Cimetidine suppression of CFU‐C in males

Abstract
A presumed cimetidine-induced granulocytopenia in a 6-yr-old male with acute lymphocytic leukemia (AlL) prompted an investigation of the effects of cimetidine on in vitro bone marrow granulocyte colony growth (CFU-C) in normal individuals and ALL patients either on maintenance chemotherapy or off all therapy for at least 1 yr. The addition of cimetidine resulted in a significant reduction of colony numbers as compared to untreated controls beginning at 1 .times. 10-6 M (P< 0.05) and increasing in significance as the concentration of cimetidine increased. Analysis of sex differences showed that CFU-C derived from females were not adversely affected by the addition of cimetidine (except at levels far in excess of recommended dosages) whereas CFU-C in males declined significantly from controls beginning at 1 .times. 10-7 M (P < 0.05) and became of greater significance as the concentration of cimetidine increased. These findings were identical for both normal individuals and ALL patients either receiving maintenance chemotherapy or off all therapy.

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