PMID- 2303102 OWN - NLM STAT- MEDLINE DCOM- 19900328 LR - 20081121 IS - 0301-472X (Print) IS - 0301-472X (Linking) VI - 18 IP - 2 DP - 1990 Feb TI - In vivo suppression of erythropoiesis by tumor necrosis factor-alpha (TNF-alpha): reversal with exogenous erythropoietin (EPO). PG - 109-13 AB - Tumor necrosis factor-alpha (TNF-alpha) selectively kills tumor cells in vitro and in vivo and is being tested as a cancer therapeutic agent. We have shown that TNF-alpha significantly suppresses late-stage erythropoiesis, leading to anemia in chronically treated mice. These erythropoietic effects could limit the clinical use of TNF-alpha. Therefore, we have examined whether erythropoietin (EPO) could be used to prevent TNF-alpha-induced erythroid suppression. Normal mice were treated with a single dose of recombinant murine TNF-alpha (10(5) U/mouse, i.p.) with and without various concentrations of recombinant human EPO. After 3 days, effects on late-stage erythropoiesis were measured by determining the number of mature erythroid colony-forming cells (CFU-E) in the spleen and bone marrow. Simultaneous treatment with EPO abrogated the suppressive effect of TNF-alpha in a dose-dependent manner. EPO treatment also prevented the decrease in peripheral blood-hematocrit that was observed with chronic (5 x 10(4) U/mouse/day for 5 days) administration of TNF-alpha. TNF-alpha-induced hemorrhagic necrosis of tumors and stimulation of macrophage (CFU-M) progenitors were unaffected by EPO treatment. These results demonstrate that simultaneous injection of EPO can abrogate the TNF-alpha-induced suppressive effects on erythropoiesis. FAU - Johnson, C S AU - Johnson CS AD - Laboratory of Experimental Hematology, AMC Cancer Research Center, Denver, CO 80214. FAU - Cook, C A AU - Cook CA FAU - Furmanski, P AU - Furmanski P LA - eng GR - CA33188/CA/NCI NIH HHS/United States GR - CA45674/CA/NCI NIH HHS/United States GR - CA48077/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - Netherlands TA - Exp Hematol JT - Experimental hematology JID - 0402313 RN - 0 (Tumor Necrosis Factor-alpha) RN - 11096-26-7 (Erythropoietin) SB - IM MH - Anemia/prevention & control MH - Animals MH - Dose-Response Relationship, Drug MH - Erythroid Precursor Cells/drug effects MH - Erythropoiesis/*drug effects MH - Erythropoietin/pharmacology MH - Hematocrit MH - Hematopoietic Stem Cells/drug effects MH - Mice MH - Mice, Inbred Strains MH - Tumor Necrosis Factor-alpha/*pharmacology EDAT- 1990/02/01 00:00 MHDA- 1990/02/01 00:01 CRDT- 1990/02/01 00:00 PHST- 1990/02/01 00:00 [pubmed] PHST- 1990/02/01 00:01 [medline] PHST- 1990/02/01 00:00 [entrez] PST - ppublish SO - Exp Hematol. 1990 Feb;18(2):109-13.