Insulin-like growth factor-I enhances lymphoid and myeloid reconstitution after allogeneic bone marrow transplantation Journal Article


Authors: Alpdogan, O.; Muriglan, S. J.; Kappel, B. J.; Doubrovina, E.; Schmaltz, C.; Schiro, R.; Eng, J. M.; Greenberg, A. S.; Willis, L. M.; Rotolo, J. A.; O'Reilly, R. J.; van den Brink, M. R. M.
Article Title: Insulin-like growth factor-I enhances lymphoid and myeloid reconstitution after allogeneic bone marrow transplantation
Abstract: Background. Prolonged immunodeficiency after allogeneic bone marrow transplantation (allo BMT) results in significant morbidity and mortality from infection. Previous studies in murine syngeneic BMT models have demonstrated that posttransplantation insulin-like growth factor (IGF)-I administration could enhance immune reconstitution. Methods. To analyze the effects of IGF-I on immune reconstitution and graft-versus-host disease (GVHD) after allo BMT, we used murine models for MHC-matched and -mismatched allo BMT. Young (3-month-old) recipient mice received 4 mg/kg per day of human IGF-I from days 14 to 28 by continuous subcutaneous administration. Results. IGF-I administration resulted in increased thymic precursor populations (triple negative-2 and triple negative-3) as determined on day 28 but had no effect on overall thymic cellularity. In the periphery, the numbers of donor-derived splenic CD3+ T cells were increased and these cells had an improved proliferative response to mitogen stimulation. IGF-I treatment also significantly increased the numbers of pro-, pre-, and mature B cells and myeloid cell populations in the spleens of allo BMT recipients on day 28. The administration of IGF-I in combination with interleukin 7 had a remarkable additive effect on B-cell, but not on T-cell, lymphopoiesis. Finally, we tested the effects of IGF-I administration on the development of GVHD in three different MHC-matched and -mismatched models and found no changes in GVHD morbidity and mortality. Conclusion. IGF-I administration can enhance lymphoid and myeloid reconstitution after allo BMT without aggravating GVHD.
Keywords: controlled study; transplantation, homologous; drug potentiation; nonhuman; cd3 antigen; cell proliferation; t lymphocyte; t-lymphocytes; mouse; animals; mice; animal tissue; bone marrow cells; immune system; interleukin 7; animal experiment; animal model; allogenic bone marrow transplantation; cell differentiation; drug effect; mice, inbred c57bl; b lymphocyte; mice, inbred strains; lymphocyte activation; thymus; graft versus host reaction; bone marrow cell; somatomedin c; immune deficiency; major histocompatibility complex; bone marrow transplantation; graft vs host disease; lymphopoiesis; insulin-like growth factor i; infusions, parenteral; spleen cell; mice, inbred c3h; transplantation, isogeneic; lymphoid cell; granulocytes; humans; female; priority journal; article
Journal Title: Transplantation
Volume: 75
Issue: 12
ISSN: 0041-1337
Publisher: Lippincott Williams & Wilkins  
Date Published: 2003-06-27
Start Page: 1977
End Page: 1983
Language: English
PUBMED: 12829897
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 12 September 2014 -- Source: Scopus
Citation Impact
MSK Authors
  1. Raffaella Schiro
    4 Schiro
  2. Richard O'Reilly
    747 O'Reilly
  3. Jimmy A Rotolo
    35 Rotolo
  4. Lucy Willis
    28 Willis
  5. Jeffrey Eng
    36 Eng
  6. Barry J Kappel
    28 Kappel