Summary:
Several cytokines stimulating hematopoiesis, mainly lineage restricted, are already widely used
in supportive care to correct myelosupression or anaemia (GM-CSF, G-CSF, EPO)- The new
growth factor are tested in preclinical or clinical studies to abrogate other anti-cancer therapy
side-effects (thrombocytopenia, mucositis etc.).
IL-3 has been shown to have only limited effect on neutrophils and platelets production respecti-
vely. IL-6 and IL-11 have been tested to improve thrombocytopenia and mucositis (IL-11). Throm-
bopoetin (TPO, c-mpl) is tested in clinical trials and shows very strong effect on platelet counts.
Stem cell factor (SCF) has shown to improve progenitor cell mobilisation, particularly in combi-
nation with other cytokines. The new promising factor, FLT-3 ligand, combines effect on hemato-
poiesis with effect on dendritic cells generation.
The new group of synthetic cytokines (daniplestim, myelopoetin, promegapoetin and progenipoe-
tin) is now tested in preclinical and clinical studies. Mucositis could be influenced by new kerati-
nocyte growth factor (KGF), which is now in phase I trials.
Key words:
Hemopoetic cytokines - Synthokines - Supportive care
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