title: High thrombopoietin concentrations in the cerebrospinal fluid of neonates with sepsis and intraventricular hemorrhage may contribute to brain damage.
abstract: Thrombopoietin (TPO) and its receptor (TPOR) are expressed in the central nervous system (CNS). Although TPO shares significant homology with various neurotrophins, recent data indicate a proapoptotic function of TPO in the CNS. In this study, TPO concentrations were analyzed in the cerebrospinal fluid (CSF) of neonates. Human neuroblastoma-derived SH-SY5Y cells were established to elucidate the effects of inflammation and hypoxia on neuronal Tpo expression. TPO was detectable in the CSF of 6 of 15 neonates with bacterial infection/sepsis (median 140, range 2-613 pg/mL), 5 of 9 neonates with posthemorrhagic hydrocephalus (median 31, range 1.4-469 pg/mL), 3 of 4 neonates with posthemorrhagic hydrocephalus plus bacterial infection/sepsis or meningitis (median 97, range 6-397 pg/mL), but not in controls ( n = 3). Neither the presence of detectable TPO nor its level in the CSF significantly correlated with any clinical or laboratory parameter. In SH-SY5Y cells, TPO and TPOR expression was detected by RT-PCR and Western blot analysis. In vitro, interleukin-6 (IL-6) did not significantly change Tpo gene expression. In contrast, Tpo mRNA expression significantly decreased under hypoxia, whereas erythropoietin (EPO) mRNA expression increased. In conclusion, our data provide evidence that in neuronal cells, TPO production is regulated by different mechanisms than in hepatocytes.
authors.affiliation: Department of Neonatology, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, D-13353 Berlin, Germany.
authors.forename: Anke
authors.initials: A
authors.lastname: Reinhold
authors.forename: Juan
authors.initials: J
authors.lastname: Zhang
authors.forename: Reinhard
authors.initials: R
authors.lastname: Gessner
authors.forename: Ursula
authors.initials: U
authors.lastname: Felderhoff-Mueser
authors.forename: Michael
authors.initials: M
authors.lastname: Obladen
authors.forename: Christof
authors.initials: C
authors.lastname: Dame
mesh_terms: D015687:Cell Hypoxia; D045744:Cell Line, Tumor; D002490:Central Nervous System / Q000378:metabolism; D002543:Cerebral Hemorrhage / Q000134:cerebrospinal fluid* / Q000150:complications; D004921:Erythropoietin / Q000134:cerebrospinal fluid; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000134:cerebrospinal fluid* / Q000150:complications; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid* / Q000473:pathology; D009474:Neurons / Q000378:metabolism; D011237:Predictive Value of Tests; D018805:Sepsis / Q000134:cerebrospinal fluid* / Q000150:complications; D013926:Thrombopoietin / Q000134:cerebrospinal fluid*
chemical_list: D004921:Erythropoietin; D013926:Thrombopoietin