Bakken A M, Bruserud O, Abrahamsen J F
The Blood Bank, Haukeland University Hospital, Bergen, Norway.
J Hematother Stem Cell Res. 2003 Jun;12(3):351-8. doi: 10.1089/152581603322023089.
High-dose chemotherapy with autologous stem cell rescue usually requires cryopreservation of the cells. For several years, 10% dimethyl sulfoxide (DMSO) has been used as the standard cryoprotectant. Because DMSO infusion can lead to toxic clinical complications in a dose-related manner, we wanted to evaluate if reduction to 5% DMSO would be possible. We have compared colony formation in the myeloid, erythropoietic, and megakaryocyte lineages in peripheral blood progenitor cell (PBPC) samples cryopreserved in parallel with 5% and 10% DMSO. Twenty-seven PBPC samples from patients with malignant diseases were investigated after 3 months of cryopreservation in liquid N(2), and samples from 14 of these patients were investigated after 1 year. A significantly higher colony formation was demonstrated for colony-forming units-erythrocyte (CFU-E) and CFU-granulocyte, erythrocyte, macrophage, megakaryocyte (GEMM) both at 3 months and at 1 year in the 5% samples. For CFU-granulocyte-macrophage (GM) and CFU-megakaryocyte (Mk) no significant difference was demonstrated neither at 3 months nor at 1 year in samples frozen with 5% and 10% DMSO. Also, there was a statistically significant correlation between the CFU-total and CFU-Mk-total, indicating that the CFU-total might be used as an evaluation of megakaryocyte progenitors. Viability testing with the Trypan Blue exclusion test showed that cells cryopreserved in 5% DMSO had significantly higher viability than the cells cryopreserved in 10% DMSO. We conclude that 5% DMSO is at least as good for cryopreservation of small-volume PBPC samples as the conventional 10% DMSO, and our results suggest that the possibility of using 5% DMSO for cryopreservation of autologous PBPC grafts should be further investigated in clinical studies.
高剂量化疗联合自体干细胞救援通常需要对细胞进行冷冻保存。多年来,10%二甲基亚砜(DMSO)一直被用作标准冷冻保护剂。由于DMSO输注会以剂量相关的方式导致毒性临床并发症,我们想评估是否有可能将DMSO浓度降至5%。我们比较了分别用5%和10% DMSO并行冷冻保存的外周血祖细胞(PBPC)样本在髓系、红系和巨核细胞系中的集落形成情况。27例恶性疾病患者的PBPC样本在液氮中冷冻保存3个月后进行研究,其中14例患者的样本在1年后进行研究。在5%样本中,无论是在3个月还是1年时,红细胞集落形成单位(CFU-E)以及粒细胞、红细胞、巨噬细胞、巨核细胞集落形成单位(GEMM)的集落形成均显著更高。对于粒细胞-巨噬细胞集落形成单位(GM)和巨核细胞集落形成单位(Mk),在3个月和1年时,用5%和10% DMSO冷冻保存的样本之间均未显示出显著差异。此外,CFU总数与CFU-Mk总数之间存在统计学显著相关性,表明CFU总数可用于评估巨核细胞祖细胞。台盼蓝排斥试验的活力测试表明,用5% DMSO冷冻保存的细胞活力显著高于用10% DMSO冷冻保存的细胞。我们得出结论,5% DMSO至少与传统的10% DMSO一样适用于小体积PBPC样本的冷冻保存,并且我们的结果表明,在临床研究中应进一步研究使用5% DMSO冷冻保存自体PBPC移植物的可能性。