Granulocyte colony-stimulating factor

(Redirected fromG-CSF)

Granulocyte colony-stimulating factor(G-CSForGCSF), also known ascolony-stimulating factor 3(CSF 3), is aglycoproteinthat stimulates thebone marrowto producegranulocytesandstem cellsand release them into thebloodstream.[5][6]

CSF3
Available structures
PDBOrtholog search:PDBeRCSB
Identifiers
AliasesCSF3,C17orf33, CSF3OS, GCSF, colony stimulating factor 3
External IDsOMIM:138970;MGI:1339751;HomoloGene:7677;GeneCards:CSF3;OMA:CSF3 - orthologs
Orthologs
SpeciesHumanMouse
Entrez
Ensembl
UniProt
RefSeq (mRNA)

NM_000759
NM_001178147
NM_172219
NM_172220

NM_009971

RefSeq (protein)

NP_000750
NP_001171618
NP_757373
NP_757374

NP_034101

Location (UCSC)Chr 17: 40.02 – 40.02 MbChr 11: 98.59 – 98.59 Mb
PubMedsearch[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

Functionally, it is acytokineandhormone,a type ofcolony-stimulating factor,and is produced by a number of differenttissues.Thepharmaceuticalanalogs of naturally occurring G-CSF are calledfilgrastimandlenograstim.

G-CSF also stimulates the survival, proliferation, differentiation, and function ofneutrophil precursorsand matureneutrophils.

Biological function

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G-CSF is produced byendothelium,macrophages,and a number of otherimmunecells. The natural human glycoprotein exists in two forms, a 174- and 177-amino-acid-longproteinof molecular weight 19,600 grams permole.The more-abundant and more-active 174-amino acid form has been used in the development of pharmaceutical products byrecombinant DNA(rDNA) technology.[citation needed]

White blood cells
TheG-CSF-receptoris present on precursor cells in thebone marrow,and, in response to stimulation by G-CSF, initiates proliferation anddifferentiationinto maturegranulocytes.G-CSF stimulates the survival, proliferation, differentiation, and function ofneutrophil precursorsand matureneutrophils.G-CSF regulates them usingJanus kinase (JAK)/signal transducer and activator of transcription (STAT)and Ras/mitogen-activated protein kinase(MAPK) andphosphatidylinositol 3-kinase(PI3K)/protein kinase B(Akt) signal transduction pathway.[citation needed]
Hematopoietic System
G-CSF is also a potent inducer ofhematopoietic stem cell(HSC) mobilization from the bone marrow into the bloodstream, although it has been shown that it does not directly affect the hematopoietic progenitors that are mobilized.[7]
Neurons
G-CSF can also act on neuronal cells as a neurotrophic factor. Indeed, its receptor is expressed by neurons in the brain and spinal cord. The action of G-CSF in the central nervous system is to induceneurogenesis,to increase theneuroplasticityand to counteractapoptosis.[8][9]These properties are currently under investigations for the development of treatments of neurological diseases such ascerebral ischemia.[citation needed]

Genetics

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The gene for G-CSF is located onchromosome 17,locus q11.2-q12. Nagata et al. found that the GCSF gene has fourintrons,and that two differentpolypeptidesare synthesized from the same gene by differential splicing of mRNA.[10]

The two polypeptides differ by the presence or absence of three amino acids. Expression studies indicate that both have authentic GCSF activity.[citation needed]

It is thought that stability of the G-CSF mRNA is regulated by an RNA element called theG-CSF factor stem-loop destabilising element.[citation needed]

Medical use

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Chemotherapy-induced neutropenia

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Chemotherapy can causemyelosuppressionand unacceptably low levels ofwhite blood cells(leukopenia), making patients susceptible toinfectionsandsepsis.G-CSF stimulates the production ofgranulocytes,a type of white blood cell. Inoncologyandhematology,a recombinant form of G-CSF is used with certain cancer patients to accelerate recovery and reduce mortality fromneutropeniaafterchemotherapy,allowing higher-intensity treatment regimens.[11]It is administered to oncology patients via subcutaneous or intravenous routes.[12]A QSP model of neutrophil production and a PK/PD model of a cytotoxic chemotherapeutic drug (Zalypsis) have been developed to optimize the use of G-CSF in chemotherapy regimens with the aim to prevent mild-neutropenia.[13]

G-CSF was first trialled as a therapy for neutropenia induced by chemotherapy in 1988. The treatment was well tolerated and a dose-dependent rise in circulating neutrophils was noted.[14]

A study in mice has shown that G-CSF may decreasebone mineral density.[15]

G-CSF administration has been shown to attenuate thetelomereloss associated with chemotherapy.[16]

Use in drug-induced neutropenia

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Neutropeniacan be a severe side effect ofclozapine,anantipsychoticmedication in the treatment ofschizophrenia.G-CSF can restore neutrophil count. Following a return to baseline after stopping the drug, it may sometimes be safelyrechallengedwith the added use of G-CSF.[17][18]

