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S Kojima, T Matsuyama, Y Kodera, H Nishihira, K Ueda, T Shimbo and T Nakahata
Division of Hematology/Oncology, Children's Medical Center, Japanese Red
Cross Nagoya First Hospital, Nagoya, Japan.
Endogenous plasma granulocyte colony-stimulating factor (G-CSF)
concentrations were serially measured in 68 patients with acquired aplastic
anemia (AA). A very sensitive chemiluminescent immunoassay (CLEIA) was used
to measure the plasma G-CSF concentration. The minimum detection limit of
this assay (0.5 pg/mL) was sufficient for the determination of G-CSF
concentrations in patients and normal subjects. The plasma G-CSF
concentrations were significantly higher in 51 AA patients without signs of
infection as compared with healthy control subjects. In AA patients with
signs of infection, the G-CSF concentrations appeared to increase during
the acute phase. There was a significant negative correlation between
plasma G-CSF concentrations and absolute neutrophil counts (ANC) in AA
patients without signs of infection. Although a decrease in the plasma
G-CSF concentration was observed in all patients who achieved
self-sustaining hematopoiesis following bone marrow transplantation (BMT)
or immunosuppressive (IS) therapy, it was lower in patients undergoing BMT
as compared with those receiving IS therapy for any given degree of
neutropenia. Plasma G-CSF concentrations were higher in patients responding
to IS therapy than in nonresponders. This study demonstrated the negative
feedback regulation of G-CSF that plasma G-CSF concentrations may be useful
in predicting the clinical response to IS therapy.
This article has been cited by other articles:
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| Copyright © 1996 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||