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The Tetrapeptide Acetyl-N-Ser-Asp-Lys-Pro (Goralatide) Protects
From Doxorubicin-Induced Toxicity: Improvement in Mice Survival and
Protection of Bone Marrow Stem Cells and Progenitors
A. Massé,
L.H. Ramirez,
G. Bindoula,
C. Grillon,
J. Wdzieczak-Bakala,
K. Raddassi,
E. Deschamps de Paillette,
J.M. Mencia-Huerta,
S. Koscielny,
P. Potier,
F. Sainteny, and
P. Carde
From Institut Gustave Roussy, Villejuif, IPSEN-Biotech, Paris; and
Institut de Chimie des Substances Naturelles, CNRS, Gif-sur-Yvette,
France.
The tetrapeptide Acetyl-N-Ser-Asp-Lys-Pro (AcSDKP or Goralatide), a
physiological regulator of hematopoiesis, inhibits the entry into the
S-phase of murine and human hematopoietic stem cells. It has been shown
to reduce the damage to specific compartments in the bone marrow
resulting from treatment with chemotherapeutic agents, ionizing
radiations, hyperthermy, or phototherapy. The present study was
performed to assess the therapeutic potential of AcSDKP in vivo in
reducing both the toxicity and the hematopoietic damage induced by
fractionated administration of doxorubicin (DOX), a widely used
anticancer drug. Here we showed that AcSDKP could reduce DOX-induced
mortality in mice and could protect particularly the long-term
reconstituting cells (LTRCs) in addition to colony forming
units-spleen, high proliferative potential colony-forming cells, and
colony-forming units-granulocyte-macrophage (CFU-GM) from DOX
toxicity. The protection against DOX-induced mortality in mice was
improved when AcSDKP was administered for 3 days, at a dose of 2.4 µg/d, by continuous subcutaneous (SC) infusion or fractionated SC
injections starting 48 hours before DOX treatment. Moreover, the
recovery of the CFU-GM population in the AcSDKP-DOX-treated mice was
optimized by the subsequent administration of granulocyte colony-stimulating factor (G-CSF). The coadministration of AcSDKP with
DOX may improve its therapeutic index by reducing both acute hematotoxicity on late stem cells and progenitors and long-term toxicity on LTRCs. Optimization of these treatments combined with G-CSF
may provide an additional approach to facilitate hematopoietic recovery
after cancer chemotherapy.
Blood, Vol. 91 No. 2 (January 15), 1998:
pp. 441-449
© 1998 by The American Society of Hematology.

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