The effects of granulocyte-macrophage colony-stimulating factor (GM-CSF) on
the number of granulocytes in peripheral blood and myeloid cells in the bo
ne marrow were studied in seven patients with chronic lymphocytic leukemia
(CLL), The neutrophil count in the peripheral blood rose by a median of 193
% (range 142-980%), p=0.02, and the increase persisted for more than 2 week
s after discontinuation of the treatment. The percentage of myeloid cells i
n bone marrow increased by 166% (range -57-1800%). In neutropenic CLL patie
nts with recurrent infections GM-CSF treatment may constitute a new treatme
nt modality.