Drugs that induce neutropenia/agranulocytosis may target specific components of the stromal cell extracellular matrix.

Abstract:

:The etiology of drug-induced agranulocytosis is poorly understood. Many drugs that induce neutropenia or agranulocytosis can be metabolized to reactive intermediates that covalently bind to macromolecules. Until now, the myeloid precursor cell or an earlier committed progenitor cell has been favoured as the target for toxicity, due to evidence in some cases of cytotoxic action or antibodies against neutrophils. In the bone marrow, where neutrophils mature, certain components of the stromal microenvironment, e.g. intracellular adhesion molecule 1, vascular cell adhesion molecule 1, CD11b/CD18, heparan sulfate proteoglycans, fibronectin and hemonectin are essential for normal myeloid maturation. This article proposes that drugs implicated in agranulocytosis, or more likely their reactive metabolites, interact with specific components of the extracellular matrix and interfere with the normal regulation of granulopoiesis.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Guest I,Uetrecht J

doi

10.1054/mehy.1998.0734

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

145-51

issue

2

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(98)90734-4

journal_volume

53

pub_type

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