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Hematopoietic Molecular Regulators in the hanagement ot the Lone
Marrow hypoplasia

In the last ten years several molecular regulators of hematopoiesis
have been identified, purified,

sequenced, and by recombinant DNA

techniques are” being produced in large amounts,

These are interleukin-1

and 3, granulocyte- macrophage colony-stimulating factor, macrophage
colony-stimulating factor, granulocyte colony-stimulating factor,

endothelial celis, and fibroblasts

produce granulocyte-macrophage colony- stimulating factor.
accelerates

to

The latter

the production of granulocytes and macrophayes

izole

upon in vivo administration produces a granulocytosis with accelerated

setrum ~

production of granulocytes.
funcetiunal granulocytes

colony~stimulating factor accelerates

in vitro the procuction of

granulocytes in colonies and in vivo accelerates
granulocytes and improves

(50-55).

mouse

4-5 times

ry

ae
ap Ee
aaNet ee
rid

has

‘it

heh
OLere
Vs

to

near

48 hours before,
administered

" ae
ay “rT

trradiation,
100%

IL~]

survival.

When

the normal

to primates aud mice

four

GN-CSF and G-CSF

to produce a

level as long as

by radiation or chemicals and

100% lethal gose of radiation

administered

it is ineffective (50).

to primates and shown

been given

(51-54).

turns a near

hours

before

have been

sustainea granulocytosis

the materials are administered.

in which

or

the marrow has

the granulocyte counts are

of

It

been suppressed

increased

Erythropoietin has been shown to be of sajor benefit in

Stimulating the production of

red cells

as a result of renal failure (55).
combinations will

in

individuals with severe anemia

It its assumed that these avents or

be of potential benetit in

tne

with bone marrow Suppression as a result of whole
other hand,

it

is conceivable

that forcing cells

body

trradfation.

into mitosis

On

the

before DNA is

repaired may fix genetic

failure of

the mitotic capacity of pluripotent stem cells or an earlier and
incidence of leukemia.

result

individuals

adequately

increased

injury and

treatment of

in either an early

These are possibilities

that need

to

be

_ &xplored experimentally.

a,

|

to

hen administered 20

a

in an 2

the

bacterial-killing capacities

IL-l has been used as a radloprotector.

hours prior
in

the phagocytic and

the production of

-109-

sor

at
ee

“0 keep |

Granulocyte

ek

y

ec

the effectiveness of the

in phagocytosis and bacterial killing.

1 es

ADS.

It also increases

ae

in vitro and

ee,
See
ie
Lerman es

stimulates T-cells,

we
. eoTe,whan v4.
Whale
. . i,oer
eteoe Mie ma de ee eo

macrophages,

=.

a3

with

Interleukin-1], a product primarily of activated monocyte or

PE aE cos ta atelePale aha ry

rt

erythropoilein.

and

BAGeSeeeas xe

tion

a

* ye

ro

a”

_
_7
Per

2 a

nat

.
Cea

:
eM
tt em

ete
soe

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