Leukocyte integrin activation mediates transient neutropenia after G-CSF administration

Blood. 2011 Oct 13;118(15):4209-14. doi: 10.1182/blood-2011-06-360461. Epub 2011 Aug 15.

Abstract

After administration of granulocyte colony-stimulating factor (G-CSF), there is a marked, albeit transient, drop in circulating neutrophils. To determine the role of leukocyte integrins in this disappearance, a dog having canine leukocyte adhesion deficiency (CLAD) or CLAD dogs who had undergone gene correction either by matched littermate allogeneic transplant or autologous gene therapy were evaluated. Shortly after G-CSF administration, a dramatic, yet transient, neutropenia was observed in the control littermates. This neutropenia was not as marked in the CLAD dogs. In all instances, it was CD18(+) neutrophils that preferentially egressed from the circulation. The association of CD18 with this rapid loss suggested leukocyte integrin activation after G-CSF administration. To determine the activation status of the integrin, a monoclonal antibody recognizing the activated α-subunit cation binding domain (mAb24) was used to evaluate human leukocytes after G-CSF administration. Mirroring the dramatic decrease in circulating neutrophil numbers, there was a dramatic and specific increase in the activation of the α-subunit after G-CSF expression on polymorphonuclear leukocytes. This activation, like the drop in neutrophil count, was transient. These results demonstrate that the leukocyte integrin on circulating neutrophils is transiently activated after G-CSF administration and mediates the transient neutropenia observed after G-CSF administration.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • CD18 Antigens / genetics
  • CD18 Antigens / metabolism*
  • Dogs
  • Granulocyte Colony-Stimulating Factor / adverse effects*
  • Granulocyte Colony-Stimulating Factor / pharmacology*
  • Humans
  • Neutropenia / blood*
  • Neutropenia / chemically induced*
  • Neutropenia / genetics
  • Neutrophil Activation / drug effects*
  • Neutrophil Activation / genetics
  • Neutrophils / metabolism*

Substances

  • CD18 Antigens
  • Granulocyte Colony-Stimulating Factor