PT - JOURNAL ARTICLE AU - DANOVA, MARCO AU - BENCARDINO, KATIA AU - MANZONI, MARIANGELA AU - GRASSO, DONATELLA AU - MARIUCCI, SARA AU - ROVATI, BIANCA TI - <em>In Vivo</em> Biological Effects of Pegfilgrastim after Myelosuppressive Chemotherapy in Breast Cancer DP - 2007 Sep 01 TA - Anticancer Research PG - 3399--3402 VI - 27 IP - 5A 4099 - http://ar.iiarjournals.org/content/27/5A/3399.short 4100 - http://ar.iiarjournals.org/content/27/5A/3399.full SO - Anticancer Res2007 Sep 01; 27 AB - Background: No exhaustive data are available on the in vivo biological effects of pegfilgrastim utilized in dose-dense chemotherapy (CT). The cytokinetic effects exerted in a multicyclic CT program by this cytokine on CD34+/38+ peripheral blood (PB) progenitor cells was the focus of this study. Patients and Methods: PB samples from 19 breast cancer patients treated with 4 courses of docetaxel and epirubicin followed by pegfilgrastim were studied. The absolute number of CD34+/38+ circulating progenitor cells (CPCs) along with the percentage undergoing G0/G1, S and G2-M phases of the cell cycle or showing apoptotic features, were evaluated at baseline, after the first and before the fourth CT course using a dedicated flow cytometric technique. Results and Conclusion: Pegfilgrastim, after CT, exerted stimulatory effects on the cell cycle status of PB CD34+/38+ CPCs, at the same time protecting them from apoptosis. This was particularly evident 7 days after administration and tended to decrease one week later, without additional cytokinetic changes during the subsequent CT courses. Copyright© 2007 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved