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Granulocyte colony stimulating factor in myocardial infarction with low ejection fraction

Background: We investigated the safety and efficacy of GCSF therapy in a porcine model of ischemia–reperfusion with left ventricle ejection fraction of

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Published in:Cytokine (Philadelphia, Pa.) Pa.), 2010-09, Vol.51 (3), p.278-285
Main Authors: Angeli, Franca S., Smith, Charles, Amabile, Nicolas, Shapiro, Mia, Bartlett, Lauren, Virmani, Renu, Chatterjee, Kanu, Boyle, Andrew, Grossman, William, Yeghiazarians, Yerem
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cited_by cdi_FETCH-LOGICAL-c387t-9c5b083936b7219d0dc20fe88b822ebaf80e06e00e36675994b196d7522b3d5e3
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container_end_page 285
container_issue 3
container_start_page 278
container_title Cytokine (Philadelphia, Pa.)
container_volume 51
creator Angeli, Franca S.
Smith, Charles
Amabile, Nicolas
Shapiro, Mia
Bartlett, Lauren
Virmani, Renu
Chatterjee, Kanu
Boyle, Andrew
Grossman, William
Yeghiazarians, Yerem
description Background: We investigated the safety and efficacy of GCSF therapy in a porcine model of ischemia–reperfusion with left ventricle ejection fraction of
doi_str_mv 10.1016/j.cyto.2010.06.003
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Methods: MI was induced in pigs by a 90 min balloon occlusion of the left anterior descending coronary artery. Sixteen animals were randomized to either GCSF (IV bolus of 10 μg/kg at time of reperfusion, followed by SC injections of 5 μg/kg days 5–9 post-MI) or saline (control group). Inflammatory markers, bone marrow cell mobilization and LV function (echocardiography and pressure–volume measurements) were assessed at baseline, 1 and 6 weeks post-MI. Histopathology was performed 6 weeks post-MI. Results: GCSF therapy was associated with a significant increase in white blood cell counts. At week 6, GCSF therapy resulted in less deterioration of LVEF compared to control (38 ± 2% vs. 33 ± 2%, p &lt; 0.02) and improved wall motion score index ( p &lt; 0.05). Histopathology revealed increased vascular density ( p &lt; 0.05) and a trend toward increased areas of viable myocardium compared to control ( p = 0.058). Conclusion: GCSF therapy prevents further deterioration of LV function in a porcine model of MI with lower EF (&lt;45%). These results support future clinical trials with GCSF in selected patients with larger MI.</description><identifier>ISSN: 1043-4666</identifier><identifier>EISSN: 1096-0023</identifier><identifier>DOI: 10.1016/j.cyto.2010.06.003</identifier><identifier>PMID: 20609597</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Animals ; Bone Marrow Cells - cytology ; Bone Marrow Cells - drug effects ; Cardiac remodeling ; Catheterization ; Cell Movement - drug effects ; Cicatrix - pathology ; Cytokine ; Fibrosis ; Granulocyte colony stimulating factor ; Granulocyte Colony-Stimulating Factor - pharmacology ; Granulocyte Colony-Stimulating Factor - therapeutic use ; Myocardial infarction ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - drug therapy ; Myocardial Infarction - pathology ; Myocardial Infarction - physiopathology ; Neovascularization, Physiologic - drug effects ; Stroke Volume - drug effects ; Stroke Volume - physiology ; Sus scrofa ; Time Factors ; Ultrasonography</subject><ispartof>Cytokine (Philadelphia, Pa.), 2010-09, Vol.51 (3), p.278-285</ispartof><rights>2010 Elsevier Ltd</rights><rights>Copyright 2010 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-9c5b083936b7219d0dc20fe88b822ebaf80e06e00e36675994b196d7522b3d5e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20609597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Angeli, Franca S.</creatorcontrib><creatorcontrib>Smith, Charles</creatorcontrib><creatorcontrib>Amabile, Nicolas</creatorcontrib><creatorcontrib>Shapiro, Mia</creatorcontrib><creatorcontrib>Bartlett, Lauren</creatorcontrib><creatorcontrib>Virmani, Renu</creatorcontrib><creatorcontrib>Chatterjee, Kanu</creatorcontrib><creatorcontrib>Boyle, Andrew</creatorcontrib><creatorcontrib>Grossman, William</creatorcontrib><creatorcontrib>Yeghiazarians, Yerem</creatorcontrib><title>Granulocyte colony stimulating factor in myocardial infarction with low ejection fraction</title><title>Cytokine (Philadelphia, Pa.)