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影响接受重组粒细胞集落刺激因子(G-CSF)治疗的健康供体中CD34(+)细胞动员的预测因素。

Predictive factors that affect the mobilization of CD34(+) cells in healthy donors treated with recombinant granulocyte colony-stimulating factor (G-CSF).

作者信息

Martino Massimo, Callea Ida, Condemi Antonia, Dattola Antonella, Irrera Giuseppe, Marcuccio Daniela, Messina Giuseppe, Pontari Antonella, Pucci Giulia, Console Giuseppe, Lacopino Pasquale

机构信息

Bone Marrow Transplant Unit, Azienda Ospedaliera "Bianchi-Melacrino-Morelli," Reggio Calabria, Italy.

出版信息

J Clin Apher. 2006 Oct;21(3):169-75. doi: 10.1002/jca.20082.

Abstract

No specific characteristics have been identified as predictors of peripheral blood stem cells (PBSC) mobilization in healthy donors. In this study, clinical characteristics and laboratory data for 122 healthy donors who underwent apheresis on day 5 of treatment with recombinant granulocyte colony-stimulating factor (G-CSF) were retrospectively analyzed for correlations with CD34(+) cell mobilization. The variables that were analyzed included age, sex, body weight, basal complete blood count, and maximum white blood count (WBC) before apheresis, G-CSF type, and dosage. Median age and body weight were 42.5 years (range 16-65) and 72.5 kg (range 47-121), respectively. By univariate analysis, male sex (P = 0.007), body weight (< or = 70 vs. >70 kg, P = 0.04), and donor's age (< or = 50 vs. > 50 years; P = 0.015) were correlated with the number of CD34(+) cells mobilized. By multivariate analysis, donor's age and male sex were the only two variables that significantly predicted a high CD34(+) cell level. In conclusion, our data suggest that male sex and younger age are the only factors that significantly affect CD34(+) mobilization in healthy donors.

摘要

尚未确定有特定特征可作为健康供体中动员外周血干细胞(PBSC)的预测指标。在本研究中,对122名在接受重组粒细胞集落刺激因子(G-CSF)治疗第5天进行单采的健康供体的临床特征和实验室数据进行回顾性分析,以探讨其与CD34(+)细胞动员的相关性。分析的变量包括年龄、性别、体重、基础全血细胞计数、单采前的最高白细胞计数(WBC)、G-CSF类型和剂量。中位年龄和体重分别为42.5岁(范围16 - 65岁)和72.5千克(范围47 - 121千克)。单因素分析显示,男性(P = 0.007)、体重(≤70千克与>70千克,P = 0.04)以及供体年龄(≤50岁与>50岁;P = 0.015)与动员的CD34(+)细胞数量相关。多因素分析表明,供体年龄和男性是仅有的两个显著预测高CD34(+)细胞水平的变量。总之,我们的数据表明,男性和较年轻的年龄是仅有的显著影响健康供体中CD34(+)细胞动员的因素。

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