title: In vivo effect of human granulocyte-macrophage colony-stimulating factor on megakaryocytopoiesis.
abstract: The effect of granulocyte-macrophage colony-stimulating factor (GM-CSF) on megakaryocytopoiesis and platelet production was investigated in patients with normal hematopoiesis. Three findings indicated that GM-CSF plays a role in megakaryocytopoiesis. During treatment with GM-CSF (recombinant mammalian, glycosylated; Sandoz/Schering-Plough, 5.5 micrograms protein/kg/d, subcutaneously for 3 days) the percentage of megakaryocyte progenitors (megakaryocyte colony forming unit [CFU-Mk]) in S phase (evaluated by the suicide technique with high 3H-Tdr doses) increased from 31% +/- 16% to 88% +/- 11%; and the maturation profile of megakaryocytes was modified, with a relative increase in more immature stage I-III forms. Moreover, by autoradiography (after incubation of marrow cells with 125I-labeled GM-CSF) specific GM-CSF receptors were detectable on megakaryocytes. Nevertheless, the proliferative stimulus induced on the progenitors was not accompanied by enhanced platelet production (by contrast with the marked granulomonocytosis). It may be suggested that other cytokines are involved in the regulation of the intermediate and terminal stages of megakaryocytopoiesis in vivo and that their intervention is an essential prerequisite to turn the GM-CSF-induced proliferative stimulus into enhanced platelet production.
authors.affiliation: Dipartimento di Scienze Biomediche ed Oncologia Umana, Universitá di Torino, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Aglietta
authors.forename: C
authors.initials: C
authors.lastname: Monzeglio
authors.forename: F
authors.initials: F
authors.lastname: Sanavio
authors.forename: F
authors.initials: F
authors.lastname: Aprá
authors.forename: S
authors.initials: S
authors.lastname: Morelli
authors.forename: A
authors.initials: A
authors.lastname: Stacchini
authors.forename: W
authors.initials: W
authors.lastname: Piacibello
authors.forename: F
authors.initials: F
authors.lastname: Bussolino
authors.forename: G
authors.initials: G
authors.lastname: Bagnara
authors.forename: G
authors.initials: G
authors.lastname: Zauli
mesh_terms: D002454:Cell Differentiation / Q000187:drug effects; D002455:Cell Division / Q000187:drug effects; D016178:Granulocyte-Macrophage Colony-Stimulating Factor / Q000008:administration & dosage / Q000378:metabolism / Q000494:pharmacology*; D006410:Hematopoiesis / Q000187:drug effects / Q000502:physiology; D006801:Humans; D007262:Infusions, Intravenous; D007279:Injections, Subcutaneous; D007457:Iodine Radioisotopes; D008533:Megakaryocytes / Q000166:cytology / Q000187:drug effects* / Q000648:ultrastructure; D016187:Receptors, Granulocyte-Macrophage Colony-Stimulating Factor / Q000378:metabolism / Q000648:ultrastructure; D013234:Stem Cells / Q000187:drug effects / Q000648:ultrastructure
chemical_list: D007457:Iodine Radioisotopes; D016187:Receptors, Granulocyte-Macrophage Colony-Stimulating Factor; D016178:Granulocyte-Macrophage Colony-Stimulating Factor