Authors: | Crown, J.; Jakubowski, A.; Gabrilove, J. |
Article Title: | Interleukin-1: Biological effects in human hematopoiesis |
Abstract: | Interleukin-1 (IL-1) produces many direct and indirect effects in hematopoiesis. IL-1 stimulates hematopoietic progenitors, and enhances production of other cytokines. Experimental data suggest a role in ameliorating the myelosuppression that occurs following cytotoxic chemotherapy. Recombinant human interleukin-1 has now entered clinical trial. We conducted a phase I trial of IL-1β alone, and following a myelosuppressive dose of 5-fluorouracil in patients with cancer. A prominent neutrophilia was noted within several hours, with a later, more sustained thrombocytosis. Hypotension was dose-limiting. We observed fewer days of neutropenia following 5-FU plus IL-1 compared to IL-1 alone, but the difference did not reach statistical significance. Early results from other investigators suggest a possible protective effect from chemotherapy-induced myelosuppression. Preclinical data suggest that combinations of IL-1 and lineage specific growth factors may produce synergistic hematologic effects. © 1993 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted. |
Keywords: | clinical article; controlled study; human cell; fatigue; neutropenia; fluorouracil; hypertension; antineoplastic agents; chemotherapy; animal; pain; bone marrow; bone marrow suppression; nausea; tumor cells, cultured; stem cell; abdominal pain; fever; rash; hypotension; cytokine; cytokines; rigor; recombinant proteins; thrombocyte count; hematopoiesis; heartburn; headache; leukocyte count; phase 1 clinical trial; clinical trials; intravenous drug administration; thrombocytosis; interleukin 1; diaphoresis; interleukin-1; neutrophilia; breathing disorder; human; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.; biological effects |
Journal Title: | Leukemia and Lymphoma |
Volume: | 9 |
Issue: | 6 |
ISSN: | 1042-8194 |
Publisher: | Taylor & Francis Group |
Date Published: | 1993-01-01 |
Start Page: | 433 |
End Page: | 440 |
Language: | English |
DOI: | 10.3109/10428199309145750 |
PUBMED: | 8339049 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Article -- Export Date: 1 March 2019 -- Source: Scopus |