1993
DOI: 10.1111/j.1365-2796.1993.tb00985.x
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Modulation of the haematopoietic toxicity associated with zidovudine in vivo with lithium carbonate

Abstract: The drug zidovudine (AZT), a synthetic thymidine analogue, has been used in the treatment of acquired immunodeficiency syndrome (AIDS). Clinical use of zidovudine has induced haematopoietic toxicity manifested by anaemia, neutropenia, and overall bone marrow suppression. The monovalent cation lithium has been shown to be an effective agent capable of modulating several aspects of haematopoiesis such as the induction of neutrophilia, thrombopoiesis, and protection against suppression of hematopoietic progenitor… Show more

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Cited by 17 publications
(3 citation statements)
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“…e results are in agreement with previous findings showing the selective cytotoxic effect of lithium on cancerous cells while sparing their noncancerous counterparts [24,[38][39][40]. Moreover, this work supports the reliable safe use of lithium in clinical health and its hematopoietic role [41,42]. Unlike other reports from studies that used neuronal cells and neuronal macrophages, Figure 11: Effects of GSK3β inhibitors (lithium and SB216763) as mechanism of inflammation inhibition.…”
supporting
confidence: 91%
“…e results are in agreement with previous findings showing the selective cytotoxic effect of lithium on cancerous cells while sparing their noncancerous counterparts [24,[38][39][40]. Moreover, this work supports the reliable safe use of lithium in clinical health and its hematopoietic role [41,42]. Unlike other reports from studies that used neuronal cells and neuronal macrophages, Figure 11: Effects of GSK3β inhibitors (lithium and SB216763) as mechanism of inflammation inhibition.…”
supporting
confidence: 91%
“…Overt toxicity develops when the spleen is unable to provide progenitors in response to continued zidovudine exposure in vivo [69]. In zidovudine-treated mice, lithium carbonate [70] and lithium chloride [71] reversed zidovudine toxicity, as measured by increases in peripheral WBC, platelets, and CFU-GM and CFU-Meg hematopoietic progenitors. This effect was optimal at a concentration of 1 mM (PϽ0.05); however, lithium was insufficient in reversing the reduction of erythropoiesis associated with zidovudine use in vivo [72,73].…”
Section: Infectious Neutropeniamentioning
confidence: 99%
“…Lithium has been shown to be an effective agent capable of modulating several aspects of hematopoiesis and protection against suppression of hematopoietic progenitor cells following exposure to radiation at doses commonly used in the treatment of malignant disease [13,14]. It remains unclear how LiCl, by improving the blood circulation and reducing the radiation-induced immunodeficiency [15], protects the germinal cells as evidenced from the present results.…”
Section: Resultsmentioning
confidence: 50%