GM-CSF also has some effects on mature cells of the immune system. These include, for example, enhancing neutrophil migration and causing an alteration of the receptors expressed on the cells surface.[7]
GM-CSF signals via signal transducer and activator of transcription,STAT5.[8] In macrophages, it has also been shown to signal viaSTAT3. The cytokine activates macrophages to inhibit fungal survival. It induces deprivation in intracellular free zinc and increases production ofreactive oxygen species that culminate in fungal zinc starvation and toxicity.[9] Thus, GM-CSF facilitates development of the immune system and promotes defense against infections.[citation needed]
GM-CSF also plays a role in embryonic development by functioning as anembryokine produced by reproductive tract.[10]
The human gene has been localized in close proximity to theinterleukin 3 gene within aT helper type 2-associated cytokine gene cluster at chromosome region 5q31, which is known to be associated with interstitial deletions in the5q- syndrome andacute myelogenous leukemia. GM-CSF and IL-3 are separated by an insulator element and thus independently regulated.[11] Other genes in the cluster include those encodinginterleukins 4,5, and13.[12]
GM-CSF was first cloned in 1985, and soon afterwards three potential drug products were being made usingrecombinant DNA technology:molgramostim was made inEscherichia coli and is not glycosylated,sargramostim was made in yeast, has a leucine instead of proline at position 23 and is somewhat glycosylated, andregramostim was made in Chinese hamster ovary cells (CHO) and has more glycosylation than sargramostim. The amount of glycosylation affects how the body interacts with the drug and how the drug interacts with the body.[13]
Molgramostim was eventually co-developed and co-marketed by Novartis and Schering-Plough under the trade name Leucomax for use in helping white blood cell levels recover following chemotherapy, and in 2002 Novartis sold its rights to Schering-Plough.[17][18]
Sargramostim was approved by the US FDA in 1991 to accelerate white blood cell recovery following autologousbone marrow transplantation under the trade name Leukine, and passed through several hands, ending up withGenzyme,[19] which was subsequently acquired bySanofi. Leukine is now owned by Partner Therapeutics (PTx).
Imlygic was approved by the US FDA in October 2015,[20] and in December 2015 by the EMA, as an oncolytic virotherapy, commercialized by Amgen Inc. Thisoncolytic herpes virus, namedTalimogene laherparepvec, has been genetically engineered to express human GM-CSF using the tumor cells machinery.[21]
GM-CSF is found in high levels in joints withrheumatoid arthritis and blocking GM-CSF as abiological target may reduce the inflammation or damage. Some drugs (e.g.otilimab) are being developed toblock GM-CSF.[22] In critically ill patients GM-CSF has been trialled as a therapy for the immunosuppression of critical illness, and has shown promise restoringmonocyte[23] andneutrophil[24] function, although the impact on patient outcomes is currently unclear and awaits larger studies.
^Francisco-Cruz A, Aguilar-Santelises M, Ramos-Espinosa O, Mata-Espinosa D, Marquina-Castillo B, Barrios-Payan J, Hernandez-Pando R (January 2014). "Granulocyte-macrophage colony-stimulating factor: not just another haematopoietic growth factor".Medical Oncology.31 (1): 774.doi:10.1007/s12032-013-0774-6.PMID24264600.S2CID24452892.
^Hansen PJ, Dobbs KB, Denicol AC (September 2014). "Programming of the preimplantation embryo by the embryokine colony stimulating factor 2".Animal Reproduction Science.149 (1–2):59–66.doi:10.1016/j.anireprosci.2014.05.017.PMID24954585.
^Hussein AM, Ross M, Vredenburgh J, Meisenberg B, Hars V, Gilbert C, et al. (November 1995). "Effects of granulocyte-macrophage colony stimulating factor produced in Chinese hamster ovary cells (regramostim), Escherichia coli (molgramostim) and yeast (sargramostim) on priming peripheral blood progenitor cells for use with autologous bone marrow after high-dose chemotherapy".European Journal of Haematology.55 (5):348–56.doi:10.1111/j.1600-0609.1995.tb00713.x.PMID7493686.S2CID25424116.
^Deiß A, Brecht I, Haarmann A, Buttmann M (March 2013). "Treating multiple sclerosis with monoclonal antibodies: a 2013 update".Expert Review of Neurotherapeutics.13 (3):313–35.doi:10.1586/ern.13.17.PMID23448220.S2CID169334.
^Meisel C, Schefold JC, Pschowski R, Baumann T, Hetzger K, Gregor J, et al. (October 2009). "Granulocyte-macrophage colony-stimulating factor to reverse sepsis-associated immunosuppression: a double-blind, randomized, placebo-controlled multicenter trial".American Journal of Respiratory and Critical Care Medicine.180 (7):640–8.doi:10.1164/rccm.200903-0363OC.PMID19590022.
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