Betafectin(R) PGG-glucan is a novel beta-(1,3)glucan that has broad-sp
ectrum anti-infective activities without cytokine induction. Here we r
eport that PGG-glucan also has both in vitro and in vivo hematopoietic
activities. In vitro studies with bone marrow target cells from the C
3H/HeN mouse revealed that although PGG-glucan alone had no direct eff
ect on hematopoietic colony-forming cell (CFC) growth, when combined w
ith granulocyte colony-stimulating factor (CSF) or granulocyte-macroph
age CSF, it increased CFC numbers 1.5- to 2.0-fold over those obtained
with CSFs alone. Bone marrow cells cultured for high-proliferative-po
tential CFCs in the presence of interleukin (IL)-1, IL-3, macrophage C
SF, and stem cell factor (SCF), or cultured for erythroid burst-formin
g units in the presence of IL-3, SCF, and erythropoietin, also exhibit
ed enhanced growth in the presence of PGG-glucan. The synergistic effe
ct of PGG-glucan was specific and could be abrogated by anti-PGG-gluca
n antibody. The ability of PGG-glucan to modulate hematopoiesis in viv
o was evaluated in myelosuppressed rodents and primates. C3H/HeN femal
e mice were intravenously administered saline solution or PGG-glucan (
0.5 mg/kg) 24 hours before the intraperitoneal administration of cyclo
phosphamide (200 mg/kg), and the recovery of bone marrow cellularity a
nd granulocyte-macrophage progenitor cells was evaluated on days 4 and
8 after cyclophosphamide treatment. At both time points, enhanced hem
atopoietic recovery was observed in PGG-glucan-treated mice compared w
ith saline-treated control mice. In a final series of in vivo experime
nts, we evaluated the ability of therapeutically administered PGG-gluc
an to enhance hematopoietic recovery in cyclophosphamide-treated cynom
olgus monkeys. Monkeys received intravenous infusions of cyclophospham
ide (55 mg/kg) on days 1 and 2, followed on days 3 and 10 by intraveno
us infusion of PGG-glucan (0.5, 1.0, or 2.0 mg/kg). Compared with thos
e in saline-treated monkeys, accelerated white blood cell recovery and
a reduction in the median duration of neutropenia were observed in PG
G-glucan-treated monkeys. These studies illustrate that PGG-glucan has
both in vitro and in vivo hematopoietic activities and that this agen
t may be useful in the prevention and/or treatment of chemotherapy-ass
ociated myelosuppression.