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Recombinant human granulocyte colony-stimulating factor (rhG-CSF) is a synthetic version of the endogenous cytokine G-CSF, produced using recombinant DNA technology (typically in *E. coli* or mammalian cell systems). It acts as an agonist of the granulocyte colony-stimulating factor receptor (CSF3R), stimulating the survival, proliferation, differentiation, and function of neutrophil precursors and mature neutrophils in the bone marrow. It also promotes the release of mature neutrophils and hematopoietic stem cells from the bone marrow into the peripheral blood. Clinically, rhG-CSF (such as filgrastim or lenograstim) is widely used to prevent and treat chemotherapy-induced neutropenia, reduce the risk of infection in patients with non-myeloid malignancies, and mobilize autologous or allogeneic peripheral blood progenitor cells for hematopoietic stem cell transplantation.
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