Effect of peripheral-blood progenitor cells mobilised by filgrastim (G-CSF) on platelet recovery after high-dose chemotherapy. 1992

W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
Department of Clinical Haematology and Medical Oncology, Royal Melbourne Hospital, Victoria, Australia.

The haemopoietic growth factor granulocyte colony-stimulating factor (G-CSF; filgrastim) substantially shortens the period of severe neutropenia that follows high-dose chemotherapy and autologous bone-marrow infusion by stimulating granulopoiesis. Filgrastim also increases numbers of circulating progenitor cells. We have studied the ability of filgrastim to mobilise peripheral-blood progenitor cells and assessed their efficacy when infused after chemotherapy on recovery of neutrophil and platelet counts. 17 patients with non-myeloid malignant disorders received filgrastim (12 micrograms/kg daily for 6 days) by continuous subcutaneous infusion. Numbers of granulocyte-macrophage progenitors in peripheral blood increased a median of 58-fold over pretreatment values, and numbers of erythroid progenitors increased a median of 24-fold. Three leucapheresis procedures collected a mean total of 33 (SEM 5.7) x 10(4) granulocyte-macrophage progenitors per kg body weight. After high-dose chemotherapy in 14 of the patients (busulphan and cyclophosphamide), these cells were used to augment autologous bone-marrow rescue and post-transplant filgrastim treatment. Platelet recovery was significantly faster in these patients than in controls who received the same treatment apart from the infusion of peripheral-blood progenitors; the platelet count reached 50 x 10(9)/l a median of 15 days after infusion of haemopoietic cells in the study patients compared with 39 days in controls (p = 0.0006). The accelerated neutrophil recovery associated with filgrastim treatment after chemotherapy was maintained. This method may be widely applicable to aid both neutrophil and platelet recovery after high-dose chemotherapy; it will allow investigation of peripheral-blood progenitor-cell allotransplantation.

UI MeSH Term Description Entries
D007958 Leukocyte Count The number of WHITE BLOOD CELLS per unit volume in venous BLOOD. A differential leukocyte count measures the relative numbers of the different types of white cells. Blood Cell Count, White,Differential Leukocyte Count,Leukocyte Count, Differential,Leukocyte Number,White Blood Cell Count,Count, Differential Leukocyte,Count, Leukocyte,Counts, Differential Leukocyte,Counts, Leukocyte,Differential Leukocyte Counts,Leukocyte Counts,Leukocyte Counts, Differential,Leukocyte Numbers,Number, Leukocyte,Numbers, Leukocyte
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011994 Recombinant Proteins Proteins prepared by recombinant DNA technology. Biosynthetic Protein,Biosynthetic Proteins,DNA Recombinant Proteins,Recombinant Protein,Proteins, Biosynthetic,Proteins, Recombinant DNA,DNA Proteins, Recombinant,Protein, Biosynthetic,Protein, Recombinant,Proteins, DNA Recombinant,Proteins, Recombinant,Recombinant DNA Proteins,Recombinant Proteins, DNA
D001792 Blood Platelets Non-nucleated disk-shaped cells formed in the megakaryocyte and found in the blood of all mammals. They are mainly involved in blood coagulation. Platelets,Thrombocytes,Blood Platelet,Platelet,Platelet, Blood,Platelets, Blood,Thrombocyte
D005260 Female Females
D006412 Hematopoietic Stem Cells Progenitor cells from which all blood cells derived. They are found primarily in the bone marrow and also in small numbers in the peripheral blood. Colony-Forming Units, Hematopoietic,Progenitor Cells, Hematopoietic,Stem Cells, Hematopoietic,Hematopoietic Progenitor Cells,Cell, Hematopoietic Progenitor,Cell, Hematopoietic Stem,Cells, Hematopoietic Progenitor,Cells, Hematopoietic Stem,Colony Forming Units, Hematopoietic,Colony-Forming Unit, Hematopoietic,Hematopoietic Colony-Forming Unit,Hematopoietic Colony-Forming Units,Hematopoietic Progenitor Cell,Hematopoietic Stem Cell,Progenitor Cell, Hematopoietic,Stem Cell, Hematopoietic,Unit, Hematopoietic Colony-Forming,Units, Hematopoietic Colony-Forming
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
December 1994, Annals of hematology,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
December 1997, Bone marrow transplantation,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
December 1996, British journal of cancer,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
January 1993, Haematologica,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
April 1993, Blood,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
January 1994, Bone marrow transplantation,
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
June 1992, Lancet (London, England),
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
June 1992, Lancet (London, England),
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
June 1992, Lancet (London, England),
W P Sheridan, and C G Begley, and C A Juttner, and J Szer, and L B To, and D Maher, and K M McGrath, and G Morstyn, and R M Fox
February 1995, Revista clinica espanola,
Copied contents to your clipboard!