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1.
Nat Commun ; 12(1): 7334, 2021 12 17.
Article in English | MEDLINE | ID: mdl-34921133

ABSTRACT

The erythroid terminal differentiation program couples sequential cell divisions with progressive reductions in cell size. The erythropoietin receptor (EpoR) is essential for erythroblast survival, but its other functions are not well characterized. Here we use Epor-/- mouse erythroblasts endowed with survival signaling to identify novel non-redundant EpoR functions. We find that, paradoxically, EpoR signaling increases red cell size while also increasing the number and speed of erythroblast cell cycles. EpoR-regulation of cell size is independent of established red cell size regulation by iron. High erythropoietin (Epo) increases red cell size in wild-type mice and in human volunteers. The increase in mean corpuscular volume (MCV) outlasts the duration of Epo treatment and is not the result of increased reticulocyte number. Our work shows that EpoR signaling alters the relationship between cycling and cell size. Further, diagnostic interpretations of increased MCV should now include high Epo levels and hypoxic stress.


Subject(s)
Cell Cycle , Cell Size , Erythrocytes/cytology , Erythrocytes/metabolism , Erythropoiesis , Receptors, Erythropoietin/metabolism , Adult , Animals , Antigens, CD/metabolism , CD4 Antigens/metabolism , Cell Differentiation , Cell Nucleus/drug effects , Cell Nucleus/metabolism , Cell Survival , Cyclin-Dependent Kinase Inhibitor p27/metabolism , Embryo, Mammalian/metabolism , Erythroblasts/cytology , Erythroblasts/drug effects , Erythroblasts/metabolism , Erythropoietin/administration & dosage , Erythropoietin/pharmacology , Female , Fetus/metabolism , Healthy Volunteers , Humans , Iron/metabolism , Liver/embryology , Liver/metabolism , Male , Mice, Inbred C57BL , Models, Biological , Protein Serine-Threonine Kinases/metabolism , Receptors, Transferrin/metabolism , Reticulocytes/cytology , Reticulocytes/drug effects , Reticulocytes/metabolism , Signal Transduction , bcl-X Protein/metabolism
2.
Environ Mol Mutagen ; 62(9): 482-489, 2021 11.
Article in English | MEDLINE | ID: mdl-34647641

ABSTRACT

In order to investigate the possibility that treatment age affects the genotoxic response to ethyl methane sulfonate (EMS) exposure, we dosed gpt-delta neonatal mice on postnatal days 1-28 with 5-100 mg/kg/day of EMS and measured micronucleus (MN) induction in peripheral blood and gpt gene mutation in liver, lung, bone marrow, small intestine, spleen, and kidney. The data were compared to measurements from similarly exposed adult gpt-delta mice. Our results indicate that the peripheral blood MN frequencies in mice treated as neonates are not substantially different from those measured in mice treated as adults. There were, however, differences in tissue-specific gpt mutation responses in mice treated with EMS as neonates and adults. Greater mutant frequencies were seen in DNA isolated from kidney of mice treated as neonates, whereas the mutant frequencies in bone marrow, liver, and spleen were greater in the animals treated as adults. Benchmark dose potency ranking indicated that the differences for kidney were significant. Our data indicate that there are differences in EMS-induced genotoxicity between mice treated as adults and neonates; the differences, however, are relatively small.


Subject(s)
Antineoplastic Agents, Alkylating/toxicity , Ethyl Methanesulfonate/toxicity , Mutagens/toxicity , Age Factors , Animals , Animals, Newborn , Dose-Response Relationship, Drug , Female , Kidney/drug effects , Male , Mice, Transgenic , Micronucleus Tests , Reticulocytes/drug effects
3.
Mutagenesis ; 36(6): 401-406, 2021 11 29.
Article in English | MEDLINE | ID: mdl-34516639

ABSTRACT

The repeated-dose liver micronucleus (RDLMN) assay is a novel method for detecting genotoxic chemicals. Two carcinogens methyl carbamate (MC) and 1,3-propane sultone (PS) were evaluated for the liver micronucleus in a 14-day repeated-dose study with Crl: CD (SD) IGS rats. Additionally, micronucleated reticulocytes (MN-RET) in peripheral blood and DNA damage (alkaline comet assay) in the liver were also assessed in the same animals. Ten groups of five male Crl: CD (SD) IGS rats were treated once daily with MC (300, 600 or 1200 mg/kg/day), PS (37.5, 75 or 150 mg/kg/day), negative control or three positive controls by oral gavage for 15 days. Blood samples were collected at 3 h after the last administration for determining MN-RET frequencies (%MN-RET), and the livers were sampled for determining the frequency of micronuclei and DNA damage. MC was negative in the comet assay, liver micronucleus assay and reticulocyte micronucleus assay, while PS was positive in all three assays. These results are consistent with the previous genotoxic findings of MC and PS. Therefore, the liver micronucleus assay can be effectively integrated into repeated-dose studies in animals. Moreover, integration of multiple genotoxicity end points into one study can reduce the number of animals, boost the experimental efficiency, and provides a comprehensive evaluation of the genotoxic potential of chemicals.


