|
A kill normal cells of the myeloid lineage and
kill other cells that produce hematopoietic cytokines. Injection of a
cytokine such as G-CSF, which stimulates myelopoiesis under normal
circumstances, accelerates the recovery of myeloid cells following cytotoxic
therapy in cancer patients or following immune-depression treatment for
blood cell transplantation. Injection of this cytokine to bone marrow or
peripheral blood cell donors before grafting and injection after grafting
can increase the success of blood cell transplants. Because of the important
functions of mature cells such as granulocytes and other myeloid cells, the
increased survival and function of mature cells induced by CSFs can also be
clinically helpful to patients with deficiencies in myeloid cell production
and functions (reviewed in ref. 27). The finding that apparently normal
granulocyte development can be induced in culture with cells from patients
with infantile congenital agranulocytosis (8, 121) has led to promising
clinical results with G-CSF in children with this genetic disease (122). It
has also been shown that injection of erythropoietin, which stimulates the
development of erythroid cells, can correct the anemia in patients with
chronic renal failure (123). |