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Pediatric oncology

G-CSF counteracts chemotherapy toxicity in neuroblastoma

Incorporating hematopoietic growth factors into chemotherapy regimens is a common method for mitigating toxicity of dose-intensive regimens. A clinical trial has shown that G-CSF can counteract acute toxicities, permitting further dose intensification of induction chemotherapy. However, the effects of these strategies on long-term toxicities and overall survival remain undefined.

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References

  1. Cohn, S. L. et al. The International Neuroblastoma Risk Group (INRG) classification system: an INRG Task Force report. J. Clin. Oncol. 27, 289–297 (2009).

    Article  Google Scholar 

  2. American Academy of Pediatrics Section on Hematology/Oncology Children's Oncology Group. Long-term follow-up care for pediatric cancer survivors. Pediatrics 123, 906–915 (2009).

  3. Ladenstein, R. et al. Randomized trial of prophylactic granulocyte colony-stimulating factor during rapid COJEC induction in pediatric patients with high-risk neuroblastoma: the European HR-NBL1/SIOPEN study. J. Clin. Oncol. 28, 3516–3524 (2010).

    Article  CAS  Google Scholar 

  4. Pearson, A. D. et al. High-dose rapid and standard induction chemotherapy for patients aged over 1 year with stage 4 neuroblastoma: a randomised trial. Lancet Oncol. 9, 247–256 (2008).

    Article  CAS  Google Scholar 

  5. Hansford, L. M. et al. Mechanisms of embryonal tumor initiation: distinct roles for MycN expression and MYCN amplification. Proc. Natl Acad. Sci. USA 101, 12664–12669 (2004).

    Article  CAS  Google Scholar 

  6. Song, L. et al. Valpha24-invariant NKT cells mediate antitumor activity via killing of tumor-associated macrophages. J. Clin. Invest. 119, 1524–1536 (2009).

    Article  CAS  Google Scholar 

  7. Kim, E. & Shohet, J. Targeted molecular therapy for neuroblastoma: the ARF/MDM2/p53 axis. J. Natl Cancer Inst. 101, 1527–1529 (2009).

    Article  CAS  Google Scholar 

  8. Kushner, B. H. et al. Reduction from seven to five cycles of intensive induction chemotherapy in children with high-risk neuroblastoma. J. Clin. Oncol. 22, 4888–4892 (2004).

    Article  CAS  Google Scholar 

  9. Valteau-Couanet, D. et al. Results of induction chemotherapy in children older than 1 year with stage 4 neuroblastoma treated with the NB 97 French Society of Pediatric Oncology (SFOP) Protocol. J. Clin. Oncol. 23, 532–540 (2005).

    Article  CAS  Google Scholar 

  10. Matthay, K. K. et al. Treatment of high-risk neuroblastoma with intensive chemotherapy, radiotherapy, autologous bone marrow transplantation, and 13-cis-retinoic acid. Children's Cancer Group. N. Engl. J. Med. 341, 1165–1173 (1999).

    Article  CAS  Google Scholar 

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Correspondence to Jason M. Shohet.

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Russell, H., Shohet, J. G-CSF counteracts chemotherapy toxicity in neuroblastoma. Nat Rev Clin Oncol 8, 6–8 (2011). https://doi.org/10.1038/nrclinonc.2010.195

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