Hsu Yen-Michael S, Cushing Melissa M
Pathology and Laboratory Medicine, Transfusion Medicine and Cellular Therapy, Weill Cornell Medical College, 525 East 68th Street, Box 251, New York, NY 10065, USA.
Transfusion Medicine and Cellular Therapy, Weill Cornell Medical College, 525 East 68th Street, Box 251, M09, New York, NY 10065, USA.
Hematol Oncol Clin North Am. 2016 Jun;30(3):573-89. doi: 10.1016/j.hoc.2016.01.004.
Peripheral blood stem cell collection is an effective approach to obtain a hematopoietic graft for stem cell transplantation. Developing hematopoietic stem/progenitor cell (HSPC) mobilization methods and collection algorithms have improved efficiency, clinical outcomes, and cost effectiveness. Differences in mobilization mechanisms may change the HSPC content harvested and result in different engraftment kinetics and complications. Patient-specific factors can affect mobilization. Incorporating these factors in collection algorithms and improving assays for evaluating mobilization further extend the ability to obtain sufficient HSPCs for hematopoietic repopulation. Technological advance and innovations in leukapheresis have improved collection efficiency and reduced adverse effects.
外周血干细胞采集是获取用于干细胞移植的造血移植物的有效方法。开发造血干/祖细胞(HSPC)动员方法和采集算法提高了效率、临床结局和成本效益。动员机制的差异可能会改变采集到的HSPC含量,并导致不同的植入动力学和并发症。患者特异性因素会影响动员。将这些因素纳入采集算法并改进评估动员的检测方法,可进一步提高获取足够HSPC用于造血重建的能力。白细胞分离术的技术进步和创新提高了采集效率并减少了不良反应。