Ayello J, Semidei-Pomales M, Preti R, Hesdorffer C, Reiss R F
Department of Pathology, Columbia-Presbyterian Medical Center, New York, NY 10032, USA.
J Hematother. 1998 Aug;7(4):385-90. doi: 10.1089/scd.1.1998.7.385.
Autologous BM and PB HPC are usually stored from weeks to months until reinfusion after myeloablative chemotherapy. HPC have been stored for up to 16 months at -90 degrees C, using a mixture of 5% DMSO, 6% hydroxyethyl starch (HES), and 4% HSA as a cryoprotectant. Long-term storage (LTS) has usually entailed rate-controlled freezing using 10% DMSO and preservation in liquid nitrogen. The effects of LTS at -90 degrees C on the in vitro cell recovery, viability, and colony-forming unit-granulocyte macrophage (CFU-GM) clonogenic potential of autologous HPC that were not transplanted was studied. Sixteen BM and sixteen PB HPC had been cryopreserved for a median of 53 months (range 27-71) and 35 months (range 26-78), respectively. Samples of frozen HPC were thawed after 48 h, and the nucleated cell count, viability by trypan blue exclusion, and culture for CFU-GM were obtained. Following LTS, the cells were thawed and examined using the same assays. No difference in the median percentage recovery of nucleated cells was found in either the BM or PB HPC between the samples stored for 48 h and after LTS (5.73 x 10(9) versus 5.61 x 10(9) and 6.20 x 10(9) versus 5.78 x 10(9), respectively). In addition, no difference in median percentage viability was found in either the BM or PB HPC sampled at 48 h and at the end of LTS (75% versus 74% and 75% versus 76%, respectively). Finally, the median number of CFU-GM cultured from BM HPC at 48 h was 2.41 x 10(5) (range 0.33-11.01 x 10(5)) and at the end of LTS was 1.93 x 10(5) (range 0.32-10.55), representing a median recovery of 93% (range 19%-308%). Similarly, the median number of CFU-GM cultured from PB HPC was 1.66 x 10(5) (range 0-50.57) and at the end of LTS was 0.93 x 10(5) (range 0-44.9), representing a median recovery of 80% (range 36%-165%). This difference in percentage recovery was not significant (p = 0.514). There was poor correlation between the number of nucleated cells harvested and the percentage recovery of nucleated cells, cell viability, or CFU-GM for either the BM or PB HPC. Similarly, there was poor correlation between the number of CFU-GM in the harvest and their percentage recovery following LTS for both BM and PB HPC. Finally, there was poor correlation between the storage time of the BM or PB HPC and the percentage recovery of nucleated cells, cell viability, and CFU-GM. These data suggest that LTS of HPC at -90 degrees C is not associated with decreased recovery of nucleated cells or in vitro viability and is associated with only a modest decrease in clonogenic potential. This indicates that storage of HPC at -90 degrees C for periods in excess of 3 years is possible.
自体骨髓和外周血造血干细胞通常储存数周乃至数月,直至在清髓性化疗后回输。造血干细胞已在-90℃下储存长达16个月,使用5%二甲基亚砜、6%羟乙基淀粉(HES)和4%人血清白蛋白的混合物作为冷冻保护剂。长期储存(LTS)通常需要使用10%二甲基亚砜进行速率控制冷冻并保存在液氮中。研究了在-90℃下长期储存对未移植的自体造血干细胞的体外细胞回收率、活力以及集落形成单位-粒细胞巨噬细胞(CFU-GM)克隆形成潜力的影响。16份骨髓造血干细胞和16份外周血造血干细胞分别已冷冻保存中位数53个月(范围27 - 71个月)和35个月(范围26 - 78个月)。冷冻的造血干细胞样本在48小时后解冻,并获得有核细胞计数、台盼蓝拒染法测定的活力以及CFU-GM培养结果。长期储存后,细胞解冻并使用相同检测方法进行检查。在储存48小时的样本与长期储存后的样本之间,骨髓或外周血造血干细胞中有核细胞回收率的中位数百分比均未发现差异(分别为5.73×10⁹对5.61×10⁹以及6.20×10⁹对5.78×10⁹)。此外,在48小时取样的骨髓或外周血造血干细胞以及长期储存结束时的样本中,活力中位数百分比均未发现差异(分别为75%对74%以及75%对76%)。最后,48小时时从骨髓造血干细胞培养的CFU-GM中位数为2.41×10⁵(范围0.33 - 11.01×10⁵),长期储存结束时为1.93×10⁵(范围0.32 - 10.55),中位数回收率为93%(范围19% - 308%)。同样,从外周血造血干细胞培养的CFU-GM中位数为1.66×10⁵(范围0 - 50.57),长期储存结束时为0.93×10⁵(范围0 - 44.9),中位数回收率为80%(范围36% - 165%)。回收率百分比的这种差异不显著(p = 0.514)。对于骨髓或外周血造血干细胞,收获的有核细胞数量与有核细胞回收率、细胞活力或CFU-GM之间相关性较差。同样,对于骨髓和外周血造血干细胞,收获时CFU-GM的数量与其长期储存后的回收率百分比之间相关性较差。最后,骨髓或外周血造血干细胞的储存时间与有核细胞回收率、细胞活力和CFU-GM之间相关性较差。这些数据表明,在-90℃下长期储存造血干细胞与有核细胞回收率降低或体外活力降低无关,仅与克隆形成潜力适度降低有关。这表明在-90℃下将造血干细胞储存超过3年是可能的。