Induction of blood-circulating bile acids supports recovery from myelosuppressive chemotherapy
(2020) In Blood Advances 4(9). p.1833-1843- Abstract
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... (More)
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.
(Less)
- author
- organization
- publishing date
- 2020-05-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Blood Advances
- volume
- 4
- issue
- 9
- pages
- 11 pages
- publisher
- American Society of Hematology
- external identifiers
-
- pmid:32365188
- scopus:85085499879
- ISSN
- 2473-9529
- DOI
- 10.1182/bloodadvances.2019000133
- language
- English
- LU publication?
- yes
- id
- 18d21864-9a0b-46d2-a41d-645fae07a510
- date added to LUP
- 2020-06-16 16:39:27
- date last changed
- 2024-10-17 05:45:49
@article{18d21864-9a0b-46d2-a41d-645fae07a510, abstract = {{<p>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.</p>}}, author = {{Sigurdsson, Valgardur and Haga, Youichi and Takei, Hajime and Mansell, Els and Okamatsu-Haga, Chizuko and Suzuki, Mitsuyoshi and Radulovic, Visnja and van der Garde, Mark and Koide, Shuhei and Soboleva, Svetlana and Gåfvels, Mats and Nittono, Hiroshi and Ohara, Akira and Miharada, Kenichi}}, issn = {{2473-9529}}, language = {{eng}}, month = {{05}}, number = {{9}}, pages = {{1833--1843}}, publisher = {{American Society of Hematology}}, series = {{Blood Advances}}, title = {{Induction of blood-circulating bile acids supports recovery from myelosuppressive chemotherapy}}, url = {{http://dx.doi.org/10.1182/bloodadvances.2019000133}}, doi = {{10.1182/bloodadvances.2019000133}}, volume = {{4}}, year = {{2020}}, }