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外周血干细胞自体移植治疗淋巴系统恶性肿瘤:3例患者的初步经验

Peripheral blood stem cell autografts in the treatment of lymphoid malignancies: initial experience in three patients.

作者信息

Bell A J, Figes A, Oscier D G, Hamblin T J

出版信息

Br J Haematol. 1987 May;66(1):63-8. doi: 10.1111/j.1365-2141.1987.tb06891.x.

DOI:10.1111/j.1365-2141.1987.tb06891.x
PMID:2885025
Abstract

Large numbers of circulating haemopoietic progenitor cells were collected from three patients with lymphoid neoplasms for the purpose of haemopoietic reconstitution following intensive chemotherapy or chemoradiotherapy. Each patient underwent four to six leukaphereses at a time when the circulating stem cell pool was expanded. 2-3 weeks after the end of myelosuppressive chemotherapy. The peripheral blood mononuclear cells (PBMNC) thus obtained were assayed for granulocyte-macrophage colony-forming cells (CFU-GM) and were cryopreserved in liquid nitrogen. Two patients were autografted with PBMNC containing 60 X 10(4) and 76 X 10(4) CFU-GM/kg body weight respectively. Both these patients showed prompt engraftment which is stable at +10 and +6 months. A third patient who was autografted with PBMNC containing 33 X 10(4) CFU-GM showed only temporary and incomplete engraftment. These observations confirm that the peripheral blood may be used as a source of haemopoietic stem cells for autografting, but criteria for predicting engraftment are at present uncertain.

摘要

为了在强化化疗或放化疗后进行造血重建,从三名淋巴瘤患者体内采集了大量循环造血祖细胞。每位患者在循环干细胞池扩张时进行了四到六次白细胞单采术,即在骨髓抑制性化疗结束后2至3周。对由此获得的外周血单个核细胞(PBMNC)进行粒细胞-巨噬细胞集落形成细胞(CFU-GM)检测,并液氮冻存。两名患者分别接受了含有60×10⁴和76×10⁴CFU-GM/kg体重的PBMNC自体移植。这两名患者均迅速植入,在+10个月和+6个月时情况稳定。第三名患者接受了含有33×10⁴CFU-GM的PBMNC自体移植,仅表现出暂时和不完全的植入。这些观察结果证实外周血可作为自体移植的造血干细胞来源,但目前预测植入的标准尚不确定。

相似文献

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Peripheral blood stem cell autografts in the treatment of lymphoid malignancies: initial experience in three patients.外周血干细胞自体移植治疗淋巴系统恶性肿瘤:3例患者的初步经验
Br J Haematol. 1987 May;66(1):63-8. doi: 10.1111/j.1365-2141.1987.tb06891.x.
2
Circulating autologous stem cells collected in very early remission from acute non-lymphoblastic leukaemia produce prompt but incomplete haemopoietic reconstitution after high dose melphalan or supralethal chemoradiotherapy.从急性非淋巴细胞白血病极早期缓解期采集的循环自体干细胞,在大剂量美法仑或超致死剂量放化疗后可产生迅速但不完全的造血重建。
Br J Haematol. 1985 Dec;61(4):739-45. doi: 10.1111/j.1365-2141.1985.tb02888.x.
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Effective mobilisation of peripheral blood progenitor cells with 'Dexa-BEAM' and G-CSF: timing of harvesting and composition of the leukapheresis product.采用“地塞米松-卡莫司汀、依托泊苷、阿糖胞苷、美法仑方案”(Dexa-BEAM)联合粒细胞集落刺激因子(G-CSF)有效动员外周血祖细胞:采集时机及白细胞分离术产品的组成
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High levels of circulating haemopoietic stem cells in very early remission from acute non-lymphoblastic leukaemia and their collection and cryopreservation.急性非淋巴细胞白血病极早期缓解时循环造血干细胞的高水平及其采集与冷冻保存
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Successful autografting following myeloablative conditioning therapy with blood stem cells mobilized by chemotherapy plus rhG-CSF.采用化疗加重组人粒细胞集落刺激因子动员的血液干细胞进行清髓性预处理治疗后成功进行自体移植。
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Application of whole blood and peripheral blood progenitor cells (PBPC) and new strategies for rescue after intensive cyclic chemotherapy in high-risk breast cancer.全血和外周血祖细胞(PBPC)的应用以及高危乳腺癌强化周期化疗后挽救治疗的新策略。
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Impact of preleukapheresis cell counts on collection results and correlation of progenitor-cell dose with engraftment after high-dose chemotherapy in patients with germ cell cancer.白细胞单采前细胞计数对生殖细胞癌患者高剂量化疗后采集结果的影响及祖细胞剂量与植入的相关性
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Peripheral blood stem cell mobilization by chemotherapy with and without recombinant human granulocyte colony-stimulating factor.化疗联合或不联合重组人粒细胞集落刺激因子对外周血干细胞的动员作用
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Predictive factors for peripheral-blood progenitor-cell collections using a single large-volume leukapheresis after cyclophosphamide and granulocyte-macrophage colony-stimulating factor mobilization.环磷酰胺和粒细胞巨噬细胞集落刺激因子动员后采用单次大容量白细胞分离术进行外周血祖细胞采集的预测因素
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Optimal timing for collections of blood progenitor cells following induction chemotherapy and granulocyte-macrophage colony-stimulating factor for autologous transplantation in advanced breast cancer.晚期乳腺癌自体移植诱导化疗及粒细胞巨噬细胞集落刺激因子治疗后采集血液祖细胞的最佳时机。
Leukemia. 1993 Nov;7(11):1738-46.

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Autotransplants with peripheral blood stem cells and clinical results obtained in children: a review.
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Eur J Pediatr. 1993 Jul;152(7):546-54. doi: 10.1007/BF01954078.