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Long-term interleukin-6 administration stimulates sustained thrombopoiesis
and acute-phase protein synthesis in a small primate-- the marmoset
B Ryffel, BD Car, G Woerly, M Weber, F DiPadova, M Kammuller, S Klug, R Neubert and D Neubert
University of Zurich, Institute of Toxicology, Schwerzenbach, Switzerland.
Interleukin-6 (IL-6) has been ascribed significant roles in both
hematopoiesis and the immune response, although its contribution to host
defence as a whole is poorly understood. Because short-term IL-6 treatment
was previously shown to stimulate megakaryocytopoiesis, we investigated the
effect of long-term administration of IL-6 on megakaryocytopoiesis and
other systemic parameters in nonhuman primates. We chose a small primate,
the marmoset (Callithrix jacchus), which enabled long-term administration
at high doses. Recombinant human IL-6 (rhIL-6) administered at doses of up
to 1,000 micrograms/kg/d over 4 and 9 weeks caused a sustained twofold to
threefold increase of thrombocyte counts, peaking at 4 weeks. Thrombocyte
counts declined thereafter, despite continuing IL-6 administration. The
number of bone marrow megakaryocytes at 4 and 9 weeks was not increased
compared with controls, but the ploidy grade was augmented, suggesting that
IL-6 effects are restricted to mature megakaryocytes in vivo. An
acute-phase protein response was observed within 24 hours after the first
IL-6 administration and reached a maximum after 1 week of IL-6
administration at 25 micrograms/kg. Serum C-reactive protein, haptoglobin,
and ceruloplasmin were increased, whereas albumin and transferrin levels
declined. The acute-phase protein response was not associated with any
morphologic evidence of hepatocellular damage. The increased levels of Ig
and soluble IL-2 receptor in the serum levels reflected systemic
immunostimulation. There was no evidence of renal mesangioproliferative
pathology. Antibodies against rhIL-6 developed within 2 weeks, continuously
increasing during the course of the study. High titers of neutralizing
antibodies appeared concomitantly with the decrease in platelet counts and
decline in acute-phase proteins. Therefore, despite the pleiotropic effects
of IL-6 observed in vitro, long-term administration of IL-6 caused a
selective and sustained stimulation of thrombopoiesis in marmosets that was
only ablated by the appearance of neutralizing antibodies, and high doses
were well tolerated in marmosets. A long-term targeting of IL-6 to cells of
the megakaryocytic lineage, without evoking general toxicity, confirms the
potential therapeutic usefulness of rhIL-6 for the chronic treatment of
thrombocytopenic patients.
Volume 83,
Issue 8,
pp. 2093-2102,
04/15/1994
Copyright © 1994 by The American Society of Hematology

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