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[605份脐带血的冷冻保存时长对造血干细胞质量及临床移植结局的影响]

[Impact of cryopreservation duration of 605 units umbilical cord blood on quality of hematopoietic stem cell and outcome of clinical transplantation].

作者信息

Zhang Yi, Zhu Hua, Jin Huanying, Wang Yinting, Shao Xiayan, Kong Jingsi, Huang Wenhao, Hong Yan, Li Chunli, Gao Feng, Chen Liang, Wang Feng, Lu Yao

机构信息

Shanghai Cord Blood Bank. Shanghai, Shanghai Stem Cell Technology Co., LTD. 200051, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2015 Jan;36(1):1-3. doi: 10.3760/cma.j.issn.0253-2727.2015.01.001.

Abstract

OBJECTIVE

To investigate the impact of cryopreservation duration of umbilical cord blood (UCB) on quality of hematopoietic stem cell and outcome of clinical transplantation.

METHODS

605 units of UCB which had been used in clinical transplantation were previously cryopreserved for 820 (88-2651) days in average. UCB was detected for total nucleated cell count, CD34+ cells count, cell recovery rate, cell viability and CFU-GM after thawing.

RESULTS

No statistical correlation was found between cryopreservation duration and cell recovery rate, cell viability. CFU-GM decreased along with the extension of cryopreservation duration (P=0.011), ranging between 109.6 and 105.7/1 × 10⁵. There was no significant difference on hematopoietic reconstitution time, graft failure, acute GVHD and overall survival among groups with different cryopreservation duration.

CONCLUSION

Cryopreservation duration has no significant effect on cell recovery rate, cell viability and clinical transplantation outcome. Extension of cryopreservation duration may reduce CFU-GM of stem cells with fluctaion still in normal range. UCB could maintain cell viability and function to achieve satisfactory clinical transplantation outcome even when thawed after 3 to 7 years' cryopreservation.

摘要

目的

探讨脐带血(UCB)冷冻保存时间对造血干细胞质量及临床移植结局的影响。

方法

605份用于临床移植的脐带血先前平均冷冻保存了820(88 - 2651)天。解冻后检测脐带血的总核细胞计数、CD34⁺细胞计数、细胞回收率、细胞活力及集落形成单位 - 粒细胞巨噬细胞(CFU - GM)。

结果

冷冻保存时间与细胞回收率、细胞活力之间未发现统计学相关性。CFU - GM随冷冻保存时间延长而降低(P = 0.011),范围在109.6至105.7/1×10⁵之间。不同冷冻保存时间组之间在造血重建时间、移植物失败、急性移植物抗宿主病(GVHD)及总生存率方面无显著差异。

结论

冷冻保存时间对细胞回收率、细胞活力及临床移植结局无显著影响。冷冻保存时间延长可能会降低干细胞的CFU - GM,但波动仍在正常范围内。即使脐带血冷冻保存3至7年后解冻,仍可维持细胞活力和功能以实现满意的临床移植结局。

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