title: Bone marrow and peripheral blood C-kit ligand concentrations in patients with thrombocytosis and thrombocytopenia.
abstract: C-kit ligand (stem cell factor, SCF) is a hematopoietic growth factor with diverse effects. It has stimulatory effects on megakaryocytopoiesis acting in synergism with interleukin-3 (IL-3), thrombopoietin (TPO) and granulocyte-macrophage colony stimulating factor (GM-CSF). The relationship between SCF and megakaryocytopoiesis, especially the correlations between blood and bone marrow SCF levels have been not clearly established in the literature. We therefore, investigated peripheral and bone marrow SCF levels in patients with thrombocytosis and thrombocytopenia. Subjects were divided into three groups: those with (i) thrombocytopenia, (ii) thrombocytosis and (iii) healthy adults as controls. When the three groups were compared, the mean peripheral blood SCF level of the thrombocytosis group (2149±197) was significantly higher than the thrombocytopenia (1586±178) and normal control groups (1371±68; p<0.05) and the bone marrow SCF level was higher (2694±267) than the thrombocytopenia group (1700±182; p<0.05). In the correlation analysis, considering all the groups together the bone marrow and peripheral blood SCF concentrations were positively and significantly correlated (p<0.01; r=0.93). Correlations between platelet number and both bone marrow SCF concentration (p<0.01; r=0.51) and peripheral blood concentrations (p<0.01; r=0.40) were also shown. Our results indicate that SCF is operative in the pathological megakaryopoiesis of clonal origin and reactive thrombocytosis both in the local bone marrow microenvironment and the peripheral circulating blood. We feel that further studies on the platelet-SCF relationship and SCF levels in different disease states are required.
authors.forename: Murat
authors.initials: M
authors.lastname: Asik
authors.forename: Sema
authors.initials: S
authors.lastname: Karakus
authors.forename: Ibrahim C
authors.initials: IC
authors.lastname: Haznedaroglu
authors.forename: Hakan
authors.initials: H
authors.lastname: Goker
authors.forename: Duzgun
authors.initials: D
authors.lastname: Ozatli
authors.forename: Yahya
authors.initials: Y
authors.lastname: Buyukasik
authors.forename: Nilgun
authors.initials: N
authors.lastname: Sayinalp
authors.forename: Osman I
authors.initials: OI
authors.lastname: Ozcebe
authors.forename: Serafettin
authors.initials: S
authors.lastname: Kirazli
mesh_terms: D000328:Adult; D001853:Bone Marrow / Q000378:metabolism*; D005260:Female; D006801:Humans; D008297:Male; D019089:Stem Cell Factor / Q000097:blood / Q000378:metabolism*; D013921:Thrombocytopenia / Q000097:blood / Q000378:metabolism* / Q000473:pathology; D013922:Thrombocytosis / Q000097:blood / Q000378:metabolism* / Q000473:pathology
chemical_list: D019089:Stem Cell Factor