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Granulocyte colony-stimulating factor (G-CSF), also known as colony-stimulating factor 3 (CSF3), is an endogenous glycoprotein cytokine that regulates the production, differentiation, and mobilization of neutrophils in the bone marrow. Recombinant G-CSF analogs, such as filgrastim and lenograstim, as well as long-acting pegylated forms like pegfilgrastim, are widely used in clinical practice. G-CSF acts by binding to and activating the colony-stimulating factor 3 receptor (CSF3R), triggering downstream JAK/STAT, MAPK, and PI3K/Akt signaling pathways. Its primary therapeutic indications include the prevention and treatment of chemotherapy-induced neutropenia, treatment of severe chronic neutropenia, and mobilization of hematopoietic stem cells into the peripheral blood for autologous or allogeneic stem cell transplantation.
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