A. Cytokines and Growth Factors
1.Hematopoiesis is regulated by a variety of cytokines and growth factors
a. Most are secreted by cells of the bone marrow environment
i. for example, macrophages, endothelial cells, fibroblasts, and adipocytes.
b. Extracellular matrix of bone marrow can also be critical for binding cytokines to allow transactions with hematopoietic cells.
2. Growth factors can act singly or synergistically.
a. Synergistically means “acting together”
b. Their effect on a particular cell type may be concentration dependent.
i. Some can have an effect on multiple cell types
c. Effects of hematopoietic growth factors are mediated by binding to specific receptors and activation of intracellular signaling pathways to promote cell proliferation or maturation.
3. Some Important hematopoietic growth factors.
a. Erythropoietin- stimulates growth and differentiation of erythroid and megakaryocytic progenitors.
b. Thrombopoietin- stimulates production of megakaryocytes and platelets
c. Interleukin 1 (IL-1)- induces expression of multiple cytokines, works with IL-3 (synergistic) in stimulating proliferation of hematopoietic progenitor cells, induces synthesis of acute phase reactants.
d. Interleukin 2 (IL-2)- induces proliferation and activation of T cells, B cells, and NK cells
e. Interleukin 3 (IL-3)- synergistic with lineage restricted factors to stimulate production and differentiation of macrophages, neutrophils, eosinophils, and basophils, supports proliferation of multipotential progenitor cells.
f. Interleukin 4 (IL-4)- Diverse effects on T cells, monocytes, and granulocytes, synergistic with erythropoietin.
g. Interleukin 5 (IL-5)- stimulates growth and differentiation of eosinophils, chemotactic for eosinophils and activates eosinophil function.
h. Interleukin 6 (IL-6)- stimulates hematopoietic progenitor cells, induces maturation of megakaryocytes and increases platelet number, induces production of acute phase reactants.
i. Interleukin 8 (IL-6)- chemotactic activity for neutrophils, T cells, and basophils, activates release of lysosomal enzymes from neutrophils, induces adhesion of neutrophils to endothelial cells.
j. Interleukin 9 (IL-9)- synergistic with erythropoietin to support development of erythroid burst-forming units.
k. Interleukin 11 (IL-11)- synergistic with IL-3 to increases size, number, and ploidy of megakaryocytes.
i. ploidy is number of chromosome sets, so DNA content increases in megakaryocytes
4. Veterinary medicine has begun to use the effects of cytokines and growth factors to stimulate hematopoiesis in specific clinical situations.
a. This means they can be used therapeutically for disease of hematopoietic stem cells
b. Can be used to improve defense in animals with neutropenia (low number of neutrophils)
c. Also can be used for defective neutrophil and macrophage function, immunodeficiency disease, and to stimulate hematopoiesis following chemotherapy.
5. Some cats and dogs can develop antibodies against human cytokines or there can be restricted species activity for some cytokines.
a. Development of species-specific growth factors and cytokines should be used.