2007
DOI: 10.1016/j.cell.2007.01.037
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Programmed Anuclear Cell Death Delimits Platelet Life Span

Abstract: Platelets are anuclear cytoplasmic fragments essential for blood clotting and wound healing. Despite much speculation, the factors determining their life span in the circulation are unknown. We show here that an intrinsic program for apoptosis controls platelet survival and dictates their life span. Pro-survival Bcl-x(L) constrains the pro-apoptotic activity of Bak to maintain platelet survival, but as Bcl-x(L) degrades, aged platelets are primed for cell death. Genetic ablation or pharmacological inactivation… Show more

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Cited by 928 publications
(991 citation statements)
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References 45 publications
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“…27,28 However, a dose-limiting thrombocytopenia is observed owing to inhibition of BCL-X L , the primary survival factor for platelet viability. 33 This has resulted in the synthesis of ABT-199, a BCL-2-specific inhibitor, which appears to act in vivo to specifically inhibit BCL-2 without affecting BCL-X L , and thus platelets are spared. 10 However, the survival of only a minority of tumours is dependent on a single anti-apoptotic BCL-2 family member, whereas most tumours are addicted to at least two anti-apoptotic BCL-2 proteins.…”
Section: Discussionmentioning
confidence: 99%
“…27,28 However, a dose-limiting thrombocytopenia is observed owing to inhibition of BCL-X L , the primary survival factor for platelet viability. 33 This has resulted in the synthesis of ABT-199, a BCL-2-specific inhibitor, which appears to act in vivo to specifically inhibit BCL-2 without affecting BCL-X L , and thus platelets are spared. 10 However, the survival of only a minority of tumours is dependent on a single anti-apoptotic BCL-2 family member, whereas most tumours are addicted to at least two anti-apoptotic BCL-2 proteins.…”
Section: Discussionmentioning
confidence: 99%
“…168,169 This problem can be circumvented in the context of BCL-2-dependent tumours by using ABT-199/venetoclax, a BH3-mimetic that only inhibits BCL-2 and is showing great promise for the treatment of CLL. 170 Moreover, to prevent unacceptable collateral damage to normal tissues, BH3-mimetics may best be used in combination therapies with drugs that only affect cancer cells, such as inhibitors of oncogenic kinases (e.g., Gleevec to inhibit BCR-ABL in CML, Vemurafenib to inhibit mutant BRAF in melanoma), rather than using them with cytotoxic drugs that cause DNA damage in both malignant as well as non-transformed cells.…”
Section: The Role Of the Bcl-2-regulated Apoptotic Pathway In Cancer mentioning
confidence: 99%
“…5 The generation of chimaeric or tissue-specific Bcl-X −/− revealed a critical role for BCL-XL in the survival of developing lymphocytes 5 and platelets. 6,7 Mcl-1 −/− embryos die before implantation (E3.5), 8 but conditional Mcl-1 deletion models have demonstrated an essential role for MCL-1 in the survival of haematopoietic stem cells, lymphocytes, neurons and cardiomyocytes. [9][10][11][12][13][14][15] Bcl-W −/− mice have impaired spermatogenesis.…”
mentioning
confidence: 99%