The effect of recombinant human colony-stimulating factors on hematopoietic reconstitution following autologous bone marrow transplantation.

Abstract:

:The prolonged and severe myelosuppression associated with high-dose chemotherapy and autologous bone marrow transplantation is a major causative factor in patient morbidity and mortality resulting from infection and other causes. The recent molecular cloning, in vitro expression, and formulation of recombinant human colony-stimulating factors (CSF) offered the possibility of reducing the duration of myelosuppression following high-dose chemotherapy and autologous bone marrow transplantation. We have evaluated both recombinant human granulocyte macrophage colony-stimulating factor (GM-CSF) and recombinant human granulocyte colony-stimulating factor (G-CSF) in patients undergoing high-dose combination alkylating-agent therapy with cyclophosphamide, cisplatin, and carmustine (BCNU), and autologous bone marrow transplantation. At clinically acceptable doses, both agents will accelerate hematopoietic recovery and are associated with a reduction in the frequency of bacteremias encountered compared with historical controls. Differences in the pattern of toxicity associated with colony-stimulating factor use, as well as effects on the functional capacity of neutrophils, were noted.

journal_name

Semin Hematol

journal_title

Seminars in hematology

authors

Peters WP

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

18-23

issue

2 Suppl 2

eissn

0037-1963

issn

1532-8686

pii

0037-1963(89)90022-X

journal_volume

26

pub_type

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