Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1997-2-19
pubmed:abstractText
Bestatin (ubenimex), an inhibitor of aminopeptidase, is an oral immunomodulator that binds to CD13 (aminopeptidase N) on macrophages/monocytes. To examine its immunomodulatory effect after high-dose therapy and autologous bone marrow transplantation (BMT), a dose-finding phase Ib trial was conducted with 30 Hodgkin's disease and non-Hodgkin's lymphoma patients who received no drug (control), 10 and 30 mg (low dose), or 90 and 180 mg (high dose) of bestatin daily for 60 days following autologous BMT. Bestatin administration was initiated when the absolute neutrophil count was greater than 250/mm3 on 2 consecutive days. The serum neopterin levels, an indicator of monocyte/macrophage activation, increased in the high-dose group compared to the control group (not significantly) and the low-dose group (significantly). Similarly, the colony-stimulating activity in the sera was significantly increased in the high-dose group compared to the control and low-dose groups. We also examined the expression of cell-surface markers on monocytes in these patients by fluorescent cytometry analysis. There was no significant difference either in the frequency or absolute number of monocytes (CD14+) among the three groups at any time. However, a significant increase in the frequency of CD16(FcgRIII)-positive monocytes (a marker of activation) was observed in the high-dose group compared to controls from day 14 to day 60 after the start of bestatin administration. Further, the frequency of HLA-DR+ monocytes (another marker of activation) was significantly increased in the high-dose group. These results indicate that bestatin at higher doses (90 and 180 mg daily), but not lower doses, activates macrophages/monocytes, as demonstrated by phenotypic marker (HLA-DR and CD16) up-regulation, and this provides augmentation of neopterin and colony-stimulating activity in the serum of patients following autologous BMT.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0340-7004
pubmed:author
pubmed:issnType
Print
pubmed:volume
43
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
206-12
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:9003465-Adjuvants, Immunologic, pubmed-meshheading:9003465-Administration, Oral, pubmed-meshheading:9003465-Adult, pubmed-meshheading:9003465-Aged, pubmed-meshheading:9003465-Biopterin, pubmed-meshheading:9003465-Bone Marrow Transplantation, pubmed-meshheading:9003465-Colony-Stimulating Factors, pubmed-meshheading:9003465-Combined Modality Therapy, pubmed-meshheading:9003465-Female, pubmed-meshheading:9003465-HLA-DR Antigens, pubmed-meshheading:9003465-Humans, pubmed-meshheading:9003465-Leucine, pubmed-meshheading:9003465-Lymphoma, Non-Hodgkin, pubmed-meshheading:9003465-Macrophage Activation, pubmed-meshheading:9003465-Macrophages, pubmed-meshheading:9003465-Male, pubmed-meshheading:9003465-Middle Aged, pubmed-meshheading:9003465-Monocytes, pubmed-meshheading:9003465-Neopterin, pubmed-meshheading:9003465-Receptors, IgG
pubmed:year
1996
pubmed:articleTitle
Monocyte activation by an oral immunomodulator (bestatin) in lymphoma patients following autologous bone marrow transplantation.
pubmed:affiliation
Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha 68198-5660, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't