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Gaertner, Florian ORCID logoORCID: https://orcid.org/0000-0001-6120-3723; Ishikawa-Ankerhold, Hellen ORCID logoORCID: https://orcid.org/0000-0003-0307-7022; Stutte, Susanne; Fu, Wenwen; Weitz, Jutta; Dueck, Anne ORCID logoORCID: https://orcid.org/0000-0002-7956-6327; Nelakuditi, Bhavishya; Fumagalli, Valeria ORCID logoORCID: https://orcid.org/0000-0003-2583-2498; van den Heuvel, Dominic ORCID logoORCID: https://orcid.org/0000-0002-8998-0396; Belz, Larissa; Sobirova, Gulnoza; Zhang, Zhe; Titova, Anna; Navarro, Alejandro Martinez ORCID logoORCID: https://orcid.org/0000-0003-3893-1719; Pekayvaz, Kami; Lorenz, Michael; von Baumgarten, Louisa ORCID logoORCID: https://orcid.org/0000-0002-6634-0927; Kranich, Jan ORCID logoORCID: https://orcid.org/0000-0002-9928-4132; Straub, Tobias ORCID logoORCID: https://orcid.org/0000-0002-0547-0453; Popper, Bastian; Zheden, Vanessa ORCID logoORCID: https://orcid.org/0000-0002-9438-4783; Kaufmann, Walter Anton; Guo, Chenglong; Piontek, Guido; Stillfried, Saskia von ORCID logoORCID: https://orcid.org/0000-0002-5260-8494; Boor, Peter ORCID logoORCID: https://orcid.org/0000-0001-9921-4284; Colonna, Marco ORCID logoORCID: https://orcid.org/0000-0001-5222-4987; Clauß, Sebastian ORCID logoORCID: https://orcid.org/0000-0002-5675-6128; Schulz, Christian ORCID logoORCID: https://orcid.org/0000-0002-8149-0747; Brocker, Thomas ORCID logoORCID: https://orcid.org/0000-0001-7060-5433; Walzog, Barbara ORCID logoORCID: https://orcid.org/0000-0001-7729-6565; Scheiermann, Christoph ORCID logoORCID: https://orcid.org/0000-0002-9212-0995; Aird, William C.; Nerlov, Claus ORCID logoORCID: https://orcid.org/0000-0002-0544-735X; Stark, Konstantin ORCID logoORCID: https://orcid.org/0000-0002-5369-8399; Petzold, Tobias; Engelhardt, Stefan ORCID logoORCID: https://orcid.org/0000-0001-5378-8661; Sixt, Michael; Hauschild, Robert ORCID logoORCID: https://orcid.org/0000-0001-9843-3522; Rudelius, Martina; Oostendorp, Robert A. J. ORCID logoORCID: https://orcid.org/0000-0002-4947-0412; Iannacone, Matteo ORCID logoORCID: https://orcid.org/0000-0002-9370-2671; Heinig, Matthias ORCID logoORCID: https://orcid.org/0000-0002-5612-1720 und Massberg, Steffen ORCID logoORCID: https://orcid.org/0000-0001-7387-3986 (2024): Plasmacytoid dendritic cells control homeostasis of megakaryopoiesis. In: Nature, Bd. 631, Nr. 8021: S. 645-653 [PDF, 15MB]

Abstract

Platelet homeostasis is essential for vascular integrity and immune defence1,2. Although the process of platelet formation by fragmenting megakaryocytes (MKs; thrombopoiesis) has been extensively studied, the cellular and molecular mechanisms required to constantly replenish the pool of MKs by their progenitor cells (megakaryopoiesis) remains unclear3,4. Here we use intravital imaging to track the cellular dynamics of megakaryopoiesis over days. We identify plasmacytoid dendritic cells (pDCs) as homeostatic sensors that monitor the bone marrow for apoptotic MKs and deliver IFNα to the MK niche triggering local on-demand proliferation and maturation of MK progenitors. This pDC-dependent feedback loop is crucial for MK and platelet homeostasis at steady state and under stress. pDCs are best known for their ability to function as vigilant detectors of viral infection5. We show that virus-induced activation of pDCs interferes with their function as homeostatic sensors of megakaryopoiesis. Consequently, activation of pDCs by SARS-CoV-2 leads to excessive megakaryopoiesis. Together, we identify a pDC-dependent homeostatic circuit that involves innate immune sensing and demand-adapted release of inflammatory mediators to maintain homeostasis of the megakaryocytic lineage.

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