Subject(s)
Carbamates/toxicity , Cell Nucleus/drug effects , Liver/drug effects , Reticulocytes/drug effects , Thiophenes/toxicity , Animals , Carcinogens/toxicity , Chromosome Aberrations , Comet Assay/methods , DNA Damage , Dose-Response Relationship, Drug , Drug Administration Schedule , Male , Micronucleus Tests/methods , Rats , Rats, Sprague-Dawley
4.
J Pharmacokinet Pharmacodyn ; 48(5): 687-710, 2021 10.
Article in English | MEDLINE | ID: mdl-34100188

ABSTRACT

Recombinant human erythropoietin (rHuEPO) is effective in managing chronic kidney disease and chemotherapy-induced anemia. However, hyporesponsiveness to rHuEPO treatment was reported in about 10% of the patients. A decreased response in rats receiving a single or multiple doses of rHuEPO was also observed. In this study, we aimed to develop a quantitative systems pharmacology (QSP) model to examine hyporesponsiveness to rHuEPO in rats. Pharmacokinetic (PK) and pharmacodynamic (PD) data after a single intravenous dose of rHuEPO (100 IU/kg) was obtained from a previous study (Yan et al. in Pharm Res, 30:1026-1036, 2013) including rHuEPO plasma concentrations, erythroid precursors counts in femur bone marrow and spleen, reticulocytes (RETs), red blood cells (RBCs), and hemoglobin (HGB) in circulation. Parameter values were obtained from literature or calibrated with experimental data. Global sensitivity analysis and model-based simulations were performed to assess parameter sensitivity and hyporesponsiveness. The final QSP model adequately characterizes time courses of rHuEPO PK and nine PD endpoints in both control and treatment groups simultaneously. The model indicates that negative feedback regulation, neocytolysis, and depletion of erythroid precursors are major factors leading to hyporesponsiveness to rHuEPO treatment in rats.


Subject(s)
Erythropoietin/pharmacology , Anemia/chemically induced , Anemia/drug therapy , Anemia/metabolism , Animals , Bone Marrow/drug effects , Bone Marrow/metabolism , Erythrocytes/drug effects , Erythrocytes/metabolism , Erythropoietin/pharmacokinetics , Evaluation Studies as Topic , Hemoglobins/metabolism , Humans , Male , Rats , Rats, Wistar , Recombinant Proteins/pharmacokinetics , Recombinant Proteins/pharmacology , Renal Insufficiency, Chronic/drug therapy , Renal Insufficiency, Chronic/metabolism , Reticulocytes/drug effects , Reticulocytes/metabolism , Spleen/drug effects , Spleen/metabolism
5.
Toxins (Basel) ; 13(5)2021 04 26.
Article in English | MEDLINE | ID: mdl-33926136

ABSTRACT

The objective of this study was to determine the impact of Ageratina adenophora (A. adenophora) on splenic immune function in a rat model. Rats were fed with 10 g/100 g normal feed and an experimental feed, which was composed of 3:7 A. adenophora powder and normal feed for 60 days. On days 14, 28, and 60, subsets of rats (n = 8 rats/group/time point) were selected for blood and spleen tissue sample collection. The results showed that the proportion of CD3+ T cells in the spleen was decreased at day 60 (vs. control). Also, mRNA and protein expression of chemokines CCL21 and CCL19 and functional protein gp38 in spleen decreased significantly versus the control at day 60. In addition, ER-TR7 antigen protein expression was also decreased at day 60. Levels of T-helper (Th)1 cells significantly increased, whereas those of Th2 cells decreased significantly versus the control at day 60 in spleen. The finding revealed that A. adenophora could affect splenic immune function in rats by altering the fibroblast reticulocyte (FRC) network, as well as by causing an imbalance in Th1/Th2 cell ratios. This research provides new insights into potential mechanisms of spleen immunotoxicity due to exposures to A. Adenophora.


Subject(s)
Ageratina/adverse effects , Reticulocytes/drug effects , Spleen/drug effects , Th1 Cells/drug effects , Th2 Cells/drug effects , Animals , Fibroblasts/drug effects , Lymphocyte Count , Male , Plant Leaves , Rats , Rats, Sprague-Dawley , Spleen/cytology , Spleen/immunology
6.
Drug Test Anal ; 13(7): 1331-1340, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33739618

