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[急性白血病化疗后缓解期循环干细胞的采集]

[Collection of circulating stem cells during remission after chemotherapy in acute leukemia].

作者信息

Debecker A, Henon P, Lepers M, Eisenmann J C, Selva J

出版信息

Nouv Rev Fr Hematol (1978). 1986;28(5):287-92.

PMID:2880335
Abstract

The level of circulating myeloid progenitor cells (CFU-G), considered to be a good index of the quantity of circulating hemopoietic stem cells, was measured in the peripheral blood of 5 patients with acute leukemia as they entered first remission. High levels of circulating CFU-G were found in 4 of these 5 patients, depending on the intensity and the number of courses of induction chemotherapy. Repeated cytaphereses were done on 3 of these patients in order to collect and to cryopreserve circulating stem cells, to be used later for autologous transplantation. We propose a model which calculates the number of cytaphereses sufficient to obtain a level of 10(5) CFU-G/kg of weight, considered necessary to achieve a good hemopoietic reconstitution after transplantation.

摘要

循环髓系祖细胞(CFU-G)水平被认为是循环造血干细胞数量的良好指标,在5例急性白血病患者首次进入缓解期时,对其外周血中的该指标进行了检测。这5例患者中有4例循环CFU-G水平较高,这取决于诱导化疗的强度和疗程数。对其中3例患者进行了反复的血细胞分离术,以收集和冷冻保存循环干细胞,供以后进行自体移植使用。我们提出了一个模型,该模型可计算出足以获得10⁵CFU-G/千克体重水平的血细胞分离术次数,这一水平被认为是移植后实现良好造血重建所必需的。

相似文献

1
[Collection of circulating stem cells during remission after chemotherapy in acute leukemia].[急性白血病化疗后缓解期循环干细胞的采集]
Nouv Rev Fr Hematol (1978). 1986;28(5):287-92.
2
CFU-mix are no better than CFU-GM in predicting hemopoietic reconstitutive capacity of peripheral blood stem cells collected in the very early remission phase of acute nonlymphoblastic leukemia.在预测急性非淋巴细胞白血病极早期缓解期采集的外周血干细胞的造血重建能力方面,混合集落形成单位(CFU-mix)并不比粒-巨噬细胞集落形成单位(CFU-GM)更好。
Exp Hematol. 1987 May;15(4):351-4.
3
Graft clonogenicity and intensity of pre-treatment: factors affecting outcome of autologous peripheral hematopoietic cell transplantation in patients with acute myeloid leukemia in first remission.移植物克隆形成能力与预处理强度:影响首次缓解的急性髓系白血病患者自体外周造血细胞移植结局的因素。
Bone Marrow Transplant. 2005 Dec;36(12):1083-8. doi: 10.1038/sj.bmt.1705176.
4
Quantity and origin of transplanted autologous blood cells are independent factors associated with speed of postransplant hematological reconstitution.移植的自体血细胞的数量和来源是与移植后血液学重建速度相关的独立因素。
Croat Med J. 1999 Sep;40(3):404-8.
5
Monitoring of CD34+ cells during leukapheresis allows a single, successful collection of hemopoietic progenitors in patients with low numbers of circulating stem cells.在白细胞单采过程中监测CD34+细胞,可使循环干细胞数量较少的患者单次成功采集造血祖细胞。
Bone Marrow Transplant. 1999 Jun;23(12):1229-36. doi: 10.1038/sj.bmt.1701798.
6
Peripheral blood stem cell transplantation as an alternative to autologous marrow transplantation in the treatment of acute myeloid leukemia?外周血干细胞移植作为急性髓系白血病治疗中自体骨髓移植的替代方法?
Bone Marrow Transplant. 1999 Jun;23(12):1279-82. doi: 10.1038/sj.bmt.1701799.
7
[Mobilization of circulating hematopoietic stem cells by granulocyte colony stimulating factor after chemotherapy in multiple myeloma].[多发性骨髓瘤化疗后粒细胞集落刺激因子动员循环造血干细胞]
Wien Klin Wochenschr. 1993;105(20):580-4.
8
[Autografts of blood cells at various stages].[不同阶段血细胞的自体移植]
Nouv Rev Fr Hematol (1978). 1988;30(1-2):69-73.
9
Use of peripheral blood stem cells for autologous transplantation in acute myeloid leukemia patients allows faster engraftment and equivalent disease-free survival compared with bone marrow cells.与骨髓细胞相比,在急性髓系白血病患者中使用外周血干细胞进行自体移植可实现更快的植入和相当的无病生存期。
Bone Marrow Transplant. 1999 Sep;24(5):467-72. doi: 10.1038/sj.bmt.1701920.
10
Peripheral blood stem cell mobilization with chemotherapy and granulocyte-colony stimulating factor in patients with hematological malignancies.血液系统恶性肿瘤患者采用化疗和粒细胞集落刺激因子进行外周血干细胞动员。
Tokai J Exp Clin Med. 1994 Dec;19(3-6):143-55.