Abstract |
Cytostatic drug-induced haematopoietic damage is a major problem in tumour chemotherapy, due to the intensive proliferation of many bone marrow constituents and to the drug-induced recruitment of immature pluripotent haematopoietic cells (spleen colony-forming units, CFU-S). Marie-Hélène Moser and Walter Paukovits discuss how it should be possible to minimize such proliferation-associated damage by inhibiting CFU-S during the most dangerous treatment phases, with factors such as transforming growth factor beta, tumour necrosis factor alpha, macrophage inflammatory protein 1 alpha, and the CFU-S-inhibitory peptides N-acetyl-Ser-Asp-Lys-Pro and pyroGlu- Glu-Asp-Cys-Lys ( pEEDCK). Clinically relevant data are available for pEEDCK, showing that application of this peptide leads to a delayed, shorter, and less severe neutropenia, combination of pEEDCK with a stimulator avoids neutropenia, and stem cell preservation with pEEDCK improves long-term reconstitution of the haematopoietic system. Stem cell inhibition by synthetic peptides like pEEDCK may provide a useful strategy for bone marrow protection.
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Authors | M H Moser, W R Paukovits |
Journal | Trends in pharmacological sciences
(Trends Pharmacol Sci)
Vol. 12
Issue 8
Pg. 304-10
(Aug 1991)
ISSN: 0165-6147 [Print] England |
PMID | 1949198
(Publication Type: Journal Article, Review)
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Chemical References |
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Topics |
- Animals
- Antineoplastic Agents
(adverse effects)
- Hematologic Diseases
(chemically induced, prevention & control)
- Hematopoietic Stem Cells
(drug effects, physiology)
- Humans
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