Hequet O
Centre de santé, banque de tissus et cellules, établissement français du sang (EFS), Pavillon I, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.
Transfus Clin Biol. 2011 Apr;18(2):230-4. doi: 10.1016/j.tracli.2011.01.003. Epub 2011 Mar 11.
The methods used to collect hematopoietic stem cells in their natural environment (bone marrow or cord blood) or in the peripheral blood after stimulation are well-defined and ruled both to ensure the donor security and perform a quality hematopoietic transplantation. Safety of the familial or non-familial donor must be ensured not only during the collection but also on a medium- or a long-term basis. The stem cells amount in a graft and its characterisation depend on the collection site of hematopoietic stem cells and on the technique used. The knowledge of conditions influencing these amounts allows optimising the hematopoietic stem cells collection while preventing conditions in which the donor safety could be decreased. The collection site also influences the collection of significant amounts of other blood cells. This knowledge conditions the preparation procedures of the graft in cell therapy units or the management of per- or post-transplantations complications in haematology units. Thus, hematopoietic transplantations concern not only hematological units but also the teams involved in various stages of donor selection, hematopoietic stem cells collection and graft preparation. In order to allow an appropriate care of both donor and recipient, a concomitant knowledge of all the stages involved in hematopoietic collection conditions, characterisation of collected cells, hematological diseases and conditioning must be brought to hematological, collection and cell therapy teams.
用于在自然环境(骨髓或脐带血)中或刺激后在外周血中采集造血干细胞的方法已明确界定并受到规范,以确保供体安全并进行高质量的造血移植。不仅在采集期间,而且在中长期都必须确保家族性或非家族性供体的安全。移植物中干细胞的数量及其特征取决于造血干细胞的采集部位和所使用的技术。了解影响这些数量的条件有助于优化造血干细胞采集,同时防止可能降低供体安全性的情况。采集部位也会影响大量其他血细胞的采集。这一知识决定了细胞治疗单位中移植物的制备程序或血液学单位中移植前或移植后并发症的处理。因此,造血移植不仅涉及血液学单位,还涉及参与供体选择、造血干细胞采集和移植物制备各个阶段的团队。为了对供体和受体进行适当的护理,血液学、采集和细胞治疗团队必须同时了解造血采集条件、采集细胞的特征、血液疾病和预处理等所有阶段。