Circulating haematopoietic progenitors during treatment of renal anaemia with recombinant human erythropoietin
The effect of recombinant human erythropoietin (rhEPO) and interleukin 3 (IL3) on circulating haematopoietic progenitors consisting mainly of immature burst-forming-units-erythrocytes (BFU-E), was investigated in ten paediatric patients treated by regular haemodialysis. During a 30-week study rhEPO...
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| Hauptverfasser: | , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
January 1994
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| In: |
European journal of pediatrics
Year: 1994, Jahrgang: 153, Heft: 1, Pages: 43-48 |
| ISSN: | 1432-1076 |
| DOI: | 10.1007/BF02000786 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/BF02000786 |
| Verfasserangaben: | Verena Göbel, Hans-Georg Hoffmann, Dirk E. Müller-Wiefel, Andrea Braun, Rolf Ludwig, Karl Schärer, Klaus-Michael Debatin |
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| 245 | 1 | 0 | |a Circulating haematopoietic progenitors during treatment of renal anaemia with recombinant human erythropoietin |c Verena Göbel, Hans-Georg Hoffmann, Dirk E. Müller-Wiefel, Andrea Braun, Rolf Ludwig, Karl Schärer, Klaus-Michael Debatin |
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| 520 | |a The effect of recombinant human erythropoietin (rhEPO) and interleukin 3 (IL3) on circulating haematopoietic progenitors consisting mainly of immature burst-forming-units-erythrocytes (BFU-E), was investigated in ten paediatric patients treated by regular haemodialysis. During a 30-week study rhEPO treatment resulted in a rise of median haemoglobin levels from 6.7 g/dl to >10 g/dl in all patients. Before initiating rhEPO treatment the number of circulating BFU-E in chronic renal failure patients responded to grading doses of rhEPO in vitro similar to that in control children; however, the dose-response curves were not predictive for the in vivo response to rhEPO. After an initial rise in five patients BFU-E numbers declined by week 30 of rhEPO treatment. BFU-E numbers decreased to 35% of pretreatment values. The number of granulocyte-macrophage colony forming cells (GM-CFC) also decreased during rhEPO treatment. Addition of IL3 to the culture medium containing saturating concentrations of granulocyte-macrophage colony stimulating factor did not stimulate BFU-E numbers of patients before rhEPO treatment or those of controls. However, 2 weeks after start of rhEPO treatment IL3 increased the growth of patient's BFU-E in vitro to 220% of pretreatment levels, followed by a gradual decrease of stimulation until the end of observation. These findings indicate that: (1) long-term recruitment of circulating haematopoietic progenitors during rhEPO treatment is low in children with renal anaemia; (2) rhEPO sensitivity of circulating BFU-E is not predictive for the in vivo response; (3) rhEPO treatment results in enhanced sensitivity of BFU-E to IL3. | ||
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