Review Article

Balancing Innate Immunity and Inflammatory State via Modulation of Neutrophil Function: A Novel Strategy to Fight Sepsis

Table 1

Clinical studies investigating effect of G-CSF treatment on infectious disease.

StudyDesignTreatment groupsDiseaseG-CSF treatment scheduleConclusionEffect of G-CSF

Garg et al., 2012 [10]Effect of G-CSF on survival rate in patients with liver failurePlacebo
G-CSF
Acute-on-chronic liver disease5 μg/kgG-CSF decreased risk of sepsis significantlyPositive

Stephens et al. [26]Effect of G-CSF on patients with septic shockPlacebo
G-CSF
Septic shock263 μg/day, 3 daysG-CSF did not improve outcome in patients with septic shockIndifferent

Cheng et al., 2007 [25]Effect of G-CSF on severe septic patients with melioidosis infectionPlacebo
G-CSF
Melioidosis263 μg/day, 3 daysG-CSF was associated with a longer duration of survival but was not associated with a higher survival rateIndifferent

Hartmann et al., 2005 [24]Effect of G-CSF on pneumonia patientsPlacebo
G-CSF
Nosocomial pneumonia300–480 μg/day for 7 daysG-CSF decreased risk of sepsis but did reach significanceIndifferent

Hartung et al., 2003 [55]Perioperative treatment of G-CSF before abdominal surgeryPlacebo
G-CSF
Mixture, operation5 μg/kg for 3 times or continuous administration of 5 μg/kg for 5 days after an initial bolus of 5 μg/kgG-CSF decreased the postoperative infectionPositive

Root et al., 2003 [23]Effect of G-CSF on pneumonia and sepsis patientsPlacebo
G-CSF
Pneumonia and severe sepsis300 μg/day for 5 daysG-CSF was not efficacious in reducing mortality and complications from infectionIndifferent

Tanaka et al., 2001 [56]Lung injury was investigated after G-CSF treatmentPlacebo
G-CSF
Sepsis2 μg/kg for 5 daysG-CSF attenuated inflammatory responsePositive

Ishikawa et al., 2000 [8]G-CSF with relative neutropenia septic patientsAbsolute neutrophil count: high, moderate, and lowMixture2 μg/kg for 5 daysG-CSF was effective in septic patient with a percentage of immature neutrophils, but less effect with high percentage of immature neutrophils and bone marrow was depressed.Positive

Nelson et al., 1998 [22]Effect of G-CSF on pneumonia patientsPlacebo
G-CSF
Community-acquired pneumonia300 μg/day for 10 daysG-CSF did increase neutrophil levels but did not affect the mortality of patient with pneumoniaIndifferent