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UH Chudgar, CH Rundus and VM Peterson
Department of Surgery, Children's Hospital, University of Colorado School
of Medicine, Denver, USA.
Expression of hematoregulatory cytokines such as interleukin-1 (IL-1) in
response to cytotoxic chemotherapy hastens hematopoietic recovery, but may
also potentiate myelotoxicity if myeloid progenitors enter cell cycle
before drug clearance. In the present study, the ability of recombinant
human IL-1 receptor antagonist (IL-1ra) to protect hematopoietic
progenitors was studied in a murine model of cyclophosphamide (CPA)-induced
myelotoxicity. CF-1 female mice received 200 mg/kg CPA and either 10 mg/kg
IL-1ra or an equal volume of 0.05% human serum albumin (HSA)
intraperitoneally (i.p.), followed 12 hours later by IL-1ra or HSA. CPA and
IL-1ra increased absolute neutrophil counts (ANCs) at days 2 (P = .001) and
14 (P = .0025) after CPA. In IL- 1ra-treated mice, colony-forming units
granulocyte-macrophage (CFU- GM)/tibia were increased twofold and threefold
at days 2 (P = .0047) and 7 (P = .023), respectively, whereas high
proliferative potential colony-forming cells (HPP-CFC)/tibia were decreased
twofold to threefold at 8 hours (P = .039) and 24 hours (P = .0033), but
were approximately threefold higher than HSA-treated mice at day 7 after
CPA. Coadministration of CPA and IL-1 enhanced myelotoxicity compared with
mice injected with CPA and IL-1ra or HSA. In vivo, IL-1ra protected
HPP-CFC, but not CFU-GM, from hydroxyurea suicide after a single dose of
CPA, suggesting that IL-1ra inhibited cycling of HPP- CFC. In vitro, IL-1ra
did not alter proliferation of CFU-GM, but inhibited IL-1-enhanced
proliferation of HPP-CFC. These data suggest that IL-1ra acts as an
indirect negative regulator of hematopoiesis and protects HPP-CFC from CPA,
possibly by inhibiting IL-1-enhanced proliferation of early myeloid
progenitors.
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