals; Antigens, CD19; Blood Platelets; CD8-Positive T-Lymphocytes; Disease Models, Animal; Female; Flow Cytometry; Immunoglobulins, Intravenous; Integrin beta3; Lymphocyte Depletion; Megakaryocytes; Mice; Mice, Inbred BALB C; Mice, Inbred C57BL; Mice, Knockout; Mice, SCID; Platelet Count; Purpura, Thrombocytopenic, Idiopathic; Spleen; T-Lymphocytes, Helper-Inducer; Journal Article; Research Support, Non-U.S. Gov't}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{6}},
  pages        = {{53--1247}},
  publisher    = {{American Society of Hematology}},
  series       = {{Blood}},
  title        = {{A murine model of severe immune thrombocytopenia is induced by antibody- and CD8+ T cell-mediated responses that are differentially sensitive to therapy}},
  url          = {{http://dx.doi.org/10.1182/blood-2009-09-244772}},
  doi          = {{10.1182/blood-2009-09-244772}},
  volume       = {{115}},
  year         = {{2010}},
}