The combined administration of daniplestim and mpl ligand augments the hematopoietic reconstitution observed with single cytokine administration in a nonhuman primate model of myelosuppression

This study evaluated the ability of daniplestim, a high affinity interleukin 3 receptor agonist, to enhance the hematopoietic response of Mpl ligand (Mpl‐L) administration in nonhuman primates following severe, radiation‐induced myelosuppression. Rhesus monkeys were total body x‐irradiated (TBI) to...

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Veröffentlicht in:Stem cells (Dayton, Ohio) Ohio), 1998, Vol.16 (S1), p.143-154
Hauptverfasser: Farese, Ann M., Macvittie, Thomas J., Lind, Lisa B., Smith, Walter G., Mckearn, John P.
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container_issue S1
container_start_page 143
container_title Stem cells (Dayton, Ohio)
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creator Farese, Ann M.
Macvittie, Thomas J.
Lind, Lisa B.
Smith, Walter G.
Mckearn, John P.
description This study evaluated the ability of daniplestim, a high affinity interleukin 3 receptor agonist, to enhance the hematopoietic response of Mpl ligand (Mpl‐L) administration in nonhuman primates following severe, radiation‐induced myelosuppression. Rhesus monkeys were total body x‐irradiated (TBI) to 600 cGy, midline tissue dose. Beginning on day 1 post‐TBI, animals were s. c. administered daniplestim (100 μg/kg bid; n = 4), Mpl‐L (10 μg/kg qd; n = 3), daniplestim (100 μg/kg bid) plus Mpl‐L (10 μg/kg qd) (n = 4) or 0.1% autologous serum (AS) (n = 11) for 18 days. CBCs were monitored for 60 d after TBI. The duration of thrombocytopenia (platelet count; PLT
doi_str_mv 10.1002/stem.5530160717
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Rhesus monkeys were total body x‐irradiated (TBI) to 600 cGy, midline tissue dose. Beginning on day 1 post‐TBI, animals were s. c. administered daniplestim (100 μg/kg bid; n = 4), Mpl‐L (10 μg/kg qd; n = 3), daniplestim (100 μg/kg bid) plus Mpl‐L (10 μg/kg qd) (n = 4) or 0.1% autologous serum (AS) (n = 11) for 18 days. CBCs were monitored for 60 d after TBI. The duration of thrombocytopenia (platelet count; PLT &lt;20,000/μl) was significantly decreased by the administration of daniplestim (6.5 d, p =.01), Mpl‐L (3.0 d, p =.003) and the coadministered daniplestim/Mpl‐L (1.3 d, p =.001) compared to controls (10.4 d). As monotherapy Mpl‐L but not daniplestim significantly improved the PLT nadir (21,000/μl, p =.023 and 5,000/μl, p =.266, respectively) compared to the control (3,000/μl). The combined administration of daniplestim and Mpl‐L significantly improved the PLT nadir (28,000/μl, p =.007) compared to both the control cohort (3,000/μl) and the daniplestim only cohort (5,000/μl, p =.043). Recovery of PLT to preirradiation values occurred earlier in the daniplestim only (d 21) or the daniplestim/Mpl‐L cohorts (d 18) than in the Mpl‐L only or control cohorts (d 28, d 29, respectively). The administration of daniplestim or Mpl‐L alone neither shortened the duration of neutropenia (ANC&lt;500/μl) compared to the controls (15.8 d, 16.0 d versus 16.2 d, respectively), nor improved the recovery time of neutrophils to baseline values (d 22, d 25, and d 23, respectively). The ANC nadir was significantly improved by daniplestim alone but not Mpl‐L administration (76/μl, p =.001 and 50/μl, p =.093, respectively) compared to the controls (8/μl). Coadministration of daniplestim and Mpl‐L significantly improved the ANC nadir (196/μl, p =.001) compared to either the AS‐ or the monotherapy‐treated cohorts. Also the duration of neutropenia observed in the As‐controls (16.2 d) was significantly reduced in the daniplestim/Mpl‐L cohort (10.8 d, p =.002). The combined administration of daniplestim and Mpl‐L significantly improved hematopoietic recovery and further enhanced the stimulatory effect of cytokine monotherapy, as well as reducing clinical support requirements after radiation‐induced bone marrow myelosuppression.