Hematopoietic growth factor proteins and analogs thereof and angiotensin converting enzyme inhibitors for treatment of radiation exposure
Methods and compositions comprising hematopoietic growth factor proteins and/or protein analogs thereof and/or combinations thereof and angiotensin converting enzyme inhibitors to treat the acute and long term adverse effects of radiation exposure in subjects who have been or will be exposed to radiation are disclosed.
1. A method of improving 30-day survival from hematopoietic acute radiation syndrome (H-ARS) in a subject who has been exposed to radiation comprising administering to the subject a combination therapy comprising an effective dose of an angiotensin-converting enzyme inhibitor (ACEI) and an effective dose of at least one hematopoietic growth factor (HGF) or protein analog thereof or combinations thereof;
wherein the ACEI is selected from the group consisting of lisinopril, perindopril, captopril, enalapril, and ramipril; and
wherein the HGF or protein analog thereof is selected from the group consisting of:
peg-filgrastim;
a G-CSF analog comprising a methionine at the N-terminus of SEQ ID NO:1, an IL-11 analog comprising a cysteine residue added following the C-terminus of the protein having SEQ ID NO:3 or SEQ ID NO;7, wherein the P1 amino acid is deleted; and
wherein the survival obtained by treatment with the combination of at least one HGF or protein analog thereof and the ACEI is greater than the survival obtained by treatment with at least one HGF or protein analog thereof alone or treatment with the ACEI alone.
2. The method of claim 1 , wherein the subject has been exposed to a myelosuppressive dose amount of radiation.
3. The method of claim 1 , wherein the G-CSF analog or the IL-11 analog is modified with a polyethylene glycol (PEG).
4. The method of claim 1 , wherein the improved survival correlates with accelerated hematopoietic recovery in the subject.
5. The method of claim 1 , wherein the effective dose of the ACEI is administered concurrently with, prior to, or after administration of the effective dose of the at least one HGF or protein analog thereof or combinations thereof.
6. The method of claim 1 , wherein the effective dose of the at least one HGF or protein analog thereof is a single dose of 0.1 pg to 5 mg per kg of the subject.
7. The method of claim 1 , wherein the subject is administered one or more single doses of the at least one HGF or protein analog thereof or combinations thereof.
8. The method of claim 1 , wherein the subject is administered one or more doses of the at least one HGF or protein analog thereof or combination thereof beginning within about 24 hours following the subject's exposure to the radiation.
9. The method of claim 1 , wherein the effective dose of the ACEI is a dose of 1.3 to 50 mg/m 2 /day.
10. The method of claim 1 , wherein the subject is administered the ACEI daily beginning within about 7 days following the subject's exposure to the radiation.
11. The method of claim 1 , wherein the effective dose of the at least one HGF or protein analog thereof or combination thereof is administered to the subject beginning within about 24 hours following radiation exposure and the effective dose of the ACEI is administered to the subject beginning within about 7 days following radiation exposure.
12. The method of claim 1 , wherein the ACEI is lisinopril.