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Instant therapy of acquired agranulocytosis and sepsis by recombinant granulocyte-macrophage colony-stimulating factor in a polytrauma patient.

作者信息

Gross-Weege W, Weiss M, Wernet P, Varney M, Becker H

机构信息

Chirurgische Klinik, Abteilung für Allgemeine und Unfallchirurgie, Heinrich-Heine Universität Düsseldorf.

出版信息

Clin Investig. 1993 Oct;71(10):791-4. doi: 10.1007/BF00190320.

DOI:10.1007/BF00190320
PMID:8305835
Abstract

Recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF) was given to an intensive-care patient with polytrauma in a life-threatening situation with acquired agranulocytosis and sepsis. Mature granulocytes reappeared in the blood 2 days after initiation of rhGM-CSF therapy; granulocyte precursors peaked at 43% after 5 days. Bone marrow examination performed 7 days after the beginning of rhGM-CSF therapy revealed complete regeneration of granulopoiesis. The functional analysis of these blood leukocytes in vitro showed regular production of reactive oxygen radicals. Clinically, the patient recovered without any serious side effects due to the rhGM-CSF therapy. These results suggest that rhGM-CSF accelerates granulocyte recovery from acquired agranulocytosis with the presence of their functional activity.

摘要

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The effect of recombinant human granulocyte-macrophage colony-stimulating factor on neutropenia and related morbidity in chronic severe neutropenia.重组人粒细胞巨噬细胞集落刺激因子对慢性重度中性粒细胞减少症患者中性粒细胞减少及相关发病率的影响。
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