Where in the human body is thrombopoietin (TPO) produced?

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Last updated: February 23, 2025View editorial policy

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From the Guidelines

Thrombopoietin is primarily produced in the liver, as well as in the bone marrow and the kidney. This hormone plays a crucial role in regulating the production of platelets in the body, with the liver being the main site of production, releasing thrombopoietin into the bloodstream where it travels to the bone marrow to stimulate the development and maturation of megakaryocytes, which are the cells that produce platelets 1. The production of thrombopoietin in these locations is significant because it allows for a steady, controlled release of the hormone, maintaining consistent platelet levels in the blood. Some key points to consider about thrombopoietin production include:

  • The liver is the primary site of thrombopoietin production
  • The bone marrow and kidney also produce thrombopoietin, although to a lesser extent
  • Thrombopoietin regulates platelet production by stimulating the development and maturation of megakaryocytes in the bone marrow 1. The localization of thrombopoietin production in the liver, bone marrow, and kidney is crucial for maintaining consistent platelet levels in the blood, and any disruption to this process can have significant consequences for the body's ability to regulate blood clotting and prevent bleeding or thrombosis.

From the Research

Production of Thrombopoietin (TPO)

  • Thrombopoietin (TPO) is produced predominantly in the liver 2, 3, 4, 5, 6
  • The liver is the primary site of TPO production, accounting for approximately 95.3% of total TPO mRNA production in human fetuses and neonates 5
  • Other sites of TPO production include the kidneys and spleen, although to a lesser extent 4, 5, 6
  • TPO production in the liver is constitutive, meaning it is not significantly influenced by external signals such as platelet count 6
  • The spleen may contribute to TPO production during fetal life 5
  • TPO mRNA is also expressed in fetal bone marrow, although the liver remains the primary site of production 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

The biology of thrombopoietin and thrombopoietin receptor agonists.

International journal of hematology, 2013

Research

GPIbα is the driving force of hepatic thrombopoietin generation.

Research and practice in thrombosis and haemostasis, 2021

Research

The role of the liver in the production of thrombopoietin compared with erythropoietin.

European journal of gastroenterology & hepatology, 2001

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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