ABSTRACT

We investigated whether immature reticulocyte fraction (IRF) and immature reticulocytes to red blood cells ratio (IR/RBC) are sensitive biomarkers for low-dose recombinant human erythropoietin (rhEpo) treatment at sea level (SL) and moderate altitude (AL) and whether multi (FACS) or single (Sysmex-XN) fluorescence flow cytometry is superior for IRF and IR/RBC determination. Thirty-nine participants completed two interventions, each containing a 4-week baseline, a 4-week SL or AL (2,230 m) exposure, and a 4-week follow-up. During exposure, rhEpo (20 IU kg-1 ) or placebo (PLA) was injected at SL (SLrhEpo , n = 25, SLPLA n = 9) and AL (ALrhEpo , n = 12, ALPLA n = 27) every second day for 3 weeks. Venous blood was collected weekly. Sysmex measurements revealed that IRF and IR/RBC were up to ~70% (P < 0.01) and ~190% (P < 0.001) higher in SLrhEpo than SLPLA during treatment and up to ~45% (P < 0.001) and ~55% (P < 0.01) lower post-treatment, respectively. Compared with ALPLA , IRF and IR/RBC were up to ~20% (P < 0.05) and ~45% (P < 0.001) lower post-treatment in SLrhEpo , respectively. In ALrhEpo , IRF and IR/RBC were up to ~40% (P < 0.05) and ~110% (P < 0.001) higher during treatment and up to ~25% (P < 0.05) and ~40% (P < 0.05) lower post-treatment, respectively, compared with ALPLA . Calculated thresholds provided ~90% sensitivity for both biomarkers at SL and 33% (IRF) and 66% (IR/RBC) at AL. Specificity was >99%. Single-fluorescence flow cytometry coefficient of variation was >twofold higher at baseline (P < 0.001) and provided larger or similar changes compared to multi-fluorescence, albeit with smaller precision. In conclusion, IRF and IR/RBC were sensitive and specific biomarkers for low-dose rhEpo misuse at SL and AL.


Subject(s)
Altitude , Epoetin Alfa/pharmacology , Hematinics/pharmacology , Reticulocytes/drug effects , Adult , Biomarkers/metabolism , Double-Blind Method , Epoetin Alfa/administration & dosage , Erythrocyte Count , Erythrocytes/cytology , Female , Flow Cytometry , Follow-Up Studies , Hematinics/administration & dosage , Humans , Male , Reticulocyte Count , Reticulocytes/cytology , Young Adult
7.
Environ Mol Mutagen ; 62(3): 227-237, 2021 03.
Article in English | MEDLINE | ID: mdl-33608913

ABSTRACT

The rodent Pig-a assay is a flow cytometric, phenotype-based method used to measure in vivo somatic cell mutation. An Organization for Economic Co-operation and Development (OECD) test guideline is currently being developed to support routine use of the assay for regulatory purposes (OECD project number 4.93). This article provides advice on best practices for designing and conducting rodent Pig-a studies in support of evaluating test substance safety, with a focus on the rat model. Various aspects of assay conduct, including laboratory proficiency, minimum number of animals per dose group, preferred treatment and blood sampling schedule, and statistical analysis are described.


Subject(s)
Mutagenicity Tests , Mutagens/pharmacology , Mutation/genetics , Reticulocytes/drug effects , Animals , Biological Assay , Flow Cytometry , Male , Mutagens/toxicity , Rats , Reticulocytes/pathology , Rodentia/genetics
8.
Blood Cells Mol Dis ; 87: 102528, 2021 03.
Article in English | MEDLINE | ID: mdl-33341510

ABSTRACT

While red blood cells (RBCs) and granulocytes have been more studied, platelets and reticulocytes are not commonly used in paroxysmal nocturnal hemoglobinuria (PNH) flow-cytometry and less is known about susceptibility to complement-mediated destruction and effects of anti-complement therapy on these populations. We performed flow-cytometry of RBCs and granulocytes in 90 PNH patients and of platelets and reticulocytes in a subgroup (N = 36), to unveil perturbations of these populations during PNH disease course before and after anti-complement treatment. We found that platelets and reticulocytes were less sensitive to complement-mediated lysis than RBCs but not as resistant as granulocytes, as shown by mean sensitive fraction (difference in a given PNH population vs. PNH granulocyte clone size). In treated patients, reticulocytes, platelets, RBCs (with differences between type II and III) and granulocytes significantly increased post-treatment, confirming the role of PNH hematopoiesis within the context of anti-complement therapy. Moreover, we found that PNH platelet clone size reflects PNH granulocyte clone size. Finally, we established correlations between sensitive fraction of PNH cell-types and thrombosis. In sum, we applied a flow-cytometry panel for investigation of PNH peripheral blood populations' perturbations before and after eculizumab treatment to explore complement-sensitivity and kinetics of these cells during the disease course.


