Comparative Clinical Pathology

, Volume 13, Issue 2, pp 70–81 | Cite as

Haemotoxicity of chlorambucil in the Wistar Hanover rat with particular reference to bone marrow culture, marrow cell apoptosis and levels of FLT3 ligand

  • G. Molyneux
  • S. Rizzo
  • F. M. Gibson
  • S. Sulsh
  • C. M. Andrews
  • A. M. Pilling
  • T. Nakshbandi
  • E. C. Gordon-Smith
  • J. A. Turton
Original Article

Abstract

We have recently developed a new model of drug-induced chronic bone marrow aplasia (CBMA) in the mouse, which shows features of aplastic anaemia (AA) in humans. Using a regimen of repeated doses of busulphan (BU) we induced late-stage (i.e. chronic) bone marrow depression. There are reports that indicate that other antineoplastic agents [e.g. chlorambucil (CHB), mitomycin, melphalan] may also cause CBMA in the mouse. Wishing to develop a model of CBMA in the rat, we investigated the potential of CHB to induce this change. Female Wistar Hanover (Wistar Han) rats were dosed with CHB (6.3 mg/kg intraperitoneally) on six occasions over 18 days. Animals (n=6–8) were killed and sampled on nine occasions (at 1, 3, 9, 16, 24, 38, 45, 59 and 65 days) after the final CHB dose. A full blood count was performed, and serum was prepared for FLT3 analysis; marrow smears were produced, and the spleen and sternum were placed in histological fixative; femoral marrow suspensions were prepared for assessment of the nucleated cell count [femoral nucleated cell count (FNCC)], levels of apoptosis, and the clonogenic potential of the marrow [colony forming unit cells (CFU-Cs)]. Our results showed that at days 1 and 3 post-dosing, in general, red blood cells (RBCs), lymphocytes and FNCC were significantly reduced in CHB-treated animals; reticulocytes were increased, and platelets and neutrophils were unaffected. At 9 days, parameters in CHB rats were returning to normal, but lymphocytes were still decreased. At 16 and 24 days, many blood parameters were normal, except for reduced lymphocyte counts; this pattern generally remained until the end of the study (day 65). Levels of apoptosis in marrow cells of CHB-treated rats were increased immediately post-dosing, and this elevation persisted until day 16; thereafter, levels were generally normal. Serum FLT3 ligand (FL) levels showed some evidence of increases in CHB rats after dosing. CFU-Cs/femur were significantly reduced in CHB animals after dosing, returning to normal values at day 24. In general, marrow smears showed reductions in the myeloid, erythroid and lymphoid lineages of CHB animals at days 1, 3 and 9, returning to normal at 16 and 24 days. Histology of the spleen showed severe depletion of the white pulp immediately post-dosing in CHB-treated animals. Therefore, it is concluded from these findings that CHB does not induce late-stage (i.e. chronic) bone marrow aplasia in the female Wistar Han rat.

Keywords

Apoptosis CFU-C Chlorambucil FL Haemotoxicity Rat 

Notes

Acknowledgements

We wish to acknowledge with thanks the assistance of the technical staff at the School of Pharmacy for their husbandry of the animals. We also gratefully acknowledge Janssen-Cilag Ltd., Novartis Pharma Ltd. and Amgen UK Ltd. for their kind donation of human cytokines. The Aplastic Anaemia Trust (GM, SR), The Leukaemia Research Fund (FMG), The School of Pharmacy (GM), and BIBRA (SS) supported this work.