</description><identifier>ISSN: 1066-5099</identifier><identifier>EISSN: 1549-4918</identifier><identifier>DOI: 10.1002/stem.5530160717</identifier><identifier>PMID: 11012186</identifier><language>eng</language><publisher>Bristol: John Wiley &amp; Sons, Ltd</publisher><subject>Animals ; Anti-Bacterial Agents - pharmacology ; Blood Transfusion ; Bone Marrow - drug effects ; Bone Marrow - metabolism ; Bone Marrow - radiation effects ; Cricetinae ; Cytokines - metabolism ; Cytokines - pharmacology ; Daniplestim ; Disease Models, Animal ; Drug Combinations ; Drug Interactions - physiology ; Hematopoiesis - drug effects ; Hematopoiesis - physiology ; Hematopoiesis - radiation effects ; Immunosuppression - methods ; Interleukin-3 ; Macaca mulatta ; Male ; Mpl‐L ; Myelosuppression ; Neutropenia - drug therapy ; Neutropenia - physiopathology ; Peptide Fragments ; Peptides - pharmacology ; Primate ; Radiation ; Recovery of Function - drug effects ; Recovery of Function - physiology ; Thrombocytopenia ; Thrombocytopenia - drug therapy ; Thrombocytopenia - physiopathology ; Thrombopoietin - metabolism ; Thrombopoietin - pharmacokinetics ; Time Factors</subject><ispartof>Stem cells (Dayton, Ohio), 1998, Vol.16 (S1), p.143-154</ispartof><rights>Copyright © 1998 AlphaMed Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3017-ccd2cd5c339552aaf44d75cb9ec3501cb31880dec1a67bed9559fbfd7aa5f2f23</citedby><cites>FETCH-LOGICAL-c3017-ccd2cd5c339552aaf44d75cb9ec3501cb31880dec1a67bed9559fbfd7aa5f2f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11012186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farese, Ann M.</creatorcontrib><creatorcontrib>Macvittie, Thomas J.</creatorcontrib><creatorcontrib>Lind, Lisa B.</creatorcontrib><creatorcontrib>Smith, Walter G.</creatorcontrib><creatorcontrib>Mckearn, John P.</creatorcontrib><title>The combined administration of daniplestim and mpl ligand augments the hematopoietic reconstitution observed with single cytokine administration in a nonhuman primate model of myelosuppression</title><title>Stem cells (Dayton, Ohio)</title><addtitle>Stem Cells</addtitle><description>This study evaluated the ability of daniplestim, a high affinity interleukin 3 receptor agonist, to enhance the hematopoietic response of Mpl ligand (Mpl‐L) administration in nonhuman primates following severe, radiation‐induced myelosuppression. Rhesus monkeys were total body x‐irradiated (TBI) to 600 cGy, midline tissue dose. Beginning on day 1 post‐TBI, animals were s. c. administered daniplestim (100 μg/kg bid; n = 4), Mpl‐L (10 μg/kg qd; n = 3), daniplestim (100 μg/kg bid) plus Mpl‐L (10 μg/kg qd) (n = 4) or 0.1% autologous serum (AS) (n = 11) for 18 days. CBCs were monitored for 60 d after TBI. The duration of thrombocytopenia (platelet count; PLT &lt;20,000/μl) was significantly decreased by the administration of daniplestim (6.5 d, p =.01), Mpl‐L (3.0 d, p =.003) and the coadministered daniplestim/Mpl‐L (1.3 d, p =.001) compared to controls (10.4 d). As monotherapy Mpl‐L but not daniplestim significantly improved the PLT nadir (21,000/μl, p =.023 and 5,000/μl, p =.266, respectively) compared to the control (3,000/μl). The combined