Subject(s)
Antibodies, Monoclonal, Humanized/therapeutic use , Blood Cells/drug effects , Complement Inactivating Agents/therapeutic use , Hemoglobinuria, Paroxysmal/drug therapy , Adult , Aged , Aged, 80 and over , Antibodies, Monoclonal, Humanized/pharmacology , Blood Cells/cytology , Blood Platelets/cytology , Blood Platelets/drug effects , Complement Inactivating Agents/pharmacology , Erythrocytes/cytology , Erythrocytes/drug effects , Erythroid Cells/cytology , Erythroid Cells/drug effects , Female , Flow Cytometry , Granulocytes/cytology , Granulocytes/drug effects , Hemoglobinuria, Paroxysmal/blood , Humans , Male , Middle Aged , Reticulocytes/cytology , Reticulocytes/drug effects , Young Adult
9.
Int J Mol Sci ; 21(19)2020 Sep 28.
Article in English | MEDLINE | ID: mdl-32998272

ABSTRACT

Roxadustat (Rox), a hypoxia-inducible factor (HIF) stabilizer, is now available for the treatment of anemia in hemodialysis (HD) patients. To investigate hematopoietic effect and iron metabolism, this study involved 30 HD patients who were initially treated with darbepoetin (DA), a conventional erythropoietin-stimulating agent, and then switched to Rox. We measured erythrocyte, reticulocyte indices, and iron-related factors at every HD during the first two weeks after the treatment switch (Days 0-14) and again on Days 21 and 28. We measured erythropoietin (EPO) concentration every week and examined their changes from Day-0 values. The same variables were measured in 15 HD patients who continued DA at every HD for one week. Iron-related factors were also measured on Days 14 and 28. In the Rox group, hepcidin significantly decreased from Day 2. The reticulocyte hemoglobin content (CHr) significantly increased on Day 4, but decreased with a significant increase in reticulocyte count from Day 7. Log10(serum ferritin) significantly decreased after Day 11. Log10(EPO concentration) was lower at all time points. Compared with the DA group, the Rox group showed significant differences in all variables except CHr. These results suggest that Rox improves hematopoiesis and iron metabolism early after administration independent of EPO concentration.


Subject(s)
Anemia/drug therapy , Darbepoetin alfa/therapeutic use , Glycine/analogs & derivatives , Hematinics/therapeutic use , Hypoxia-Inducible Factor 1, alpha Subunit/genetics , Iron/metabolism , Isoquinolines/therapeutic use , Renal Insufficiency, Chronic/therapy , Aged , Aged, 80 and over , Anemia/etiology , Anemia/genetics , Anemia/pathology , Cell Count , Drug Substitution , Erythrocytes/drug effects , Erythrocytes/metabolism , Erythropoietin/genetics , Erythropoietin/metabolism , Female , Ferritins/genetics , Ferritins/metabolism , Gene Expression Regulation , Glycine/therapeutic use , Hematopoiesis/drug effects , Hematopoiesis/genetics , Hemoglobins/genetics , Hemoglobins/metabolism , Hepcidins/genetics , Hepcidins/metabolism , Humans , Hypoxia-Inducible Factor 1, alpha Subunit/agonists , Hypoxia-Inducible Factor 1, alpha Subunit/metabolism , Male , Middle Aged , Renal Dialysis , Renal Insufficiency, Chronic/complications , Renal Insufficiency, Chronic/physiopathology , Reticulocytes/drug effects , Reticulocytes/metabolism , Transferrin/genetics , Transferrin/metabolism , Treatment Outcome
10.
Cells ; 9(10)2020 09 24.
Article in English | MEDLINE | ID: mdl-32987729

ABSTRACT

The consequences of sickle cell disease (SCD) include ongoing hematopoietic stress, hemolysis, vascular damage, and effect of chronic therapies, such as blood transfusions and hydroxyurea, on hematopoietic stem and progenitor cell (HSPC) have been poorly characterized. We have quantified the frequencies of nine HSPC populations by flow cytometry in the peripheral blood of pediatric and adult patients, stratified by treatment and control cohorts. We observed broad differences between SCD patients and healthy controls. SCD is associated with 10 to 20-fold increase in CD34dim cells, a two to five-fold increase in CD34bright cells, a depletion in Megakaryocyte-Erythroid Progenitors, and an increase in hematopoietic stem cells, when compared to controls. SCD is also associated with abnormal expression of CD235a as well as high levels CD49f antigen expression. These findings were present to varying degrees in all patients with SCD, including those on chronic therapy and those who were therapy naive. HU treatment appeared to normalize many of these parameters. Chronic stress erythropoiesis and inflammation incited by SCD and HU therapy have long been suspected of causing premature aging of the hematopoietic system, and potentially increasing the risk of hematological malignancies. An important finding of this study was that the observed concentration of CD34bright cells and of all the HSPCs decreased logarithmically with time of treatment with HU. This correlation was independent of age and specific to HU treatment. Although the number of circulating HSPCs is influenced by many parameters, our findings suggest that HU treatment may decrease premature aging and hematologic malignancy risk compared to the other therapeutic modalities in SCD.