References

  1. Alexander P, Connell DI (1960) Shortening of the life span of mice by irradiation with X-rays and treatment with radiomimetic chemicals. Radiat Res 12:38–48PubMedGoogle Scholar
  2. Alter BP, Potter NU, Li FP (1978) Classification and aetiology of the aplastic anaemias. Clin Haematol 7:431–465PubMedGoogle Scholar
  3. Andrews CM (2000) Studies on the haemotoxicity of busulphan and chloramphenicol in the B6C3F1 mouse. PhD Thesis, University of LondonGoogle Scholar
  4. Andrews CM, Spurling NW, Turton JA (1993) Characterisation of busulphan-induced myelotoxicity in B6C3F1 mice using flow cytometry. Comp Haematol Int 3:102–115Google Scholar
  5. Andews CM, Williams TC, Turton JA (1998) Long-term haematological alterations in female B6C3F1 mice treated with busulphan. Comp Haematol Int 8:125–136Google Scholar
  6. Ball SE, Gibson FM, Rizzo S, et al (1998) Progressive telomere shortening in aplastic anaemia. Blood 91:3582–3592PubMedGoogle Scholar
  7. BNF (1999) Malignant disease and immunosuppression; cytotoxic drugs, alkylating agents. In: British National Formulary, British Medical Association, London, pp 374–378Google Scholar
  8. Dollery C (1999) Therapeutic drugs, chlorambucil. Churchill Livingstone, Edinburgh, pp C166–C168Google Scholar
  9. Dunn CDR, Elson LA (1970) The comparative effect of busulphan (‘Myleran’) and aminochlorambucil on haemopoietic colony forming units in the rat. Cell Tissue Kinet 3:131–141PubMedGoogle Scholar
  10. Elson LA (1955) A comparison of the effects of radiation and radiomimetic chemicals on the blood. Br J Haematol 1:104–116PubMedGoogle Scholar
  11. Elson LA, Galton DAG, Till N (1958) The action of chlorambucil (CB. 1348) and busulphan (Myleran) on the haemopoietic organs of the rat. Br J Haematol 4:355–375PubMedGoogle Scholar
  12. Gale RJ, Morley AA (1980) The mononuclear phagocyte system in experimental chronic marrow failure. Exp Hematol 8:16–24PubMedGoogle Scholar
  13. Gibson FM, Gordon-Smith EC (1990) Long term culture of aplastic anaemia bone marrow. Br J Haematol. 75:421–427PubMedGoogle Scholar
  14. Gibson FM, Andrews CM, Diamanti P, et al (2003) A new mouse model of busulphan-induced chronic bone marrow aplasia in the female BALB/c mouse. Int J Exp Pathol 84:31–47PubMedGoogle Scholar
  15. Haak HL (1980) Experimental drug-induced aplastic anaemia. Clin Haematol 9:621–639PubMedGoogle Scholar
  16. Heimpel H (2000) Epidemiology and etiology of aplastic anaemia. In: Schrezenmeier H, Bacigalupo A (eds) Aplastic anaemia; pathophysiology and treatment. Cambridge University Press, Cambridge, pp 97–116Google Scholar
  17. Heimpel H, Heit W (1980) Drug-induced aplastic anaemia: clinical aspects. In: Gordon-Smith EC (ed) Clinics in haematology; haematological effects of drug therapy, vol 9, no 3. Saunders, London, pp 641–662Google Scholar
  18. Home Office (1989) Code of practice for the housing and care of animals used in scientific procedures. Her Majesty’s Stationary Office, LondonGoogle Scholar
  19. Jandl H (1996) Blood; textbook of haematology. Little, Brown, BostonGoogle Scholar
  20. Lucas T, Krugluger W, Samorapoompichit P, et al (1999) Self-renewal, maturation and differentiation of the rat myelomonocyte haemopoietic stem cell. FASEB J 13:263–272PubMedGoogle Scholar
  21. Maciejewski JP, Selleri C, Sato T, et al (1996) A severe and consistent deficit in marrow and circulating primitive haemopoietic cells (long-term culture-initiating cells) in acquired aplastic anaemia. Blood 88:1983–1991PubMedGoogle Scholar
  22. Marsh JCW, Chang H, Testa NG, et al (1990) The haemopoietic defect in aplastic anaemia assessed by long term marrow culture. Blood 76:1748–1757PubMedGoogle Scholar
  23. Medicines compendium (2002) Leukeran, Datapharm, London, pp 1109–1112Google Scholar
  24. Miller JL, Blackett NMJ, Hudspith BN (1978) Enhanced post-irradiation recovery of the haemopoietic system in animals pretreated with a variety of cytotoxic agents. Cell Tissue Kinet 11:543–553PubMedGoogle Scholar
  25. Molyneux G, Gibson F, Rizzo S, et al (2002) Studies on the haemotoxicty of chlorambucil in the rat with particular reference to bone marrow culture, marrow cell apoptosis and levels of the cytokine FLT-3. Comp Clin Pathol 11:190Google Scholar
  26. Morley A (1980) Residual damage from cytotoxic drugs. Aust N Z J Med 10:569–571PubMedGoogle Scholar
