Abstract
We report a 20-month-old boy with acute lymphoblastic leukemia with the 11q23 translocation whose blasts markedly increased in peripheral blood after intravenous granulocyte colony-stimulating factor (G-CSF) administration, but disappeared after stopping G-CSF. The in vitro study showed that the leukemic cells separated from this patient expressed G-CSF receptor (G-CSFR) and an addition of G-CSF stimulated their proliferation by 3H-thymidine incorporation assay (stimulation index, 4.9). To clarify whether or not leukemic cells with 11q23 translocations generally express G-CSFR and show proliferative response to G-CSF, we performed the similar in vitro experiments using eight leukemic cell lines with 11q23 translocations. We found that all cell lines examined expressed G-CSFR (20-98%) and proliferation of seven leukemic cell lines was significantly enhanced in response to G-CSF (stimulation index >1.5 in five cell lines), suggesting a possible participation of the G-CSF/G-CSFR interaction in the process of growth regulation of leukemic cells with 11q23 translocations.
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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B-Lymphocytes / drug effects
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B-Lymphocytes / pathology
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Blast Crisis
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Cell Division / drug effects
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Cell Line
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Chromosome Mapping
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Chromosomes, Human, Pair 11*
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Cytarabine / administration & dosage
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DNA Replication / drug effects
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Etoposide / administration & dosage
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Granulocyte Colony-Stimulating Factor / pharmacology
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Granulocyte Colony-Stimulating Factor / therapeutic use*
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Granulocytes / drug effects
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Granulocytes / pathology
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Humans
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Immunophenotyping
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Infant
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Male
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Mitoxantrone / administration & dosage
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / blood
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy
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Receptors, Granulocyte Colony-Stimulating Factor / biosynthesis*
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Receptors, Granulocyte Colony-Stimulating Factor / blood
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Tumor Cells, Cultured
Substances
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Receptors, Granulocyte Colony-Stimulating Factor
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Cytarabine
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Granulocyte Colony-Stimulating Factor
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Etoposide
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Mitoxantrone