Before blood donation

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G-CSF is also used to increase the number ofhematopoietic stem cellsin the blood of the donor before collection byleukapheresisfor use inhematopoietic stem cell transplantation.For this purpose, G-CSF appears to be safe inpregnancyduringimplantationas well as during thesecond and third trimesters.[19]Breastfeedingshould be withheld for three days after CSF administration to allow forclearanceof it from the milk.[19]People who have been administered colony-stimulating factors do not have a higher risk ofleukemiathan people who have not.[19]

Stem cell transplants

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G-CSF may also be given to the receiver inhematopoietic stem cell transplantation,to compensate forconditioning regimens.[16]

Side effect

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The skin diseaseSweet's syndromeis a known side effect of using this drug.[20]

History

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Mouse granulocyte-colony stimulating factor (G-CSF) was first recognised and purified inWalter and Eliza Hall Institute,Australiain 1983,[21]and the human form was cloned by groups fromJapanandGermany/United Statesin 1986.[10][22]

The FDA approved the firstbiosimilarof Neulasta in June 2018. It is made byMylanand sold as Fulphila.[23]

Pharmaceutical variants

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Therecombinanthuman G-CSF (rhG-CSF) synthesised in anE. coliexpression system is calledfilgrastim.The structure of filgrastim differs slightly from the structure of the natural glycoprotein. Most published studies have used filgrastim.[citation needed]

Filgrastim was first marketed byAmgenwith the brand nameNeupogen.Several bio-generic versions are now also available in markets such as Europe and Australia. Filgrastim (Neupogen) andPEG-filgrastim(Neulasta) are two commercially available forms of rhG-CSF. The PEG (polyethylene glycol) form has a much longerhalf-life,reducing the necessity of daily injections.

Another form of rhG-CSF calledlenograstimis synthesised inChinese hamster ovary cells(CHO cells). As this is a mammalian cell expression system, lenograstim is indistinguishable from the 174-amino acid natural human G-CSF. No clinical or therapeutic consequences of the differences between filgrastim and lenograstim have yet been identified, but there are no formal comparative studies.

Research

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G-CSF when given early after exposure to radiation may improve white blood cell counts, and is stockpiled for use in radiation incidents.[24][25]

Mesoblastplanned in 2004 to use G-CSF to treat heart degeneration by injecting it into the blood-stream, plusSDF(stromal cell-derived factor) directly to the heart.[26]

G-CSF has been shown to reduceinflammation,reduceamyloid betaburden, and reverse cognitive impairment in a mouse model ofAlzheimer's disease.[27]

Due to its neuroprotective properties, G-CSF is currently under investigation forcerebral ischemiain a clinical phase IIb[28]and several clinical pilot studies are published for other neurological disease such asamyotrophic lateral sclerosis[29]A combination of human G-CSF andcord bloodcells has been shown to reduce impairment from chronic traumatic brain injury in rats.[30]

See also

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References

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  1. ^abcGRCh38: Ensembl release 89: ENSG00000108342Ensembl,May 2017
  2. ^abcGRCm38: Ensembl release 89: ENSMUSG00000038067Ensembl,May 2017
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  11. ^Lyman GH, Dale DC, Culakova E, Poniewierski MS, Wolff DA, Kuderer NM, et al. (October 2013)."The impact of the granulocyte colony-stimulating factor on chemotherapy dose intensity and cancer survival: a systematic review and meta-analysis of randomized controlled trials".Annals of Oncology.24(10): 2475–2484.doi:10.1093/annonc/mdt226.PMC3841419.PMID23788754.
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  16. ^abSzyper-Kravitz M, Uziel O, Shapiro H, Radnay J, Katz T, Rowe JM, et al. (January 2003). "Granulocyte colony-stimulating factor administration upregulates telomerase activity in CD34+ haematopoietic cells and may prevent telomere attrition after chemotherapy".British Journal of Haematology.120(2): 329–336.doi:10.1046/j.1365-2141.2003.04043.x.PMID12542495.S2CID5785335.
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  18. ^Lally J, Malik S, Krivoy A, Whiskey E, Taylor DM, Gaughran FP, et al. (October 2017)."The Use of Granulocyte Colony-Stimulating Factor in Clozapine Rechallenge: A Systematic Review".Journal of Clinical Psychopharmacology.37(5): 600–604.doi:10.1097/JCP.0000000000000767.PMID28817489.S2CID41269943.
  19. ^abcPessach I, Shimoni A, Nagler A (2013)."Granulocyte-colony stimulating factor for hematopoietic stem cell donation from healthy female donors during pregnancy and lactation: what do we know?".Human Reproduction Update.19(3): 259–267.doi:10.1093/humupd/dms053.PMID23287427.
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  30. ^Acosta SA, Tajiri N, Shinozuka K, Ishikawa H, Sanberg PR, Sanchez-Ramos J, et al. (2014)."Combination therapy of human umbilical cord blood cells and granulocyte colony stimulating factor reduces histopathological and motor impairments in an experimental model of chronic traumatic brain injury".PLOS ONE.9(3): e90953.Bibcode:2014PLoSO...990953A.doi:10.1371/journal.pone.0090953.PMC3951247.PMID24621603.

Further reading

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