The erythropoietic effect of 5β-pregnane-3β-hydroxy-20-one, a naturally occurring steroid metabolite of progesterone, was evaluated in the squirrel monkey by ferrokinetic studies. red cell survival, and blood volume measurements. The intramuscular administration of this steroid in pharmacologic doses shortened the 59Fe plasma clearance and increased the plasma iron turnover, thereby indicating an increase in erythropoiesis. A normal 59Fe red cell uptake was observed, and the bone marrow maturation time was not altered. Red cell survival was the same in the treated and control groups. After five weekly injections of the steroid, the monkeys increased their red cell mass by 57%. A significant increase in white blood cells and a slight elevation of platelet counts in the treated monkeys also suggest a possible direct stimulation of hemopoietic stem cells by the steroid metabolite.
Emmanuel C. Besa, Dov Gorshein, William A. Hait, Frank H. Gardner
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