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
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