Pahwa Deepak, Sharma Ratti Ram, Marwaha Neelam
Department of Transfusion Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Indian J Hematol Blood Transfus. 2018 Apr;34(2):282-293. doi: 10.1007/s12288-017-0853-5. Epub 2017 Jul 26.
Cellular therapy outcomes are influenced by cellular composition of the product. We analyzed the cellular profiles (TNC, MNC and CD34+ cells) of patients receiving mononuclear cell therapy in terms of age, gender, BMI, pre-harvest haematological counts and clinical conditions. Cellular profiles of 262 patients were analyzed in terms of age (age < 40 year, age 41-60 year and age > 60 year), gender, BMI (BMI < 22 kg/m, BMI 22-25 kg/m and BMI > 25 kg/m), pre-harvest haematological profile and clinical conditions (chronic disorders, group A, acute vascular group B and traumatic events, group C). A steady decline was observed in TNC and MNC counts with increasing age and BMI. In clinical conditions, group C showed a highest cellular yield followed by group A and group B respectively. Amongst the three age groups, group I (age < 40 year) showed a better cellular profiles than group II (age 41-60 year) and group III (age > 60 year). Patients with Higher TLC (>7000/μl) and platelet count (>200 × 10/μl) yielded better cellular profile in the harvest. Patient age, BMI, haematological counts and clinical condition significantly affect the bone marrow cellular profile.
细胞治疗的结果受产品细胞组成的影响。我们根据年龄、性别、体重指数、采集前血液学计数和临床状况,分析了接受单核细胞治疗患者的细胞特征(总核细胞、单核细胞和CD34+细胞)。根据年龄(年龄<40岁、年龄41 - 60岁和年龄>60岁)、性别、体重指数(体重指数<22kg/m²、体重指数22 - 25kg/m²和体重指数>25kg/m²)、采集前血液学特征和临床状况(慢性疾病,A组;急性血管疾病,B组;创伤事件,C组),对262例患者的细胞特征进行了分析。随着年龄和体重指数的增加,观察到总核细胞和单核细胞计数稳步下降。在临床状况方面,C组的细胞产量最高,其次分别是A组和B组。在三个年龄组中,I组(年龄<40岁)的细胞特征优于II组(年龄41 - 60岁)和III组(年龄>60岁)。较高的白细胞计数(>7000/μl)和血小板计数(>200×10⁹/μl)的患者在采集时产生的细胞特征更好。患者年龄、体重指数、血液学计数和临床状况显著影响骨髓细胞特征。