Details

Autor(en) / Beteiligte

• Sigurdsson, Valgardur
• Haga, Youichi
• Takei, Hajime
• Mansell, Els
• Okamatsu-Haga, Chizuko
• Suzuki, Mitsuyoshi
• Radulovic, Visnja
• van der Garde, Mark
• Koide, Shuhei
• Soboleva, Svetlana
• Gåfvels, Mats
• Nittono, Hiroshi
• Ohara, Akira
• Miharada, Kenichi

Titel

Induction of blood-circulating bile acids supports recovery from myelosuppressive chemotherapy

Ist Teil von

• Blood advances, 2020-05, Vol.4 (9), p.1833-1843

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Chemotherapeutic agents can reduce bone marrow (BM) activity, causing myelosuppression, a common life-threatening complication of cancer treatment. It is challenging to predict the patients in whom prolonged myelosuppression will occur, resulting in a delay or discontinuation of the treatment protocol. An early indicator of recovery from myelosuppression would thus be highly beneficial in clinical settings. In this study, bile acids (BAs) were highly increased in the systemic circulation as a natural response during recovery from myelosuppression, supporting regeneration of BM cells. BA levels in the blood of pediatric cancer patients and mice treated with chemotherapeutic agents were increased, in synchrony with early proliferation of BM cells and recovery from myelosuppression. In a mouse model of altered BA composition, Cyp8b1 knockout mice, a subset of mice recovered poorly after chemotherapy. The poor recovery correlated with low levels and changes in composition of BAs in the liver and systemic circulation. Conversely, BA supplementation in chemotherapy-treated wild-type mice resulted in significantly improved recovery. The results suggest that part of the mechanism by which BAs support recovery is the suppression of endoplasmic reticulum stress pathways in expanding and recovering hematopoietic cells. The findings propose a novel role of BAs as early markers of recovery and active components of the recovery process after chemotherapy. •Total BA concentration in blood circulation can be an early diagnostic marker for recovery of bone marrow function from myelosuppression.•BAs in blood support recovery of bone marrow cells, possibly through suppression of unfolded protein stress induction. [Display omitted]