administration of daniplestim and Mpl‐L significantly improved the PLT nadir (28,000/μl, p =.007) compared to both the control cohort (3,000/μl) and the daniplestim only cohort (5,000/μl, p =.043). Recovery of PLT to preirradiation values occurred earlier in the daniplestim only (d 21) or the daniplestim/Mpl‐L cohorts (d 18) than in the Mpl‐L only or control cohorts (d 28, d 29, respectively). The administration of daniplestim or Mpl‐L alone neither shortened the duration of neutropenia (ANC&lt;500/μl) compared to the controls (15.8 d, 16.0 d versus 16.2 d, respectively), nor improved the recovery time of neutrophils to baseline values (d 22, d 25, and d 23, respectively). The ANC nadir was significantly improved by daniplestim alone but not Mpl‐L administration (76/μl, p =.001 and 50/μl, p =.093, respectively) compared to the controls (8/μl). Coadministration of daniplestim and Mpl‐L significantly improved the ANC nadir (196/μl, p =.001) compared to either the AS‐ or the monotherapy‐treated cohorts. Also the duration of neutropenia observed in the As‐controls (16.2 d) was significantly reduced in the daniplestim/Mpl‐L cohort (10.8 d, p =.002). The combined administration of daniplestim and Mpl‐L significantly improved hematopoietic recovery and further enhanced the stimulatory effect of cytokine monotherapy, as well as reducing clinical support requirements after radiation‐induced bone marrow myelosuppression.</description><subject>Animals</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Blood Transfusion</subject><subject>Bone Marrow - drug effects</subject><subject>Bone Marrow - metabolism</subject><subject>Bone Marrow - radiation effects</subject><subject>Cricetinae</subject><subject>Cytokines - metabolism</subject><subject>Cytokines - pharmacology</subject><subject>Daniplestim</subject><subject>Disease Models, Animal</subject><subject>Drug Combinations</subject><subject>Drug Interactions - physiology</subject><subject>Hematopoiesis - drug effects</subject><subject>Hematopoiesis - physiology</subject><subject>Hematopoiesis - radiation effects</subject><subject>Immunosuppression - methods</subject><subject>Interleukin-3</subject><subject>Macaca mulatta</subject><subject>Male</subject><subject>Mpl‐L</subject><subject>Myelosuppression</subject><subject>Neutropenia - drug therapy</subject><subject>Neutropenia - physiopathology</subject><subject>Peptide Fragments</subject><subject>Peptides - pharmacology</subject><subject>Primate</subject><subject>Radiation</subject><subject>Recovery of Function - drug effects</subject><subject>Recovery of Function - physiology</subject><subject>Thrombocytopenia</subject><subject>Thrombocytopenia - drug therapy</subject><subject>Thrombocytopenia - physiopathology</subject><subject>Thrombopoietin - metabolism</subject><subject>Thrombopoietin - pharmacokinetics</subject><subject>Time Factors</subject><issn>1066-5099</issn><issn>1549-4918</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1OwzAQhC0EolA4c0N-gbR2EudHnFDFn1TEgXKOHHvTGmI7ih2qvh2PhksrFXHhtHuY-Wa1g9AVJRNKSDx1HvSEsYTQjOQ0P0JnlKVllJa0OA47ybKIkbIcoXPn3gmhKSuKUzSilNCYFtkZ-lqsAAura2VAYi61Msr5nntlDbYNltyorgXnlcbcSKy7FrdquV35sNRgvMM-IFagubedVeCVwD0Ia4LHDztO7aD_DPy18ivslFm2IXTj7UdI_RuqDObYWLMaNDe461UAA9ZWQrs9SG-gtW7ouh6cC_oLdNLw1sHlfo7R2_3dYvYYzV8enma380iE5-SREDIWkokkKRmLOW_SVOZM1CWIhBEq6oQWBZEgKM_yGmRQlU3dyJxz1sRNnIzRdMcVvXWuh6b6Oa3fVJRU2y6qbRfVoYvguN45uqHWIA_6_fOD4GYnWKsWNv_xqtfF3fMv_DcZfJ-Z</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Farese, Ann M.</creator><creator>Macvittie, Thomas J.</creator><creator>Lind, Lisa B.</creator><creator>Smith, Walter G.