Moon Jin-Hwa, Kim Mi Jung, Song Soon-Young, Lee Young-Jun, Choi Yun Young, Kim Seung Hyun, Lee Young-Ho
Department of Pediatrics, Hanyang University Medical Center, Guri, Gyeonggi-do, South Korea.
Transfus Apher Sci. 2013 Dec;49(3):516-21. doi: 10.1016/j.transci.2013.08.003. Epub 2013 Aug 24.
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.
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。