Subject(s)
Anemia, Sickle Cell/pathology , Cell Separation/methods , Hematopoiesis , Hematopoietic Stem Cells/pathology , Adult , Antigens, CD/metabolism , Bone Marrow/pathology , Cell Movement/drug effects , Child , Female , Hematopoiesis/drug effects , Hematopoietic Stem Cells/drug effects , Humans , Hydroxyurea/pharmacology , Male , Reticulocytes/drug effects , Reticulocytes/metabolism
11.
Bull Exp Biol Med ; 169(3): 332-337, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32737724

ABSTRACT

The hemostimulating effects of c-Jun N-terminal kinase (JNK) inhibitor were examined on the mouse model of myelosuppression provoked by 5-fluorouracil. Blockade of JNK during postcytostatic period accelerated recovery of granulomonocytopoiesis and erythropoiesis. It also increased the content of neutrophilic granulocytes and erythroid cells in the hematopoietic tissue and elevated the counts of neutrophils and reticulocytes in the peripheral blood. The development of these phenomena resulted from elevated content and up-regulated functional activity of bone marrow hematopoietic progenitors associated with the direct action of JNK inhibitor on these progenitors and enhanced secretion of hemopoietins by stromal elements of the hematopoiesis-inducing microenvironment.


Subject(s)
Cytostatic Agents/pharmacology , Hematopoietic Stem Cells/drug effects , JNK Mitogen-Activated Protein Kinases/metabolism , Animals , Erythroid Cells/drug effects , Erythroid Cells/metabolism , Fluorouracil/pharmacology , Granulocytes/drug effects , Granulocytes/metabolism , JNK Mitogen-Activated Protein Kinases/antagonists & inhibitors , Mice , Mice, Inbred C57BL , Neutrophils/drug effects , Neutrophils/metabolism , Reticulocytes/drug effects , Reticulocytes/metabolism , Signal Transduction/drug effects
12.
Mutagenesis ; 35(4): 349-358, 2020 09 12.
Article in English | MEDLINE | ID: mdl-32608486

ABSTRACT

The in vivo Pig-a assay is being used in safety studies to evaluate the potential of chemicals to induce somatic cell gene mutations. Ongoing work is aimed at developing an Organisation for Economic Cooperation and Development (OECD) test guideline to support routine use for regulatory purposes (OECD project number 4.93). Among the details that will need to be articulated in an eventual guideline are recommended treatment and harvest schedules. With this in mind, experiments reported herein were performed with Wistar Han rats exposed to aristolochic acid I (AA), 1,3-propane sultone, chlorambucil, thiotepa or melphalan using each of two commonly used treatment schedules: 3 or 28 consecutive days. In the case of the 3-day studies, blood was collected for Pig-a analysis on days 15 or 16 and 29 or 30. For the 28-day studies blood was collected on day 29 or 30. The effect of treatment on mutant reticulocytes and mutant erythrocytes was evaluated with parametric pair-wise tests. While each of the five mutagens increased mutant phenotype cell frequencies irrespective of study design, statistical significance was consistently achieved at lower dose levels when the 28-day format was used (e.g. 2.75 vs 20 mg/kg/bw for AA). To more thoroughly investigate the dose-response relationships, benchmark dose (BMD) analyses were performed with PROAST software. These results corroborate the pair-wise testing results in that lower BMD values were obtained with the 28-day design. Finally, mutagenic potency, as measured by BMD analyses, most consistently correlated with the mutagens' tumorigenic dose 50 values when the lengthier treatment schedule was used. Collectively, these results suggest that both 3- and 28-day treatment schedules have merit in hazard identification-type studies. That being said, for the purpose of regulatory safety assessments, there are clear advantages to study designs that utilise protracted exposures.


Subject(s)
Membrane Proteins/genetics , Mutagenicity Tests/methods , Mutagens/toxicity , Mutation , Reticulocytes/drug effects , Animals , Aristolochic Acids/toxicity , Chlorambucil/toxicity , Erythrocytes/drug effects , Male , Melphalan/toxicity , Rats , Rats, Wistar , Thiophenes/toxicity , Thiotepa/toxicity , Time Factors
13.
Environ Mol Mutagen ; 61(9): 922-927, 2020 11.
Article in English | MEDLINE | ID: mdl-32567744

ABSTRACT

The aim of the present in vivo study was to determine the kinetics of the genotoxic and cytotoxic activities of cladribine and clofarabine in mouse normoblasts using flow cytometry. Mice in groups of five were treated with cladribine or clofarabine. Blood samples were obtained from the mouse tails before treatment and every 8 hr posttreatment for 72 hr. These samples were cytometrically scored for micronucleated reticulocytes (RETs), and the percentage of RETs was determined. The results showed that clofarabine and cladribine have early cytotoxic effects that are related to the genotoxic effects reported in previous studies; the drugs have both complex long-lasting genotoxic and cytotoxic kinetic activity, with similar profiles that suggest a relationship between the genotoxic and cytotoxic parameters. The initial genotoxkinetics timing of clofarabine is equivalent to those of difluorodeoxycytidine, likely because both agents inhibit DNA polymerase. Clofarabine shows a higher genotoxic and cytotoxic efficiency than cladribine, in agreement with previous results.


