Castaigne S, Dal Cortivo L, Leverger G, Miclea J M, Lepage E, Benbunan M, Gerota J, Degos L, Boiron M
Unité d'Hématologie Clinique, Hôpital Saint-Louis, Paris, France.
Nouv Rev Fr Hematol (1978). 1988;30(1-2):69-73.
Thirty-nine patients with acute myeloblastic or lymphoblastic leukaemia had peripheral blood mononuclear cells collected by 3 continuous-flow leukapheresis as they entered first remission after induction chemotherapy. CFU-GM were assayed as a measure of the number of haemopoietic stem cells in each collection. Numbers of CFU-GM harvested varied among the patients (for example 0.27 to 155.10(4)/kg for ANLL patients). Nineteen patients underwent peripheral blood stem cells autografts after a conditioning regimen with high dose cyclophosphamide and TBI. The patients were transfused with a median of 2.2.10(4)/kg CFU-GM cells (0.28 to 100.10(4) CFU-GM/kg). Only 1 patient had a graft failure. The rate of haemopoietic recovery was studied for our patients and those reported in the literature. A strong correlation exists between the numbers of CFU-GM transfused and the rate of granulocytes and platelets recovery. Very rapid recovery are regularly obtained when the number of CFU-GM transfused is superior to 5.10(4)/kg.
39例急性髓细胞性或淋巴细胞性白血病患者在诱导化疗后首次缓解时,通过3次连续流动白细胞分离术采集外周血单个核细胞。检测CFU-GM以衡量每次采集的造血干细胞数量。患者采集的CFU-GM数量各不相同(例如,急性非淋巴细胞白血病患者为0.27至155.10⁴/kg)。19例患者在接受高剂量环磷酰胺和全身照射的预处理方案后进行了外周血干细胞自体移植。患者输注的CFU-GM细胞中位数为2.2×10⁴/kg(0.28至100×10⁴ CFU-GM/kg)。仅1例患者出现移植失败。对我们的患者以及文献报道的患者的造血恢复率进行了研究。输注的CFU-GM数量与粒细胞和血小板恢复率之间存在很强的相关性。当输注的CFU-GM数量超过5×10⁴/kg时,通常可获得非常快速的恢复。