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Abnormal responses of myeloid progenitor cells to recombinant human
colony-stimulating factors in congenital neutropenia
M Kobayashi, C Yumiba, Y Kawaguchi, Y Tanaka, K Ueda, Y Komazawa and K Okada
Department of Pediatrics, Hiroshima University School of Medicine, Japan.
The effects of recombinant human interleukin-3 (IL-3) and recombinant human
granulocyte colony-stimulating factor (G-CSF) on the growth of myeloid
progenitor cells (CFU-C) in semisolid agar culture were studied in two
patients with Kostmann-type congenital neutropenia. CFU-C growth in bone
marrow cells from patients was significantly reduced in response to various
concentrations of either IL-3 or G-CSF alone, compared with that from
normal subjects. There was no inhibitory effect of bone marrow cells from
patients on normal CFU-C formation supported by IL-3 or G-CSF. However, the
simultaneous stimulation with IL-3 and G- CSF induced the increase of CFU-C
formation in patients with congenital neutropenia. Furthermore, CFU-C
growth in both patients was supported when bone marrow cells were
preincubated with IL-3 in liquid culture followed by the stimulation with
G-CSF in semisolid agar culture. In contrast, that was not supported by the
preincubation with G-CSF and the subsequent stimulation with IL-3. This
evidence suggests that the hematopoietic progenitor cells in patients with
congenital neutropenia have the potential for developing CFU-C in the
combined stimulation with IL-3 and G-CSF, and that this growth may be
dependent on the priming of IL-3 followed by the stimulation with G-CSF.
The level of mature neutrophils in peripheral blood was not fully restored
to normal levels by the daily administration of G-CSF in doses of 100 to
200 micrograms/m2 of body surface area for 20 to 25 days in both patients.
These observations raise the possibility that the combination of IL-3 and
G-CSF might have a potential role for the increase of neutrophil counts in
patients with congenital neutropenia.
Volume 75,
Issue 11,
pp. 2143-2149,
06/01/1990
Copyright © 1990 by The American Society of Hematology

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