Subject(s)
Antineoplastic Agents/toxicity , Cladribine/toxicity , Clofarabine/toxicity , Micronuclei, Chromosome-Defective/drug effects , Reticulocytes/drug effects , Animals , Antineoplastic Agents/blood , Cladribine/blood , Clofarabine/blood , Kinetics , Male , Mice , Mice, Inbred ICR , Micronucleus Tests , Reticulocytes/metabolism
14.
Article in English | MEDLINE | ID: mdl-32522350

ABSTRACT

We examined possible early-effect biomarkers and polymorphisms of susceptibility in primary school children living near the Atoyac River in central México, which receives waste from multiple industries. We observed a significant increase in micronucleated reticulocytes associated with the oxidative stress index (OSI) and the OGG1 GG (S326C) genotype, and a significant decrease of reticulocytes carrying the transferrin receptor, inversely correlated with OSI.


Subject(s)
DNA Glycosylases/genetics , Environmental Pollution/adverse effects , Oxidative Stress/drug effects , Polymorphism, Genetic/drug effects , Reticulocytes/drug effects , Adolescent , Biomarkers/metabolism , Child , Female , Genotype , Humans , Male , Micronucleus Tests/methods
15.
Environ Mol Mutagen ; 61(5): 500-507, 2020 06.
Article in English | MEDLINE | ID: mdl-32187725

ABSTRACT

The in vivo Pig-a assay is being used in safety studies to evaluate the potential of chemicals to induce somatic cell gene mutations. Ongoing work is aimed at developing an Organization for Economic Cooperation and Development (OECD) test guideline to support routine use for regulatory purposes (OECD project number 4.93). Among the requirements for OECD approval are demonstrations of assay reliability, including reproducibility within and among laboratories. Experiments reported herein address the reproducibility of the rat blood Pig-a assay using the reference mutagens chlorambucil and melphalan. These agents were evaluated for their ability to induce Pig-a mutant erythrocytes in three separate studies conducted across two laboratories. Each of the studies utilized a common treatment schedule: 28 consecutive days of exposure via oral gavage. Whereas one laboratory studied Crl:CD(SD) rats, the other laboratory used Wistar Han rats. One or two days after cessation of treatment blood samples were collected for mutant reticulocyte and mutant erythrocyte measurements that were accomplished with the same analytical technique whereby samples were depleted of wildtype erythrocytes via immunomagnetic separation followed by flow cytometric enumeration of mutant phenotype cells (MutaFlow®). Dunnett's test results showed similar qualitative outcomes within and between laboratories, that is, each chemical and each study demonstrated statistically significant, dose-related increases in mutant reticulocyte and erythrocyte frequencies. Benchmark dose analysis (PROAST software) provided a means to quantitatively analyze the results, and the relatively tight, overlapping benchmark dose confidence intervals observed for each of the two chemicals indicate that within and between laboratory reproducibility of the Pig-a assay are high, adding further support for the development of an OECD test guideline.


Subject(s)
Biological Assay/methods , Laboratories , Mutation/genetics , Animals , Chlorambucil/pharmacology , Erythrocytes/drug effects , Male , Melphalan/pharmacology , Rats, Sprague-Dawley , Reproducibility of Results , Reticulocytes/drug effects
16.
AAPS J ; 22(2): 40, 2020 02 03.
Article in English | MEDLINE | ID: mdl-32016602

ABSTRACT

Shortened red blood cell (RBC) lifespan is one of the major factors contributing to anemia in end-stage renal disease (ESRD) patients and should be taken into account in anemia management protocols. In this study, we aimed to estimate RBC lifespan and the source of between-subject variability in ESRD patients. The resulting individual parameters (empirical Bayes estimates) were used to predict hemoglobin concentrations 2 weeks in advance. The reticulocyte-based estimation of RBC lifespan (REBEL) and the population modeling of RBC count data were used. A total of 120 blood samples collected biweekly over 10 weeks in 24 patients receiving maintenance doses of recombinant human erythropoietin (rHuEPO) subcutaneously were included in this analysis. Typical RBC lifespan was estimated to be 63.3 days. RBC lifespan was found to increase with erythroferrone, a recently identified hormone participating in iron metabolism. Approximately, a 10% increase in plasma erythroferrone was associated with a 5% increase in RBC lifespan. In addition, RBC lifespan was 18.7% shorter in females compared with males. Out of 24 subjects, 16 had hemoglobin concentrations predicted within 95% prediction intervals. The median absolute prediction error was 15.9% (interquartile range, 9.5 to 24.7%). We demonstrated that REBEL coupled with the population modeling technique can be used effectively to estimate RBC lifespan. Then, individual parameters can be used to predict future hemoglobin concentrations in ESRD patients.