</title><addtitle>Cytokine</addtitle><description>Background: We investigated the safety and efficacy of GCSF therapy in a porcine model of ischemia–reperfusion with left ventricle ejection fraction of &lt;45% using a clinically relevant dosing and timing regimen. 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Conclusion: GCSF therapy prevents further deterioration of LV function in a porcine model of MI with lower EF (&lt;45%). These results support future clinical trials with GCSF in selected patients with larger MI.</description><subject>Animals</subject><subject>Bone Marrow Cells - cytology</subject><subject>Bone Marrow Cells - drug effects</subject><subject>Cardiac remodeling</subject><subject>Catheterization</subject><subject>Cell Movement - drug effects</subject><subject>Cicatrix - pathology</subject><subject>Cytokine</subject><subject>Fibrosis</subject><subject>Granulocyte colony stimulating factor</subject><subject>Granulocyte Colony-Stimulating Factor - pharmacology</subject><subject>Granulocyte Colony-Stimulating Factor - therapeutic use</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Neovascularization, Physiologic - drug effects</subject><subject>Stroke Volume - drug effects</subject><subject>Stroke Volume - physiology</subject><subject>Sus scrofa</subject><subject>Time Factors</subject><subject>Ultrasonography</subject><issn>1043-4666</issn><issn>1096-0023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqFkLFOwzAQhi0EoqXwAgwoG1PCxU6cWGJBFRQkJBYYmCzHuYCrJC52QtW3x6WFEaa7-_XdP3yEnKeQpJDyq2WiN4NNKIQAeALADsg0BcFjAMoOt3vG4oxzPiEn3i8BQLCiOCYTChxELoopeV041Y-tDU0YadvafhP5wXRjqwbTv0WN0oN1kemjbmO1crVRbbga5fRgbB-tzfAetXYd4RJ3SePU93JKjhrVejzbzxl5ubt9nt_Hj0-Lh_nNY6xZWQyx0HkFJROMVwVNRQ21ptBgWVYlpVippgQEjgDIOC9yIbIqFbwuckorVufIZuRy17ty9mNEP8jOeI1tq3q0o5dFnpUiZ5z9TwaQiZzzQNIdqZ313mEjV850ym1kCnLrXi7l1r3cupfAZXAfni729WPVYf378iM7ANc7AIOOT4NOem2w11gbF-TJ2pq_-r8AqOaWSQ</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Angeli, Franca S.</creator><creator>Smith, Charles</creator><creator>Amabile, Nicolas</creator><creator>Shapiro, Mia</creator><creator>Bartlett, Lauren</creator><creator>Virmani, Renu</creator><creator>Chatterjee, Kanu</creator><creator>Boyle, Andrew</creator><creator>Grossman, William</creator><creator>Yeghiazarians, Yerem</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20100901</creationdate><title>Granulocyte colony stimulating factor in myocardial infarction with low ejection fraction</title><author>Angeli, Franca S. ; 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Methods: MI was induced in pigs by a 90 min balloon occlusion of the left anterior descending coronary artery. Sixteen animals were randomized to either GCSF (IV bolus of 10 μg/kg at time of reperfusion, followed by SC injections of 5 μg/kg days 5–9 post-MI) or saline (control group). Inflammatory markers, bone marrow cell mobilization and LV function (echocardiography and pressure–volume measurements) were assessed at baseline, 1 and 6 weeks post-MI. Histopathology was performed 6 weeks post-MI. Results: GCSF therapy was associated with a significant increase in white blood cell counts. At week 6, GCSF therapy resulted in less deterioration of LVEF compared to control (38 ± 2% vs. 33 ± 2%, p &lt; 0.02) and improved wall motion score index ( p &lt; 0.05). Histopathology revealed increased vascular density ( p &lt; 0.05) and a trend toward increased areas of viable myocardium compared to control ( p = 0.058). 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subjects Animals
Bone Marrow Cells - cytology
Bone Marrow Cells - drug effects
Cardiac remodeling
Catheterization
Cell Movement - drug effects
Cicatrix - pathology
Cytokine
Fibrosis
Granulocyte colony stimulating factor
Granulocyte Colony-Stimulating Factor - pharmacology
Granulocyte Colony-Stimulating Factor - therapeutic use
Myocardial infarction
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - drug therapy
Myocardial Infarction - pathology
Myocardial Infarction - physiopathology
Neovascularization, Physiologic - drug effects
Stroke Volume - drug effects
Stroke Volume - physiology
Sus scrofa
Time Factors
Ultrasonography
title Granulocyte colony stimulating factor in myocardial infarction with low ejection fraction
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