PMID- 11242177 OWN - NLM STAT- MEDLINE DCOM- 20010405 LR - 20200930 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 26 IP - 2 DP - 2001 Feb 1 TI - In vitro effects of recombinant TNF-alpha binding protein (rTBP-1) on hematopoiesis of HIV-infected patients. PG - 111-7 AB - Tumor necrosis factor-alpha (TNF-alpha) is believed to contribute to the hematopoietic failure often observed in patients with AIDS. Soluble TNF receptors (sTNFR) compete for TNF-alpha with cell surface receptors and thus may block its activity. The effect of the p55 sTNFR (recombinant TNF-binding protein-1 [rTBP-1]) on the clonogenic growth of hematopoietic progenitor cells from 27 HIV-infected patients was evaluated in comparison with 11 normal study subjects. Peripheral blood-derived, myelopoietic (i.e., granulomonocytic colony-forming cells [GM-CFC]) and erythropoietic (i.e, burst-forming unit, erythroid [BFU-E]) colonies were grown in 10-day semisolid cultures with increasing concentrations of rTBP-1. Significantly, dose-dependent increases occurred in GM-CFC from 17 of 21 AIDS patients and 12 of 21 in BFU-E at rTBP-1 concentrations of 1microg/ml to 25 microg/ml. In contrast, rTBP-1 failed to induce any appreciably increased colony formation in normal cell cultures. In 6 patients treated with highly active antiretroviral treatment (HAART), TBP-1 alone did not demonstrate the in vitro hematopoiesis-enhancing effect. This study may provide an initial step in development of therapeutic use of TBP as a TNF-alpha antagonist in HIV-infected patients who do not benefit sufficiently from antiretroviral treatment, and in other conditions in which increased levels of TNF-alpha may contribute to hematopoietic deficiencies. FAU - Gradstein, S AU - Gradstein S AD - Kaplan Medical Center, Rehovot, Israel. FAU - Hahn, T AU - Hahn T FAU - Barak, Y AU - Barak Y FAU - Malach, L AU - Malach L FAU - Revel, M AU - Revel M FAU - Bentwich, Z AU - Bentwich Z FAU - Handzel, Z T AU - Handzel ZT LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Antigens, CD) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acquired Immunodeficiency Syndrome/immunology MH - Adult MH - Aged MH - Antigens, CD/*pharmacology MH - Cell Differentiation MH - Cells, Cultured MH - Colony-Forming Units Assay MH - Dose-Response Relationship, Immunologic MH - Erythroid Precursor Cells/immunology MH - Female MH - Granulocytes/immunology MH - HIV Infections/*immunology MH - Hematopoiesis/*drug effects MH - Humans MH - In Vitro Techniques MH - Leukocytes, Mononuclear/drug effects/immunology MH - Male MH - Middle Aged MH - Receptors, Tumor Necrosis Factor MH - Receptors, Tumor Necrosis Factor, Type I MH - Recombinant Proteins/immunology MH - Tumor Necrosis Factor-alpha/pharmacology EDAT- 2001/03/10 10:00 MHDA- 2001/04/06 10:01 CRDT- 2001/03/10 10:00 PHST- 2001/03/10 10:00 [pubmed] PHST- 2001/04/06 10:01 [medline] PHST- 2001/03/10 10:00 [entrez] AID - 10.1097/00042560-200102010-00002 [doi] PST - ppublish SO - J Acquir Immune Defic Syndr. 2001 Feb 1;26(2):111-7. doi: 10.1097/00042560-200102010-00002.