Subject(s)
Anemia/blood , Hemoglobins/metabolism , Kidney Failure, Chronic/complications , Peptide Hormones/blood , Reticulocyte Count , Reticulocytes/metabolism , Adolescent , Adult , Aged , Aged, 80 and over , Anemia/diagnosis , Anemia/drug therapy , Anemia/etiology , Biomarkers/blood , Epoetin Alfa/therapeutic use , Female , Hematinics/therapeutic use , Humans , Kidney Failure, Chronic/diagnosis , Male , Middle Aged , Predictive Value of Tests , Prospective Studies , Reproducibility of Results , Reticulocytes/drug effects , Time Factors , Treatment Outcome , Young Adult
17.
J Pharm Sci ; 109(1): 277-283, 2020 01.
Article in English | MEDLINE | ID: mdl-31216452

ABSTRACT

Recombinant human erythropoietin (rHuEPO) as a glycoprotein growth factor has been considered a biological drug for treatment of anemic patients with chronic renal failure or who receive cancer chemotherapy. Biological activity and circulation time are 2 parameters that are important to achieve EPO's efficacy. Previous efforts for increasing EPO's efficacy have focused on glycosylation modification via adding more sialic acid antenna and generates more negative charged protein. Evidences cleared that EPO's activity increased by numbers of N-glycan moieties with presence of sialic acids at their terminus. Correlation between bioactivity and glycosylation with terminal sialylation is theoretically achieved using the calculation of the amount of charge profile of the EPO variants called "I-number." Here, we studied and compared the relationship between bioactivities of different EPOs that contained various I-numbers and the effect of their secondary and tertiary protein structures on measured in vivo efficacy. Eight recombinant EPOs batches were produced under the same condition. I-numbers found out by EPO's charge profiles determination using capillary electrophoresis and activities were studied upon erythroid precursor cell stimulation in mice. Analyzing the bioactivity, I-number, and structural studies revealed that in spite of I-number, conformational changes in protein structure and presence of aggregated species impact bioactivity substantially.


Subject(s)
Erythropoietin/chemistry , Protein Aggregates , Recombinant Proteins/chemistry , Animals , Dynamic Light Scattering , Electrophoresis, Capillary , Erythropoietin/pharmacology , Glycosylation , Injections, Subcutaneous , Mice , N-Acetylneuraminic Acid/analysis , Particle Size , Protein Structure, Secondary , Protein Structure, Tertiary , Recombinant Proteins/pharmacology , Reticulocytes/drug effects
18.
J Pediatr Hematol Oncol ; 42(3): e147-e151, 2020 04.
Article in English | MEDLINE | ID: mdl-31851071

ABSTRACT

BACKGROUND: Cancer-related anemia is a common complication of cancer and its treatment that may be mediated by nutritional deficiency or inflammatory cytokines inhibiting erythropoiesis. AIM: We evaluated the value of reticulocyte hemoglobin content (Ret He) as a marker of iron availability for erythropoiesis in childhood cancer and the impact of oral iron supplementation on hematologic parameters in patients with low Ret He. MATERIALS AND METHODS: This prospective study included 100 pediatric patients with cancer on chemotherapy who were screened for the presence of anemia. Patients with anemia underwent testing for complete blood count including Ret He on Sysmex XE 2100 and assessment of reticulocyte count, serum iron, serum ferritin, transferrin saturation, total iron-binding capacity, and C-reactive protein. Patients were classified according to their level of Ret He into normal or low Ret He using a cutoff level of 28 pg. Patients with low Ret He were subjected to 6 weeks' treatment with oral ion and were followed up with complete blood count and iron profile. RESULTS: Thirty-one (77.5%) patients had normal Ret He, and 9 (22.5%) had low Ret He. Ret He was positively correlated with red cell indices, but not with iron parameters. After oral iron supplementation, a significant increase in hemoglobin, reticulocyte count, and iron was found. CONCLUSIONS: We suggest that Ret He could be used as an easy and affordable tool for the assessment of iron deficiency anemia in childhood cancer during chemotherapy treatment. A trial of oral iron in patients with low Ret He may be useful to correct the associated anemia.


Subject(s)
Anemia, Iron-Deficiency/diagnosis , Anemia, Iron-Deficiency/etiology , Hemoglobins/analysis , Neoplasms/complications , Reticulocytes , Anemia, Iron-Deficiency/drug therapy , Child , Child, Preschool , Erythropoiesis/drug effects , Female , Humans , Iron Compounds/therapeutic use , Male , Reticulocytes/drug effects
19.
Int. j. morphol ; 37(4): 1572-1577, Dec. 2019. tab
Article in English | LILACS | ID: biblio-1040171

