Hematopoiesis is the process by which blood cells develop and differentiate from pluripotent stem cells in the bone marrow. This process involves a complex interplay of polypeptide growth factors (cytokines) acting via membrane-bound receptors on the target cells. Cytokine action results in cellular proliferation and differentiation, with a response to a particular cytokine often being lineage-specific and/or stage-specific. Development of a single cell type, such as a platelet, from a stem cell may require the coordinated action of a plurality of cytokines acting in the proper sequence.
The known cytokines include the interleukins, such as IL-1, IL-2, IL-3, IL-6, IL-8, etc.; and the colony stimulating factors, such as G-CSF, M-CSF, GM-CSF, erythropoietin (EPO), etc. In general, the interleukins act as mediators of immune and inflammatory responses. The colony stimulating factors stimulate the proliferation of marrow-derived cells, activate mature leukocytes, and otherwise form an integral part of the host's response to inflammatory, infectious, and immunologic challenges.
Various cytokines have been developed as therapeutic agents. For example, erythropoietin, which stimulates the development of erythrocytes, is used in the treatment of anemia arising from renal failure. Several of the colony stimulating factors have been used in conjunction with cancer chemotherapy to speed the recovery of patients' immune systems. Interleukin-2, .alpha.-interferon and .gamma.-interferon are used in the treatment of certain cancers. An activity that stimulates megakaryocytopoiesis and thrombocytopoiesis has been identified in body fluids of thrombocytopenic animals and is referred to in the literature as "thrombopoietin" (recently reviewed by McDonald, Exp. Hematol. 16:201-205, 1988 and McDonald, Am. J. Ped. Hematol. Oncol. 14:8-21, 1992).
Recently, several groups have identified and/or cloned a protein that binds to the cellular mpl receptor and stimulates megakaryocytopoiesis and thrombocytopoiesis. See, de Sauvage et al., Nature 369:533-538, 1994; Lok et al., Nature 369:565-568, 1994; Kaushansky et al., Nature 369:568-571, 1994; Wendling et al., Nature 369:571-574, 1994; and Bartley et al., Cell 77:1117-1124, 1994. It has been proposed that this protein be termed thrombopoietin (Kaushansky et al., ibid.).
Analysis of amino acid sequences indicates that the mature mouse TPO extends from amino acid residue 45 (Ser) to residue 379 (Thr) of SEQ ID NO: 2. The predicted amino terminus of the human protein corresponds precisely to the demonstrated mature amino terminus for recombinant murine TPO (Lok et al., ibid.), i.e. it is at Ser (22) of SEQ ID NO:4, with the protein extending to amino acid residue 353 of SEQ ID NO:4. TPO is subject to proteolysis and has been isolated in heterogeneous or degraded form (de Sauvage et al., Nature 369:533-538, 1994; Bartley et al., Cell 77:1117-1124, 1994). Molecular species as small as 25 kD have been found to be active in vitro (Bartley et al., ibid), and recombinant human TPO polypeptides of 153 (de Sauvage et al., ibid) and 174 amino acids (Bartley et al., ibid) have been reported as being active in vitro, as has the product of expression of the full-length human cDNA, which encodes a primary translation product of 353 amino acids (Bartley et al., ibid).
Thrombopoietin appears to be subject to proteolysis and was isolated in heterogeneous or degraded form (Bartley et al., ibid.; de Sauvage et al., ibid.). Preparations of thrombopoietin reported in the scientific literature are therefore not well characterized as to composition and the relative activities of the various molecular species, although at least some of the proteolytic products are biologically active. However, little work has been done to date on the large-scale production of thrombopoietin, and there remains a need in the art for methods of producing the protein in large amounts and in a cost-effective manner.