</creator><creator>Mckearn, John P.</creator><general>John Wiley &amp; 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Rhesus monkeys were total body x‐irradiated (TBI) to 600 cGy, midline tissue dose. Beginning on day 1 post‐TBI, animals were s. c. administered daniplestim (100 μg/kg bid; n = 4), Mpl‐L (10 μg/kg qd; n = 3), daniplestim (100 μg/kg bid) plus Mpl‐L (10 μg/kg qd) (n = 4) or 0.1% autologous serum (AS) (n = 11) for 18 days. CBCs were monitored for 60 d after TBI. The duration of thrombocytopenia (platelet count; PLT &lt;20,000/μl) was significantly decreased by the administration of daniplestim (6.5 d, p =.01), Mpl‐L (3.0 d, p =.003) and the coadministered daniplestim/Mpl‐L (1.3 d, p =.001) compared to controls (10.4 d). As monotherapy Mpl‐L but not daniplestim significantly improved the PLT nadir (21,000/μl, p =.023 and 5,000/μl, p =.266, respectively) compared to the control (3,000/μl). The combined administration of daniplestim and Mpl‐L significantly improved the PLT nadir (28,000/μl, p =.007) compared to both the control cohort (3,000/μl) and the daniplestim only cohort (5,000/μl, p =.043). Recovery of PLT to preirradiation values occurred earlier in the daniplestim only (d 21) or the daniplestim/Mpl‐L cohorts (d 18) than in the Mpl‐L only or control cohorts (d 28, d 29, respectively). The administration of daniplestim or Mpl‐L alone neither shortened the duration of neutropenia (ANC&lt;500/μl) compared to the controls (15.8 d, 16.0 d versus 16.2 d, respectively), nor improved the recovery time of neutrophils to baseline values (d 22, d 25, and d 23, respectively). The ANC nadir was significantly improved by daniplestim alone but not Mpl‐L administration (76/μl, p =.001 and 50/μl, p =.093, respectively) compared to the controls (8/μl). Coadministration of daniplestim and Mpl‐L significantly improved the ANC nadir (196/μl, p =.001) compared to either the AS‐ or the monotherapy‐treated cohorts. Also the duration of neutropenia observed in the As‐controls (16.2 d) was significantly reduced in the daniplestim/Mpl‐L cohort (10.8 d, p =.002). The combined administration of daniplestim and Mpl‐L significantly improved hematopoietic recovery and further enhanced the stimulatory effect of cytokine monotherapy, as well as reducing clinical support requirements after radiation‐induced bone marrow myelosuppression.</abstract><cop>Bristol</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>11012186</pmid><doi>10.1002/stem.5530160717</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Anti-Bacterial Agents - pharmacology
Blood Transfusion
Bone Marrow - drug effects
Bone Marrow - metabolism
Bone Marrow - radiation effects
Cricetinae
Cytokines - metabolism
Cytokines - pharmacology
Daniplestim
Disease Models, Animal
Drug Combinations
Drug Interactions - physiology
Hematopoiesis - drug effects
Hematopoiesis - physiology
Hematopoiesis - radiation effects
Immunosuppression - methods
Interleukin-3
Macaca mulatta
Male
Mpl‐L
Myelosuppression
Neutropenia - drug therapy
Neutropenia - physiopathology
Peptide Fragments
Peptides - pharmacology
Primate
Radiation
Recovery of Function - drug effects
Recovery of Function - physiology
Thrombocytopenia
Thrombocytopenia - drug therapy
Thrombocytopenia - physiopathology
Thrombopoietin - metabolism
Thrombopoietin - pharmacokinetics
Time Factors
title The combined administration of daniplestim and mpl ligand augments the hematopoietic reconstitution observed with single cytokine administration in a nonhuman primate model of myelosuppression
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