EFFECTS OF STEM-CELL FACTOR AND OTHER BONE-MARROW-DERIVED GROWTH-FACTORS ON THE EXPRESSION OF ADHESION MOLECULES AND PROLIFERATION OF HUMANNEUROBLASTOMA-CELLS

Metastasis in children with neuroblastoma (NB) is a poor prognostic fa ctor despite intensive therapy. In the near future, stem cell factor ( SCF) is likely to be used clinically to accelerate bone marrow (BM) re covery after high-dose chemotherapy in patients with advanced NE. The high frequency of BM metastases in NE could be secondary to BM-derived human growth factors (HGF) modulating the adhesion, secondary growth (or both) of circulating metastatic NE cells. To test this hypothesis, we studied the in vitro effects on NE cell lines grown in chemically defined medium of SCF, interleukin (IL)-1 beta, IL-3, IL-6, basic fibr oblast growth factor (bFGF), transforming growth factor-beta (TGF-beta ) used alone or in combination. The antigenic expression of NB-associa ted cell adhesion molecules (CAM) HLA class 1, intercellular CAM-1, ne ural-CAM and CD44 were assayed by monoclonal antibodies and flow cytom etry, and DNA synthesis by H-3-thymidine uptake. The expression of CAM was not modulated by SCF or other HGFs. An increase in thymidine upta ke was induced by bFGF alone in IMR-32 cells, while SCF and other HGFs had no notable effect. Our results indicate that SCF and other BM-der ived HGFs are unlikely to have a generalised effect on the expression of adhesion molecules by NE cells or proliferation. The clinical admin istration of recombinant human SCF to children with NE should be safe.