ABSTRACT

Hypoxia hypobaric (HH) can cause alterations at testicular level, with temperature increase, intrascrotal alteration and deterioration of spermatogenesis. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ketoprofen have anti-angiogenic properties, and can decrease testicular abnormalities. The objective of the study was to evaluate the effect of ketoprofen on spermatogenesis of mice exposed to continuous hypobaric hypoxia. 78 Mus musculus CF-1 male mice 3 to 4 months old were used and subjected to HH in chamber at 4200 m. They were divided into 13 groups (G) of 6 animals: 10 with HH cycles (1, 2, 3, 4 and 8, lasting 8.3 days each cycle, two groups each) and 3 in normoxia (Nx). Intraperitoneal ketoprofen 25 mg/kg was administered every 4 days. Euthanasia of these animals was performed at the end of each cycle and in the case the Nx groups at the end of cycles 1, 4 and 8. Percentage of microhematocrit and reticulocytes were measured in blood smears and a morphometric and histopathological analysis of the height of the epithelium, the tubular diameter and the diameter of the tubular lumen was made. It was shown that hematocrit increases continuously up to 8 cycles, while reticulocytes increase up to 3 cycles. Continuous HH decreases the tubular diameter in a sustained manner and proportional to HH cycles, and the height increased only in the groups subjected to 8 cycles. The groups treated with ketoprofen saw a decrease in angiogenesis, presenting some degree of protection at the testicular level.


La hipoxia hipobárica (HH) puede provocar alteraciones a nivel testicular, con aumento de la temperatura, alteración intraescrotal y deterioro de la espermatogénesis. Los antiinflamatorios no esteroidales (AINEs) como el ketoprofeno tienen propiedades antiangiogénicas, pudiendo disminuir las alteraciones testiculares. El objetivo de estudio fue evaluar el efecto del ketoprofeno en la espermatogénesis de ratones expuestos a hipoxia hipobárica continua. Se utilizaron 78 ratones macho Mus musculus CF-1 de 3 a 4 meses de edad y se sometieron a HH en cámara a 4200 m. Se dividieron en 13 grupos (G) de 6 animales: 10 con ciclos de HH (1, 2, 3, 4 y 8, con duración de 8,3 días cada ciclo, dos grupos cada uno) y 3 en normoxia (Nx). Se administró ketoprofeno intraperitoneal 25 mg/kg cada 4 días. La eutanasia de estos animales se realizó al final de cada ciclo y en el caso los grupos Nx al final de los ciclos 1, 4 y 8. Se midió porcentaje de microhematocrito y reticulocitos en frotis de sangre y se hizo un análisis morfométrico e histopatológico de la altura del epitelio, el diámetro tubular y el diámetro de la luz tubular. Se evidenció que el hematocrito aumenta de manera continua hasta los 8 ciclos, en cambio los reticulocitos aumentan hasta los 3 ciclos. La HH continua disminuye el diámetro tubular de forma sostenida y proporcional a los ciclos de HH, y la altura aumentó sólo en los grupos sometidos a 8 ciclos. Los grupos tratados con ketoprofeno se vio una disminución de la angiogénesis, presentando algún grado de protección a nivel testicular.


Subject(s)
Animals , Male , Mice , Spermatogenesis/drug effects , Testis/drug effects , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Ketoprofen/pharmacology , Hypoxia/physiopathology , Reticulocytes/drug effects , Seminiferous Tubules/drug effects , Testis/injuries , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Ketoprofen/administration & dosage , Hematocrit , Neovascularization, Pathologic
20.
Article in English | MEDLINE | ID: mdl-31585629

ABSTRACT

A series of genotoxicity assessments were conducted on male Sprague Dawley rats treated with Auramine O (AO) to establish a multiple-endpoint assay. The rat liver micronucleus assay, in combination with the comet assay, peripheral blood micronucleus assay, and erythrocyte Pig-a assay in the same experiment, comprehensively assess the genotoxicity of AO. Rats were orally exposed to 0, 100, 200, or 400 mg/kg/day AO for 15 consecutive days. The blood was sampled on Days -1 and 15 for the erythrocyte Pig-a assay and peripheral blood micronucleus assay. Livers were sampled on Day 15 for the liver micronucleus assay and comet assay. Based on the liver micronucleus assay and liver comet assay, AO induced a significant dose-related increase of micronucleated hepatocyte frequencies, and tail DNA percentages, respectively in the middle- and high-dose groups. On the blood micronucleus test and Pig-a assay, no significant increases were observed for the micronucleated reticulocyte frequencies, mutant erythrocyte frequencies (RBCCD59-) or mutant reticulocyte frequencies (RETCD59-) at any of the time points studied. In conclusion, using a multiple-endpoint genotoxicity assay method can reduce the number of experimental animals, boost the efficiency of the experiment, and improve the accuracy of investigations of genotoxicity.


Subject(s)
Benzophenoneidum/toxicity , Carcinogens/toxicity , Comet Assay , Membrane Proteins/genetics , Micronucleus Tests , Activation, Metabolic , Animals , Dose-Response Relationship, Drug , Endpoint Determination , Erythrocytes/drug effects , Erythrocytes/enzymology , Hepatocytes/drug effects , Hepatocytes/ultrastructure , Male , Microsomes, Liver/enzymology , Mutagenicity Tests , Mutation , Proof of Concept Study , Rats , Rats, Sprague-Dawley , Reticulocytes/drug effects , Reticulocytes/ultrastructure
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