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Blood, 15 April 2004, Vol. 103, No. 8, pp. 3230-3232. Prepublished online as a Blood First Edition Paper on December 30, 2003; DOI 10.1182/blood-2003-06-1985.
Submitted June 19, 2003
Haematology, Royal Free & University College Medical School, London, United Kingdom * Corresponding author; email: a.khwaja{at}ucl.ac.uk.
The GM-CSF analogue E21R binds to the GM-CSF receptor complex with low affinity and acts as a competitive antagonist. In addition, it has been reported to be a potent direct activator of apoptosis in primary human acute myeloid leukaemia (AML) cells. We have confirmed the ability of E21R to neutralise the biological effects of GM-CSF and investigated its activity on primary AML blasts. We find that it failed to induce cell death in blast cells from 23 separate AML cases treated in vitro at concentrations of E21R up to 30µg/ml. Significant cell death resulted in all cases after incubation with cytosine arabinoside. The lack of effect of E21R on AML blasts was unlikely to be due to an absence of functional GM-CSF receptors as 13 cases demonstrated an increase in cell number with the addition of exogenous GM-CSF. These results do not support the use of E21R for the treatment of AML.
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