Relationship of granulocyte colony stimulating factor with other acute phase reactants in man.

Abstract:

:The non-specific acute phase response in mice is associated with increased resistance to bacterial infection, which is critically mediated by granulocyte colony stimulating factor (G-CSF), but the behaviour of G-CSF in the human acute phase response is not known. Cardiothoracic surgery is a powerful acute phase stimulus and we show here that this procedure caused increased production of G-CSF, in addition to increases in the circulating concentrations of the proinflammatory cytokine interleukin (IL)-6 and the acute phase plasma proteins C-reactive protein (CRP) and serum amyloid A protein (SAA). Values of G-CSF correlated positively with IL-6 concentrations and circulating neutrophil counts, but not with CRP values. These results confirm that G-CSF is a physiological component of the acute phase response in humans that shares some of the same regulatory controls as IL-6, but its downstream effects are on neutrophils, not hepatic acute phase protein synthesis. Our observations are compatible with a protective role against bacterial infection for G-CSF in the human acute phase response, and support investigation of the prophylactic use of G-CSF in at-risk patients.

journal_name

Clin Exp Immunol

authors

Noursadeghi M,Pepys MB,Gallimore R,Cohen J

doi

10.1111/j.1365-2249.2005.02732.x

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

97-100

issue

1

eissn

0009-9104

issn

1365-2249

pii

CEI2732

journal_volume

140

pub_type

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