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Blood, Vol. 95 No. 7 (April 1), 2000: pp. 2269-2274

Pharmacologic doses of granulocyte colony-stimulating factor affect cytokine production by lymphocytes in vitro and in vivo

Elaine M. Sloand, Sonnie Kim, Jaroslaw P. Maciejewski, Fritz Van Rhee, Aniruddho Chaudhuri, John Barrett, and Neal S. Young

From the National Heart, Lung and Blood Institute, National Institutes of Health (NIH), Bethesda, MD.

Peripheral blood stem cell (PBSC) transplantation is successful in improving engraftment without increasing acute graft-versus-host disease (GVHD), despite much larger numbers of T cells in unmanipulated PBSCs than in bone marrow grafts. In mouse models and retrospective human studies, granulocyte colony-stimulating factor (G-CSF) therapy has been associated with less acute GVHD. We studied the effect of G-CSF on interferon (IFN)-gamma and IL-4 expression in CD4+ lymphocytes. CD4+ cells co-cultivated with G-CSF and stimulated with PHA or CD3 monoclonal antibodies showed significant decreases in IFN-gamma and increases in IL-4 expression (n = 13; P < .01). G-CSF appeared to have a direct effect on CD4+ cells independent of monocytes present in the culture because purified CD4+ cells exposed to G-CSF, washed, and cocultivated with untreated monocytes demonstrated similar changes in IFN-gamma and IL-4 expression, whereas untreated CD4+ cells cocultured with G-CSF-stimulated monocytes behaved as controls. We then studied peripheral blood mononuclear cells (PBMCs) from G-CSF-mobilized PBSC donors. When their PBMCs were cultured with PHA or CD3 monoclonal antibody, the percent of IFN-gamma -expressing cells decreased by a mean of 55% and 42%, respectively, whereas the percent of IL-4-containing cells increased by a mean of 39% and 58%, respectively, following G-CSF stimulation. Increased apoptosis of IFN-gamma -producing CD4+ cells was not responsible for the shift in TH1/TH2 subsets. G-CSF-R mRNA was present in both CD4+ and CD8+ cells. These results suggest that G-CSF decreases IFN-gamma and increases IL-4 production in vitro and in vivo and likely modulates a balance between TH1 and TH2 cells, an effect that may be important in PBSC transplantation.


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Related Letter in Blood Online:

Modulation of Th1/Th2 subsets by granulocyte-colony stimulating factor
Muttuswamy Sivakumaran, Zilton F. M. Vasconcelos, Hilda R. Diamond, Daniel G. Tabak, Marcello A. Barcinski, Adriana Bonomo, Elaine Sloand, Sonnie Kim, Jaroslaw Maciejewski, and Neal Young
Blood 2001 97: 333-335. [Full Text] [PDF]



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