title: [Study of the increasing effect of therapeutic efficacy of amikacin in combination with human granulocyte-colony stimulating factor (G-CSF) against experimental urinary tract infection in diabetic mice].
abstract: Clinically, prophylactic effects of Granulocyte-colony stimulating factor (G-CSF) on granulocytopenia originating from the use of anticancer agents are thought possible, and clinical studies are being performed. Recently the application of G-CSF against infectious diseases has been considered, and we reported the prophylactic effect of G-CSF against experimental urinary tract infection induced by Pseudomonas aeruginosa in diabetic mice treated Streptozotocin, a compromised host model. In this report, we investigated the therapeutic effect of G-CSF alone and in combination with Amikacin (20 mg/kg) against experimental urinary tract infection induced by Pseudomonas aeruginosa in diabetic mice. In diabetic mice, the therapeutic administration of G-CSF alone and Amikacin alone did not produce an increase of 7 day survival rate and decrease of incidence of infection. But, combinational administration of these increased the 7 day survival rate and yielded a lower incidence of infection. Thus, the therapeutic efficacy of Amikacin was improved by a combinational use of G-CSF. This result suggests that the synergy of bactericidal effect of neutrophils accelerated by G-CSF with Amikacin, and suggests the meaning and the efficacy of G-SCF as an additional therapy with antibiotics for infectious diseases.
authors.affiliation: Department of Urology, Sapporo Medical College, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Yokoo
authors.forename: Y
authors.initials: Y
authors.lastname: Kumamoto
authors.forename: T
authors.initials: T
authors.lastname: Hirose
authors.forename: N
authors.initials: N
authors.lastname: Tanaka
mesh_terms: D000583:Amikacin / Q000627:therapeutic use*; D000818:Animals; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use*; D003921:Diabetes Mellitus, Experimental / Q000150:complications*; D004341:Drug Evaluation; D004359:Drug Therapy, Combination; D005260:Female; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use*; D051379:Mice; D008815:Mice, Inbred Strains; D011552:Pseudomonas Infections / Q000150:complications / Q000628:therapy; D014552:Urinary Tract Infections / Q000150:complications / Q000628:therapy*
chemical_list: D000892:Anti-Infective Agents, Urinary; D016179:Granulocyte Colony-Stimulating Factor; D000583:Amikacin