AI Article Synopsis

  • - Thrombocytopenia, a decrease in platelet count, is a significant issue in cancer treatment, as it hampers chemotherapy and radiation effectiveness. Ruxolitinib is being researched as a possible treatment option.
  • - The study used various methods, including flow cytometry and animal models, to investigate how ruxolitinib affects the maturation of megakaryocytes (MKs) and its impact on thrombocytopoiesis in radiation-injured mice.
  • - Results show that ruxolitinib enhances MK differentiation and recovery of platelet production, potentially by activating specific cellular pathways through its binding to TLR2, offering a promising new approach for treating thrombocytopenia.

Article Abstract

Background: Thrombocytopenia has long been considered an important complication of chemotherapy and radiotherapy, which severely limits the effectiveness of cancer treatment and the overall survival of patients. However, clinical treatment options are extremely limited so far. Ruxolitinib is a potential candidate.

Methods: The impact of ruxolitinib on the differentiation and maturation of K562 and Meg-01 cells megakaryocytes (MKs) was examined by flow cytometry, Giemsa and Phalloidin staining. A mouse model of radiation-injured thrombocytopenia (RIT) was employed to evaluate the action of ruxolitinib on thrombocytopoiesis. Network pharmacology, molecular docking, drug affinity responsive target stability assay (DARTS), RNA sequencing, protein blotting and immunofluorescence analysis were applied to explore the targets and mechanisms of action of ruxolitinib.

Results: Ruxolitinib can stimulate MK differentiation and maturation in a dose-dependent manner and accelerates recovery of MKs and thrombocytopoiesis in RIT mice. Biological targeting analysis showed that ruxolitinib binds directly to Toll Like Receptor 2 (TLR2) to activate Rac1/cdc42/JNK, and this action was shown to be blocked by C29, a specific inhibitor of TLR2.

Conclusions: Ruxolitinib was first identified to facilitate MK differentiation and thrombocytopoiesis, which may alleviate RIT. The potential mechanism of ruxolitinib was to promote MK differentiation via activating the Rac1/cdc42/JNK pathway through binding to TLR2.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787584PMC
http://dx.doi.org/10.3390/ijms232416137DOI Listing

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