title: Accelerated recovery of 5-fluorouracil-damaged bone marrow after rosiglitazone treatment.
abstract: Our preliminary data indicate that rosiglitazone may be myeloprotective. We investigated whether it can modify bone marrow recovery. Five-day pre-treatment with rosiglitazone significantly accelerated recovery of 5-fluorouracil-damaged bone marrow in mice. Frequency and femoral content of granulocyte-macrophage progenitors reached mean baseline faster in pre-treated groups than in 5-fluorouracil-treated controls. Consequently, neutropenia was milder. Five-day insulin pre-treatment had similar effects in vivo. Insulin supports in vitro hematopoiesis. The observed myeloprotection demonstrated the importance of insulin in vivo. Clinical use of insulin to moderate myelotoxicity is impractical but rosiglitazone, an insulin sensitizer, could offer hope. Although rosiglitazone tends to increase plasma insulin levels, the significant myeloprotection was partly due to direct effects on progenitors. In vitro rosiglitazone enhanced the survival of both murine progenitor and human mobilized blood stem cells in the presence of 5-fluorouracil, the effect of which was neutralized by a peroxisome-proliferator-activated receptor-gamma antagonist.
authors.affiliation: Department of Pharmacology and Pharmacotherapy, Medical and Health Science Center, University of Debrecen, Hungary.
authors.forename: Katayoun
authors.initials: K
authors.lastname: Djazayeri
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szilvássy
authors.forename: Barna
authors.initials: B
authors.lastname: Peitl
authors.forename: József
authors.initials: J
authors.lastname: Németh
authors.forename: László
authors.initials: L
authors.lastname: Nagy
authors.forename: Attila
authors.initials: A
authors.lastname: Kiss
authors.forename: Boglárka
authors.initials: B
authors.lastname: Szabó
authors.forename: Ilona
authors.initials: I
authors.lastname: Benko
mesh_terms: D000284:Administration, Oral; D000813:Anilides / Q000494:pharmacology; D000818:Animals; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage / Q000494:pharmacology; D001786:Blood Glucose / Q000378:metabolism; D001853:Bone Marrow / Q000187:drug effects* / Q000473:pathology; D001854:Bone Marrow Cells / Q000187:drug effects / Q000473:pathology; D003114:Colony-Forming Units Assay; D004305:Dose-Response Relationship, Drug; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage / Q000494:pharmacology*; D042381:Granulocyte Precursor Cells / Q000187:drug effects / Q000473:pathology; D019650:Hematopoietic Stem Cell Mobilization; D006412:Hematopoietic Stem Cells / Q000187:drug effects*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000494:pharmacology; D007274:Injections, Intraperitoneal; D007328:Insulin / Q000097:blood / Q000494:pharmacology; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D008811:Mice, Inbred DBA; D000077154:Rosiglitazone; D045162:Thiazolidinediones / Q000008:administration & dosage / Q000494:pharmacology*; D013997:Time Factors
chemical_list: C457499:2-chloro-5-nitrobenzanilide; D000813:Anilides; D000964:Antimetabolites, Antineoplastic; D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin; D045162:Thiazolidinediones; D000077154:Rosiglitazone; D005472:Fluorouracil