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粒细胞集落刺激因子动员和采集脑瘫患儿自体外周血干细胞的安全性与有效性

Safety and efficacy of G-CSF mobilization and collection of autologous peripheral blood stem cells in children with cerebral palsy.

作者信息

Moon Jin-Hwa, Kim Mi Jung, Song Soon-Young, Lee Young-Jun, Choi Yun Young, Kim Seung Hyun, Lee Young-Ho

机构信息

Department of Pediatrics, Hanyang University Medical Center, Guri, Gyeonggi-do, South Korea.

出版信息

Transfus Apher Sci. 2013 Dec;49(3):516-21. doi: 10.1016/j.transci.2013.08.003. Epub 2013 Aug 24.

Abstract

We hypothesized that mobilized peripheral blood stem cells (PBSCs) could be useful for treating neurological impairments and therefore assessed the safety of administering G-CSF followed by collecting PBSC in children with cerebral palsy (CP). G-CSF (10 μg/kg/day) was administered subcutaneously for 5 days, and apheresis was performed to collect PBSC via central venous catheter. G-CSF-related events occurred in 3 patients (fever in 2, irritability in 1). No catheter-related complications were reported. None of the patients needed platelet transfusion or calcium replacement during apheresis. Mobilization with G-CSF followed by PBSC collection appears to be safe and feasible in CP children.

摘要

我们推测动员的外周血干细胞(PBSCs)可能有助于治疗神经功能障碍,因此评估了在脑瘫(CP)患儿中给予粒细胞集落刺激因子(G-CSF)后采集PBSC的安全性。皮下注射G-CSF(10μg/kg/天),持续5天,并通过中心静脉导管进行血液成分单采以采集PBSC。3例患者发生了与G-CSF相关的事件(2例发热,1例烦躁)。未报告与导管相关的并发症。在血液成分单采期间,没有患者需要输注血小板或补充钙剂。在CP患儿中,先使用G-CSF进行动员然后采集PBSC似乎是安全可行的。

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