title: Mitoquinone restores platelet production in irradiation-induced thrombocytopenia.
abstract: Myelodysplastic syndromes (MDS) are hallmarked by cytopenia and dysplasia of hematopoietic cells, often accompanied by mitochondrial dysfunction and increases of reactive oxygen species (ROS) within affected cells. However, it is not known whether the increase in ROS production is an instigator or a byproduct of the disease. The present investigation shows that mice lacking immediate early responsive gene X-1 (IEX-1) exhibit lineage specific increases in ROS production and abnormal cytology upon radiation in blood cell types commonly identified in MDS. These affected cell lineages chiefly have the bone marrow as a primary site of differentiation and maturation, while cells with extramedullary differentiation and maturation like B- and T-cells remain unaffected. Increased ROS production is likely to contribute significantly to irradiation-induced thrombocytopenia in the absence of IEX-1 as demonstrated by effective reversal of the disorder after mitoquinone (MitoQ) treatment, a mitochondria-specific antioxidant. MitoQ reduced intracellular ROS production within megakaryocytes and platelets. It also normalized mitochondrial membrane potential and superoxide production in platelets in irradiated, IEX-1 deficient mice. The lineage-specific effects of mitochondrial ROS may help us understand the etiology of thrombocytopenia in association with MDS in a subgroup of the patients.
authors.affiliation: Department of Dermatology, Wellman Center for Photomedicine, Massachusetts General Hospital (MGH), Harvard Medical School (HMS) , Boston , MA and.
authors.forename: Haley
authors.initials: H
authors.lastname: Ramsey
authors.forename: Qi
authors.initials: Q
authors.lastname: Zhang
authors.forename: Mei X
authors.initials: MX
authors.lastname: Wu
mesh_terms: D000818:Animals; D000975:Antioxidants / Q000378:metabolism; D001792:Blood Platelets / Q000378:metabolism; D001853:Bone Marrow / Q000378:metabolism; D019070:Cell Lineage / Q000235:genetics; D004195:Disease Models, Animal; D017874:Immediate-Early Proteins / Q000235:genetics / Q000378:metabolism; D008533:Megakaryocytes / Q000187:drug effects / Q000378:metabolism / Q000528:radiation effects; D053078:Membrane Potential, Mitochondrial / Q000187:drug effects; D051379:Mice; D018345:Mice, Knockout; D008928:Mitochondria / Q000378:metabolism; D009943:Organophosphorus Compounds / Q000494:pharmacology*; D017382:Reactive Oxygen Species / Q000378:metabolism; D013481:Superoxides / Q000378:metabolism; D013921:Thrombocytopenia / Q000097:blood* / Q000188:drug therapy / Q000209:etiology*; D034061:Thrombopoiesis / Q000187:drug effects* / Q000528:radiation effects*; D014451:Ubiquinone / Q000031:analogs & derivatives* / Q000494:pharmacology; D014916:Whole-Body Irradiation
chemical_list: D000975:Antioxidants; C518820:IEX-1 protein, mouse; D017874:Immediate-Early Proteins; D009943:Organophosphorus Compounds; D017382:Reactive Oxygen Species; D013481:Superoxides; D014451:Ubiquinone; C429014:mitoquinone
keywords: Megakaryocytes; Mitoquinone; Reactive Oxygen Species; Thrombocytopenia