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[脐带血采集、分离及冷冻保存用于移植的方法的试验与分析]

[Trials and analysis of umbilical cord blood collection, separation and cryopreservation methods for transplantation].

作者信息

Iwai S, Takanashi M, Ide T, Tsukui K, Ueda M, Nakajima K, Tadokoro K, Juji T

机构信息

Japanese Red Cross Central Blood Centre.

出版信息

Rinsho Ketsueki. 1996 Apr;37(4):288-96.

PMID:8847798
Abstract

Placental and umbilical cord blood, as an alternative course of haematopoietic stem cells for bone marrow reconstitution, have recently been showed to yield successful sibling-donor cord blood grafts children. The advantages of using cord blood are related to the high number of haematopoietic progenitors in circulation at birth. In our study there was a remarkable heterogeneity of volume, number of nucleated cells and the number of progenitors from sample to sample. Seven out of 40 samples of more than 61 ml blood volume contained 1.8 (+/- 1.0) x 10(5) CFU-GM or 6.0 (+/- 4.8) x 10(8) nucleated cells. 10 ml of whole blood was necessary for laboratory tests including ABO blood type, screening of infectious markers, HLA typing, as well as frozen sera and cells for the possible future tests. Collected cord blood of more than 70ml in volume may have sufficient numbers of CFU-GM for engraftment to pediatric patients weighing about 20 kg. A cord blood bank project is now going on by collecting blood with informed consent of the mother in cooperation with obstetrics and gynecology staff.

摘要

胎盘血和脐带血作为骨髓重建的造血干细胞替代来源,最近已被证明可为儿童成功提供同胞供体脐带血移植。使用脐带血的优势与出生时循环中造血祖细胞数量众多有关。在我们的研究中,样本之间的体积、有核细胞数量和祖细胞数量存在显著异质性。40个血量超过61毫升的样本中,有7个样本含有1.8(±1.0)×10⁵个集落形成单位-粒细胞巨噬细胞(CFU-GM)或6.0(±4.8)×10⁸个有核细胞。进行包括ABO血型、感染标志物筛查、人类白细胞抗原(HLA)分型等实验室检测以及保存用于未来可能检测的冷冻血清和细胞,需要10毫升全血。采集的血量超过70毫升的脐带血可能含有足够数量的CFU-GM,可用于体重约20千克的儿科患者移植。目前正在开展一个脐带血库项目,在产科和妇科工作人员的合作下,经母亲知情同意采集血液。

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