| |
|
|
|
|
|
|
|||
|
Blood, 1 June 2004, Vol. 103, No. 11, pp. 4070-4077. Prepublished online as a Blood First Edition Paper on February 12, 2004; DOI 10.1182/blood-2003-08-2934.
Submitted August 28, 2003
Hematology Branch, NHLBI, NIH, Bethesda, MD, USA * Corresponding author; email: dunbarc{at}mail.nih.gov.
Hematopoietic cytokines such as filigrastim are used extensively to stimulate granulocyte production or to mobilize hematopoietic progenitors into the circulation, however their impact on more primitive hematopoietic progenitor and stem cells in vivo is unknown, particularly in large animals or humans. In particular, there is concern that chronic therapy with cytokines could result in stem cell exhaustion or clonal dominance, however, direct assessment of the dynamics of individual stem and progenitor cell clones in vivo has not been previously reported. A number of models can be proposed regarding the mechanisms by which the marrow responds to cytokine stimulation, including recruitment of previously quiescent clones, stimulation of proliferation of already active clones, or prevention of apoptosis of more mature progenitors from all clones. Using retroviral marking and comprehensive insertion site tracking of individual stem and progenitor cell clones in two rhesus macaques, we analyzed the impact of chronic administration of G-CSF, or a combination of G-CSF plus stem cell factor (SCF). The overall number of contributing clones remained constant, and the relative output form each clone did not change significantly during or following cytokine treatments. These results suggest that individual transduced stem or progenitor cells can contribute to hematopoiesis for prolonged periods, with no evidence for an impact of G-CSF or G-CSF/SCF on the number, the lifespan or the relative activity of individual stem or progenitor cell clones. These relevant large animal studies are reassuring regarding clinical applications of cytokines, and provide new insights into their mechanisms of action.
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Copyright © 2004 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||