PMID- 25851895 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150408 LR - 20200929 IS - 1738-6586 (Print) IS - 2005-5013 (Electronic) IS - 1738-6586 (Linking) VI - 11 IP - 2 DP - 2015 Apr TI - Granulocyte colony-stimulating factor for amyotrophic lateral sclerosis: a randomized, double-blind, placebo-controlled study of Iranian patients. PG - 164-71 LID - 10.3988/jcn.2015.11.2.164 [doi] AB - BACKGROUND AND PURPOSE: The aim of this study was to determine the efficacy and tolerability of granulocyte colony-stimulating factor (G-CSF) in subjects with amyotrophic lateral sclerosis (ALS). METHODS: Forty subjects with ALS were randomly assigned to two groups, which received either subcutaneous G-CSF (5 mug/kg/q12h) or placebo for 5 days. The subjects were then followed up for 3 months using the ALS Functional Rating Scale-Revised (ALSFRS-R), manual muscle testing, ALS Assessment Questionnaire-40, and nerve conduction studies. CD34+/CD133+ cell count and monocyte chemoattractant protein-1 (MCP-1) levels were evaluated at baseline. RESULTS: The rate of disease progression did not differ significantly between the two groups. The reduction in ALSFRS-R scores was greater in female subjects in the G-CSF group than in their counterparts in the placebo group. There was a trend toward a positive correlation between baseline CSF MCP-1 levels and the change in ALSFRS-R scores in both groups (Spearman's rho=0.370, p=0.070). CONCLUSIONS: With the protocol implemented in this study, G-CSF is not a promising option for the treatment of ALS. Furthermore, it may accelerate disease progression in females. FAU - Amirzagar, Nasibeh AU - Amirzagar N AD - Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. FAU - Nafissi, Shahriar AU - Nafissi S AD - Neurology Department, Tehran Shariati Hospital, University of Medical Sciences, Tehran, Iran. FAU - Tafakhori, Abbas AU - Tafakhori A AD - Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. FAU - Modabbernia, Amirhossein AU - Modabbernia A AD - Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Amirzargar, Aliakbar AU - Amirzargar A AD - Department of Immunology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Ghaffarpour, Majid AU - Ghaffarpour M AD - Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. FAU - Siroos, Bahaddin AU - Siroos B AD - Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. FAU - Harirchian, Mohammad Hossein AU - Harirchian MH AD - Iranian Center of Neurological Research, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. harirchn@hotmail.com. LA - eng PT - Journal Article PL - Korea (South) TA - J Clin Neurol JT - Journal of clinical neurology (Seoul, Korea) JID - 101252374 PMC - PMC4387482 OTO - NOTNLM OT - ALS Functional Rating Scale OT - CD34+/CD133+ cells OT - amyotrophic lateral sclerosis OT - compound motor action potential OT - granulocyte colony-stimulating factor OT - monocyte chemoattractant protein-1 COIS- Conflicts of Interest: The authors have no financial conflicts of interest. EDAT- 2015/04/09 06:00 MHDA- 2015/04/09 06:01 PMCR- 2015/04/01 CRDT- 2015/04/09 06:00 PHST- 2014/09/15 00:00 [received] PHST- 2014/11/18 00:00 [revised] PHST- 2014/11/18 00:00 [accepted] PHST- 2015/04/09 06:00 [entrez] PHST- 2015/04/09 06:00 [pubmed] PHST- 2015/04/09 06:01 [medline] PHST- 2015/04/01 00:00 [pmc-release] AID - 201503164 [pii] AID - 10.3988/jcn.2015.11.2.164 [doi] PST - ppublish SO - J Clin Neurol. 2015 Apr;11(2):164-71. doi: 10.3988/jcn.2015.11.2.164.