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化疗后给予粒细胞集落刺激因子对外周血和骨髓中CD34+细胞上分化抗原和黏附分子的表达

Expression of differentiation antigens and adhesion molecules on CD34+ cells in peripheral blood and bone marrow after chemotherapy followed by administration of granulocyte colony stimulating factor.

作者信息

Masauzi N

机构信息

Third Department of Internal Medicine, Hokkaido University, School of Medicine, Sapporo, Japan.

出版信息

Hokkaido Igaku Zasshi. 1996 Nov;71(6):771-83.

PMID:8996844
Abstract

The expression of differentiation antigens (D/As) and adhesion molecules (A/Ms) was studied on CD34 positive (CD34+) cells in peripheral blood (PB) and bone marrow (BM) of patients treated with myelosuppressive chemotherapy followed by granulocyte colony-stimulating factor (G-CSF) administration (CT/G-CSF). CD33 positive rates of PB and BM CD34+ cells were significantly higher in the patients than those in the normal controls. CD49d positive rate of PB CD34+ was significantly lower than that of BM CD34+ cells in both the patients and the normal controls, and this decreased expression of CD49d on PB CD34+ cells was larger in the patients than in the normal controls. CD117 positive rate was significantly lower in PB CD34+ cells of the patients than that of their BM CD34+ cells and PB CD34+ cells of the normal control. These results suggested that more mature progenitor cells increased in the patients' PB and BM after CT/G-CSF, and that the decreased expression of CD49d played an important role on peripheralisation of CD34+ cells even in steady state, and the decreased expression of CD117 was related with the mobilization of CD34+ cells after CT/G-CSF. CT/G-CSF decreased the expression of CD117 and enhance the decrease of CD49d expression on PB CD34+ cells. These changes appeared to be involved in the mobilization mechanism of hematopoietic progenitor cells from BM into PB after CT/G-CSF.

摘要

对接受骨髓抑制化疗后给予粒细胞集落刺激因子(G-CSF)(CT/G-CSF)治疗的患者外周血(PB)和骨髓(BM)中CD34阳性(CD34+)细胞的分化抗原(D/As)和黏附分子(A/Ms)表达进行了研究。患者PB和BM中CD34+细胞的CD33阳性率显著高于正常对照。在患者和正常对照中,PB CD34+细胞的CD49d阳性率均显著低于BM CD34+细胞,且患者PB CD34+细胞上CD49d表达的降低幅度大于正常对照。患者PB CD34+细胞的CD117阳性率显著低于其BM CD34+细胞以及正常对照的PB CD34+细胞。这些结果表明,CT/G-CSF治疗后患者的PB和BM中更成熟的祖细胞增加,且即使在稳态下CD49d表达的降低对CD34+细胞的外周化也起重要作用,CD117表达的降低与CT/G-CSF后CD34+细胞的动员有关。CT/G-CSF降低了CD117的表达,并增强了PB CD34+细胞上CD49d表达的降低。这些变化似乎参与了CT/G-CSF后造血祖细胞从BM动员到PB的机制。

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