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The use of cytokines in children
P Mathew1, W M Crist, W L Furman
1Department of Hematology-Oncology, St. Jude Children's Research Hospital, Memphis, TN 38101-0318.
Insights
Recombinant cytokines show promise in treating various conditions. Clinical applications include anemia, neutropenia, and thrombocytopenia, with ongoing research into cytokine combinations for broader therapeutic use.
Area of Science:
- Hematology
- Immunology
- Biotechnology
Background:
- Cytokines are crucial for regulating blood cell production (hemopoiesis) and immune responses.
- Advances in recombinant technology have increased the availability and purity of cytokines for clinical use.
Purpose of the Study:
- To review recent clinical experiences and applications of various cytokines.
- To highlight the therapeutic potential of cytokines in hematological and immunological disorders.
Main Methods:
- Review of clinical data and applications of recombinant cytokines.
- Focus on established and emerging uses of specific cytokine classes.
Main Results:
- Recombinant human erythropoietin is used for anemia in prematurity, AIDS, and hemoglobinopathies.
- Myeloid-stimulating factors are effective for chemotherapy-induced neutropenias and bone marrow transplantation support.
- Combinations of cytokines are being evaluated for neutropenia, thrombocytopenia, and as biologic response modifiers.
Conclusions:
- Cytokines have demonstrated significant clinical utility in managing various hematological conditions.
- Ongoing research into cytokine combinations promises expanded therapeutic applications and improved patient outcomes.
Abstract:
Cytokines play key roles in the control of hemopoiesis and immunity. As they become available in increasing quantities and purity through improved recombinant technology, cytokines hold great clinical promise. This article focuses on recent clinical experience with a wide variety of cytokines. For example, newer uses of recombinant human erythropoietin include treatment of anemia of prematurity, AIDS, and some hemoglobinopathies. The myeloid-stimulating factors have established a niche in the treatment of chemotherapy-induced neutropenias and as an adjunct to bone marrow transplantation. Combinations of cytokines that act at different levels of hemopoietic proliferation are being evaluated for the treatment of other causes of neutropenia and thrombocytopenia and also as biologic response modifiers.
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