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Intact Megakaryocytes in the Venous Blood as a Marker for Thrombopoiesis
Authors:N Tinggaard Pedersen  J Cohn
Abstract:A total of 110 children, aged 0–15 years, were investigated for circulating megakaryocytes in cubital venous blood using the saponin-haemolysis leucoconcentration technique. The average number of megakaryocytes decreased from 17.8 per ml blood in the first year of life to 5.5 after the 6th year, which is the same value as in adult humans. The intact thrombo-cytogenic megakaryocyte value decreases from about 40 % in the first year of life to only a few percent (< 5 %) after the 10th year, the same value as in adult humans. There was a significantly higher number of megakaryocytes in children aged 0–6 years than in those aged 7–15 years. We concluded that occurrence of intact megakaryocytes ≥ 25 % in the venous blood is a sign of a normal thrombopoietic activity in the bone marrow, and the percentage of intact megakaryocytes in cubital venous blood reflects the decrease in thrombopoiesis in the bone marrow of fingers, hands and forearms during childhood. The decline in thrombopoietic activity is concentrated in three periods: 1–3, 6–7 and 10–11 years. An occurrence of intact megakaryocytes > 5 % in venous blood draining organs or bone marrow is a sign of some thrombopoietic activity.
Keywords:intact megakaryocytes  thrombopoiesis  venous blood
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