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pubmed-article:9654113pubmed:abstractTextA growing body of data suggests that cancer therapy may be improved and toxicity reduced by administration of antineoplastic agents and cytokines at carefully selected times of the day. The time-dependent effects of each of the drugs have been documented, but not their mutual time dependencies. In the present studies we sought to determine the best time for granulocyte colony-stimulating factor (G-CSF) administration after carboplatin treatment. Carboplatin was injected in different groups of ICR mice at four different circadian stages for 5 consecutive days. Mice were synchronized with an alternation of 12 h of light (from 6:00 a.m. to 6:00 p.m.) and 12 h of darkness. After the last injection, peripheral WBCs of three mice from each group were counted every 4 h over a 24-h period. Bone marrow toxicity was estimated with the mean 24-h WBC count. The most severe leukopenia occurred in the group injected at 3:00 p.m. - 9 h after light onset. The second set of experiments evaluated the time-dependent effect of G-CSF when singly injected or given after carboplatin injections for 5 days only at 3:00 p.m. G-CSF was injected into various groups on days 8 and 9 at the same four different circadian stages. On the 10th day after the first injection, peripheral WBCs of three mice from each group were counted every 4 h over a 24-h period. Time-dependent effects were observed when G-CSF was injected as a single agent. When G-CSF was given at various times to the group with the most severe carboplatin-induced leukopenia, peripheral WBC count recovery was monitored at all injection times; it reached its highest level (exceeding even that of the control) when G-CSF was injected at 3:00 a.m. Dosing times of both chemotherapy and growth factor are relevant for optimization of carboplatin's hematologic tolerability.lld:pubmed
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pubmed-article:9654113pubmed:pagination135-41lld:pubmed
pubmed-article:9654113pubmed:dateRevised2003-11-14lld:pubmed
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pubmed-article:9654113pubmed:year1998lld:pubmed
pubmed-article:9654113pubmed:articleTitleTime dependency of hematopoietic growth factor coupled to chronotoxicity of carboplatin.lld:pubmed
pubmed-article:9654113pubmed:affiliationDepartment of Human Genetics, Sackler Faculty of Medicine, Tel-Aviv University, Israel.lld:pubmed
pubmed-article:9654113pubmed:publicationTypeJournal Articlelld:pubmed
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