Morales V H, Milone J, Etchegoyen O, Bordone J, Uranga A
ITMO, Instituto de Trasplante de Medula Osea, Hospital Italiano, La Plata, Argentina.
Medicina (B Aires). 2001;61(6):843-8.
Transplantation of hematopoietic progenitor cells (HPC) from bone marrow and mobilized peripheral blood is a standard therapy in malignant and non malignant diseases. The lack of suitable donors is an important limitation. The discovery that umbilical cord blood (CB) contains high numbers of HPC that can be used as an alternative source for allogeneic stem cell transplantation led ITMO to establish BANCEL, the first Argentine and Latinoamerican experience of its kind. The blood remaining in the umbilical cord and in the placenta was requested from women who were in the last quarter of pregnancy. An informed consent together with a medical record focused on family disease was completed. Out of 65 donations, 55 (85%) were collected and 51 (78%) were cryopreserved. Mean collected volume was 110 ml with 68% (75 ml) reduction and mean cryopreservation of 35 ml; ABO and Rh blood group systems were determined, HLA, class I, A and B loci, and class II, DR locus were typed by molecular biology methods using PCR-SSOP. Infectious disease screening was carried out for brucellosis, syphilis, Chagas, hepatitis B and C, HIV I and II, HTLV I and II, toxoplasmosis and cytomegalovirus. Two positive units for hepatitis B (anticore) and two positive units for Chagas were discarded. The quantity of total nucleated cells (TNC), CD34+ cells and the clonogenic capacity were determined twice at the collection and after the procedures of volume reduction previous to cryopreservation. A 5% reduction in both TNC and CD34 cells and a 10% in the colony forming units (CFU) were detected. A good correlation coefficient between TNC and CFU was obtained.
来自骨髓和动员外周血的造血祖细胞(HPC)移植是恶性和非恶性疾病的标准治疗方法。缺乏合适的供体是一个重要的限制因素。发现脐带血(CB)含有大量可用于异基因干细胞移植的造血祖细胞后,ITMO建立了BANCEL,这是阿根廷和拉丁美洲首例此类经验。向处于妊娠最后三个月的妇女采集脐带和胎盘中剩余的血液。完成了知情同意书以及一份关注家族疾病的病历。在65份捐赠中,55份(85%)被采集,51份(78%)被冷冻保存。平均采集量为110毫升,减少了68%(75毫升),平均冷冻保存量为35毫升;确定了ABO和Rh血型系统,通过使用PCR-SSOP的分子生物学方法对HLA的I类A和B位点以及II类DR位点进行分型。对布鲁氏菌病、梅毒、恰加斯病、乙型和丙型肝炎、HIV I和II、HTLV I和II、弓形虫病和巨细胞病毒进行传染病筛查。两份乙型肝炎(核心抗体)阳性样本和两份恰加斯病阳性样本被丢弃。在采集时以及冷冻保存前的体积减少程序后,对总核细胞(TNC)、CD34+细胞的数量和克隆形成能力进行了两次测定。检测到TNC和CD34细胞均减少了5%,集落形成单位(CFU)减少了10%。TNC和CFU之间获得了良好的相关系数。