  27. Morley A, Blake J (1974a) An animal model of chronic hypoplastic marrow failure. I. Late marrow failure after busulphan. Blood 44:49–56PubMedGoogle Scholar
  28. Morley A, Blake J (1974b) Hemopoietic precursor cells in experimental hypoplastic marrow failure. Aust J Exp Biol Med Sci 52:909–914PubMedGoogle Scholar
  29. Morley A, Trainor K, Blake J (1975) A primary stem cell lesion in experimental chronic hypoplastic marrow failure. Blood 45:681–688PubMedGoogle Scholar
  30. Novitsky N, Jacobs P (1991) Marrow stem cell and stromal cell function in aplastic anaemia. Br J Haematol 79:531–533PubMedGoogle Scholar
  31. Philpott NJ, Turner AJV, Scopes J, et al (1995) The use of 7-amino-actinomycin D in identifying apoptosis: simplicity of use and broad spectrum of application compared to other techniques. Blood 87:2244–2251Google Scholar
  32. Philpott NJ, Scopes J, Marsh JCW, et al (1996) Increased apoptosis in aplastic anaemia progenitor cells: possible pathophysiological significance. Exp Hematol 23:642–648Google Scholar
  33. Podesta M, Piaggio G, Frassoni F, et al (1998) The assessment of the haemopoietic reservoir after immunosuppressive therapy or bone marrow transplant in severe aplastic anaemia. Blood 91:1959–1965PubMedGoogle Scholar
  34. Pugsley CAJ, Forbes IJ, Morley AA (1978) Immunologic abnormalities in an animal model of chronic hypoplastic marrow failure induced by busulphan. Blood 51:601–610PubMedGoogle Scholar
  35. Reynolds JEF (1989) Martindale: the extra pharmacopoeia, 29th edn. Pharmaceutical Press, London, pp 606–607Google Scholar
  36. Rudd P, Fries JF, Epstein WV (1975) Irreversible bone marrow failure with chlorambucil. J Rheumatol 2:421–429PubMedGoogle Scholar
  37. Sweetman SC (2002) Martindale: the complete drug reference, 33rd edn. Pharmaceutical Press, London, pp 516–517Google Scholar
  38. Trainor KJ, Morley AA (1976) Screening of cytotoxic drugs for residual bone marrow damage. J Natl Cancer Inst 57:1237–1239PubMedGoogle Scholar
  39. Trainor KJ, Seshadri RS, Morley AA (1979) Residual marrow injury following cytotoxic drugs. Leukaemia Res 3:205–210CrossRefGoogle Scholar
  40. Trainor KJ, Morley AA, Seshadri RS (1980) A proliferative defect of marrow cells in experimental chronic hypoplastic marrow failure (aplastic anaemia). Exp Hematol 8:674–682PubMedGoogle Scholar
  41. Turton JA, Andrews CM, Havard AC, et al (2002) Haemotoxicity of thiamphenicol in the BALB/c mouse and Wistar Hanover rat. Food Chem Toxicol 40:1849–1861CrossRefPubMedGoogle Scholar
  42. Van Os R, Robinson S, Sheridan T, et al (1998) Granulocyte colony-stimulating factor enhances bone marrow stem cell damage caused by repeated administration of cytotoxic agents. Blood 92:1950–1956PubMedGoogle Scholar
  43. Verschoyle RD, Carthew P, Holley JL, et al (1994) The comparative toxicity of chlorambucil and chlorambucil-spermidine conjugate to BALB/c mice. Cancer Lett 85:217–222CrossRefPubMedGoogle Scholar
  44. Vincent PC (1984) In vitro evidence of drug action in aplastic anaemia. Blut 49:3–12PubMedGoogle Scholar
  45. Wodnar-Filipowicz A, Lynam SD, Gratwohl A, et al (1996) Flt3 ligand level reflects hemopoietic progenitor cell function in aplastic anaemia and chemotherapy-induced bone marrow aplasia. Blood 88:4493–4499PubMedGoogle Scholar
  46. Young N, Alter BP (1994) Aplastic anaemia: acquired and inherited. Saunders, PhiladelphiaGoogle Scholar
  47. Young NS, Maciejewski JP (2000) Aplastic anaemia. In: Hoffman R, Benz EJ, Shattil SJ, et al (eds) Haematology; basic principles and practice, 3rd edn. Churchill Livingstone, New York, pp 297–331Google Scholar

Copyright information

© Springer-Verlag London Limited 2004

Authors and Affiliations

  • G. Molyneux
    • 1
    • 5
  • S. Rizzo
    • 1
    • 6
  • F. M. Gibson
    • 1
  • S. Sulsh
    • 2
    • 7
  • C. M. Andrews
    • 3
  • A. M. Pilling
    • 4
    • 8
  • T. Nakshbandi
    • 5
  • E. C. Gordon-Smith
    • 1
  • J. A. Turton
    • 5
  1. 1.Department of HaematologySt George’s Hospital Medical SchoolLondonUK
  2. 2.BIBRA International Ltd.CarshaltonUK
  3. 3.Axiom Veterinary Laboratories Ltd.TeignmouthUK
  4. 4.GSK Research and DevelopmentWareUK
  5. 5.Centre for Toxicology, Department of Pharmacology, The School of PharmacyUniversity of LondonLondonUK
  6. 6.Prostate Stem Cell LaboratoryInstitute of Cancer ResearchSuttonUK
  7. 7.Microscience Ltd.WokinghamUK
  8. 8.Pathology DepartmentHuntingdon Life SciencesHuntingdonUK

Personalised recommendations