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逆流离心淘析后G-CSF动员的外周血和稳态骨髓中祖细胞分布的比较。

Comparison of the distribution of progenitor cells in G-CSF-mobilized peripheral blood and steady-state bone marrow after counterflow centrifugal elutriation.

作者信息

Chang Q, Harvey K, Akard L, Thompson J, Hanks S, Dugan M, Jansen J

机构信息

Indiana Blood and Marrow Transplantation and Bone Marrow Transplantation Program, Methodist Hospital of Indiana, Indianapolis 46202, USA.

出版信息

Biol Blood Marrow Transplant. 1999;5(5):328-35. doi: 10.1016/s1083-8791(99)70009-1.

Abstract

Blood-derived progenitor cells obtained following mobilization with granulocyte colony-stimulating factor (MoPBSC) are increasingly being used as an alternative to bone marrow (BM) in allogeneic stem cell transplantation. The higher numbers of mature T lymphocytes in MoPBSC grafts may increase the risk of (chronic) graft-vs.-host disease. Counterflow centrifugal elutriation (CCE) is an effective method for T-cell depletion of BM grafts. The elutriation characteristics of steady-state BM and MoPBSC were compared using a CCE procedure in which fractions were obtained after small incremental increases in flow rate with constant centrifugal force. Counterflow centrifugal elutriation experiments with MoPBSC from six healthy volunteers showed that 54% of all cells collected were recovered in the < or = 15 mL/minute fractions, whereas experiments with mononuclear BM cells from five healthy volunteers resulted in recovery of 52% of collected cells from the > or = 19 mL/minute fractions. The peak concentrations of CD34+ cells were found in the same fraction (18 mL/minute), but more CD34+ cells from MoPBSC were recovered from the small (< or = 16 mL/minute) fractions (54% for MoPBSC, 26% for BM; p = 0.08). The small CD34+ cells from BM were more frequently lacking CD38 and human leucocyte antigen-DR expression than the small CD34+ cells from MoPBSC. Mature T-cells (CD3+) in BM and MoPBSC samples had similar CCE features, as did early (long-term culture initiating cells, high-proliferative potential colony-forming cells) and more mature (colony-forming units granulocyte/macrophage, BFU-e) hematopoietic progenitor cells. The results of this study suggest that T-cell depletion by CCE of MoPBSC as compared to BM products, may lead to a greater loss of CD34+ cells, but not of immature hematopoietic progenitor cells.

摘要

在异基因干细胞移植中,用粒细胞集落刺激因子动员后获得的血液来源祖细胞(MoPBSC)越来越多地被用作骨髓(BM)的替代物。MoPBSC移植物中成熟T淋巴细胞数量较多,可能会增加(慢性)移植物抗宿主病的风险。逆流离心淘析(CCE)是一种有效去除BM移植物中T细胞的方法。使用CCE程序比较了稳态BM和MoPBSC的淘析特性,该程序是在离心力恒定的情况下,通过小幅度逐步增加流速来获得各组分。对6名健康志愿者的MoPBSC进行的逆流离心淘析实验表明,收集的所有细胞中有54%在流速≤15 mL/分钟的组分中回收,而对5名健康志愿者的单核BM细胞进行的实验结果是收集的细胞中有52%在流速≥19 mL/分钟的组分中回收。CD34+细胞的峰值浓度出现在相同的组分(18 mL/分钟)中,但从MoPBSC中回收的CD34+细胞更多来自较小(≤16 mL/分钟)的组分(MoPBSC为54%,BM为26%;p = 0.08)。与MoPBSC中的小CD34+细胞相比,BM中的小CD34+细胞更频繁地缺乏CD38和人类白细胞抗原-DR表达。BM和MoPBSC样本中的成熟T细胞(CD3+)具有相似的CCE特征,早期(长期培养起始细胞、高增殖潜能集落形成细胞)和更成熟的(粒细胞/巨噬细胞集落形成单位、爆式红系集落形成单位)造血祖细胞也是如此。这项研究的结果表明,与BM产品相比,通过CCE对MoPBSC进行T细胞去除可能会导致CD34+细胞损失更大,但不会导致未成熟造血祖细胞损失。

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