PMID- 29780293 OWN - NLM STAT- MEDLINE DCOM- 20180927 LR - 20220321 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 33 IP - 21 DP - 2018 May 21 TI - Serial Changes of Cytokines in Children with Cerebral Palsy Who Received Intravenous Granulocyte-colony Stimulating Factor Followed by Autologous Mobilized Peripheral Blood Mononuclear Cells. PG - e102 LID - 10.3346/jkms.2018.33.e102 [doi] LID - e102 AB - BACKGROUND: This study was performed to assess serial cytokine changes and their clinical impact in children with cerebral palsy (CP) who received granulocyte-colony stimulating factor (G-CSF) followed by infusion of autologous mobilized peripheral blood mononuclear cells (mPBMCs). METHODS: Peripheral blood (PB) samples were collected from 16 CP children at enrollment, and 1 month and 7 months after G-CSF infusion as well as at the end of the study. Cytokine levels were measured by enzyme-linked immunosorbent assays with plasma samples. RESULTS: There were no significant differences in cytokine levels between the mPBMC and placebo groups over 6 months. However, when clinical responders and non-responders were compared, interleukin (IL)-6 (P = 0.050) as well as G-CSF (P = 0.010) were higher in the responders than the non-responders at 1 month, while brain-derived neurotrophic factor (BDNF) (P = 0.030) and insulin-like growth factor (IGF)-1 (P = 0.001) were lower. In addition, BDNF was higher at baseline in the responders than the non-responders (P = 0.030). CONCLUSION: The changes of G-CSF itself, as well as G-CSF-induced cytokines such as IL-6, may be associated with the clinical improvement of neurologic functions. The G-CSF-induced changes of IL-6, BDNF and IGF-1, and BDNF levels before treatment, could be used as prognostic factors in G-CSF trials in CP children. FAU - Koh, Hani AU - Koh H AUID- ORCID: 0000-0002-2351-6443 AD - Department of Translational Medicine, Graduate School of Biomedical Science & Engineering, Hanyang University, Seoul, Korea. AD - Blood and Marrow Transplantation Center, Hanyang University Medical Center, Seoul, Korea. FAU - Rah, Wee-Jin AU - Rah WJ AUID- ORCID: 0000-0001-6634-1420 AD - Department of Pediatrics, Hanyang University Medical Center, Seoul, Korea. FAU - Kim, Yong-Joo AU - Kim YJ AUID- ORCID: 0000-0002-2654-5397 AD - Department of Pediatrics, Hanyang University Medical Center, Seoul, Korea. FAU - Moon, Jin-Hwa AU - Moon JH AUID- ORCID: 0000-0003-0235-5318 AD - Department of Pediatrics, Hanyang University Medical Center, Guri Hospital, Guri, Korea. FAU - Kim, Mi-Jung AU - Kim MJ AUID- ORCID: 0000-0003-2920-9900 AD - Department of Rehabilitation Medicine, Hanyang University Medical Center, Seoul, Korea. FAU - Lee, Young-Ho AU - Lee YH AUID- ORCID: 0000-0003-1498-2773 AD - Department of Translational Medicine, Graduate School of Biomedical Science & Engineering, Hanyang University, Seoul, Korea. AD - Blood and Marrow Transplantation Center, Hanyang University Medical Center, Seoul, Korea. AD - Department of Pediatrics, Hanyang University Medical Center, Seoul, Korea. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20180306 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM CIN - J Korean Med Sci. 2018 May 16;33(21):e176. PMID: 29780298 MH - Brain-Derived Neurotrophic Factor/blood MH - Cerebral Palsy/*drug therapy/therapy MH - Child MH - Cytokines/*blood MH - Double-Blind Method MH - Granulocyte Colony-Stimulating Factor/*therapeutic use MH - Humans MH - Insulin-Like Growth Factor I/analysis MH - Interleukin-6/analysis MH - Leukocytes, Mononuclear/cytology/metabolism/*transplantation MH - Placebo Effect MH - Transplantation, Autologous MH - Treatment Outcome PMC - PMC5955735 OTO - NOTNLM OT - Cerebral Palsy OT - Cytokines OT - Granulocyte-colony Stimulating Factor (G-CSF) OT - Peripheral Blood Mononuclear Cells COIS- Disclosure: The authors have no potential conflicts of interest to disclose. EDAT- 2018/05/22 06:00 MHDA- 2018/09/28 06:00 PMCR- 2018/05/21 CRDT- 2018/05/22 06:00 PHST- 2017/07/18 00:00 [received] PHST- 2017/12/15 00:00 [accepted] PHST- 2018/05/22 06:00 [entrez] PHST- 2018/05/22 06:00 [pubmed] PHST- 2018/09/28 06:00 [medline] PHST- 2018/05/21 00:00 [pmc-release] AID - 10.3346/jkms.2018.33.e102 [doi] PST - epublish SO - J Korean Med Sci. 2018 Mar 6;33(21):e102. doi: 10.3346/jkms.2018.33.e102. eCollection 2018 May 21.