Cao X, Cai R, Ju D W, Tao Q, Yu Y, Wang J
Department of Immunology, Second Military Medical University, Shanghai, People's Republic of China.
Transplantation. 1998 Feb 15;65(3):325-31. doi: 10.1097/00007890-199802150-00006.
Both fibroblast-mediated cytokine gene therapy and bone marrow transplantation (BMT) have proven to be efficient protocols for the recovery of bone marrow depression. In this report, the effects of fibroblast-mediated interleukin (IL)-6 gene therapy, in combination with BMT, on the recovery of irradiation-induced bone marrow depression were investigated.
NIH3T3 fibroblast cells engineered to secrete IL-6 (NIH3T3-IL-6) or NIH3T3 cells transduced with the neomycin gene (NIH3T3-Neo), in combination with 10(7), 10(6), or 10(5) syngeneic bone marrow cells, were implanted into irradiated mice.
The platelets and white blood cells in the peripheral blood of the irradiated mice increased greatly 12 days after implantation of NIH3T3-IL-6 cells and BMT, the white blood cell counts were restored to a normal level 32 days after the combined therapy, and the platelet number was obviously higher than that in mice implanted with NIH3T3-Neo and BMT. Twenty and 25 days after the combined therapy, the mice showed accelerated recovery of colony-forming unit (CFU)-granulocyte/macrophages and CFU-megakaryocytes when compared with the mice implanted with NIH3T3-Neo cells and BMT. Ten days after lethal irradiation with gamma rays, the spleens formed more CFU-spleen in mice implanted with NIH3T3-IL-6 cells and BMT than in mice injected with phosphate-buffered saline or NIH3T3-Neo cells. Combined therapy with NIH3T3-IL-6 cell implantation and BMT delayed the survival period of the hematopoietic-depressed mice significantly when compared with therapy with NIH3T3-Neo cell implantation and BMT.
These data demonstrated that the combined therapy of fibroblast-mediated IL-6 gene therapy and BMT could significantly promote the recovery of irradiation-induced hematopoietic depression.
成纤维细胞介导的细胞因子基因治疗和骨髓移植(BMT)均已被证明是恢复骨髓抑制的有效方案。在本报告中,研究了成纤维细胞介导的白细胞介素(IL)-6基因治疗联合BMT对辐射诱导的骨髓抑制恢复的影响。
将经基因工程改造以分泌IL-6的NIH3T3成纤维细胞(NIH3T3-IL-6)或用新霉素基因转导的NIH3T3细胞(NIH3T3-Neo)与10⁷、10⁶或10⁵同基因骨髓细胞联合植入受辐照小鼠体内。
植入NIH3T3-IL-6细胞和BMT后12天,受辐照小鼠外周血中的血小板和白细胞大幅增加,联合治疗后32天白细胞计数恢复到正常水平,且血小板数量明显高于植入NIH3T3-Neo和BMT的小鼠。联合治疗后20天和25天,与植入NIH3T3-Neo细胞和BMT的小鼠相比,小鼠的集落形成单位(CFU)-粒细胞/巨噬细胞和CFU-巨核细胞恢复加速。用γ射线进行致死性照射10天后,植入NIH3T3-IL-6细胞和BMT的小鼠脾脏中形成的CFU-脾比注射磷酸盐缓冲盐水或NIH3T3-Neo细胞的小鼠更多。与NIH3T3-Neo细胞植入和BMT治疗相比,NIH3T3-IL-6细胞植入与BMT的联合治疗显著延长了造血抑制小鼠的生存期。
这些数据表明,成纤维细胞介导的IL-6基因治疗与BMT的联合治疗可显著促进辐射诱导的造血抑制的恢复。