Beretta F, van den Bosch S, Castelli D, Cavalli F, Ghielmini M
Servizio Oncologico Cantonale, Bellinzona, Svizzera.
Vox Sang. 1998;75(2):149-53.
Continuous-flow and intermittent-flow blood cell separators (CFCS and IFCS) are both used to collect stem cells from the blood to rescue patients undergoing myeloablative treatment for cancer.
We designed a study to compare the collection efficiency of the two systems. The continuous-flow Cobe Spectra and the intermittent-flow Haemonetics MCS-3P were used to collect cells on consecutive days from 9 patients mobilised with G-CSF with or without chemotherapy. Blood obtained before leukapheresis and the leukapheresis product were analysed for their content of red and white cells, platelets, CD34-positive cells, GM-CFC, CFC-E, and BFU-E. An extraction ratio was calculated.
We found that the CFCS extracted about 4 times more mononuclear cells per unit time, 3 times more CD34-positive, and 4 times more clonogenic cells than the IFCS. The subject acceptability of the two systems was similar.
The CFCS is a more efficient system for stem cell collection. IFCS requires a longer harvesting time for the same result.
连续流式和间歇流式血细胞分离机(CFCS和IFCS)均用于从血液中采集干细胞,以挽救接受癌症清髓治疗的患者。
我们设计了一项研究来比较这两种系统的采集效率。连续流式的Cobe Spectra和间歇流式的Haemonetics MCS - 3P被用于连续数天从9名接受G - CSF动员且有或无化疗的患者中采集细胞。对白细胞分离术前采集的血液以及白细胞分离术产品进行红细胞、白细胞、血小板、CD34阳性细胞、粒 - 巨噬细胞集落形成细胞(GM - CFC)、红细胞集落形成细胞(CFC - E)和爆式红系集落形成单位(BFU - E)含量分析,并计算提取率。
我们发现,CFCS每单位时间提取的单核细胞数量比IFCS多约4倍,CD34阳性细胞多3倍,克隆形成细胞多4倍。两种系统的受试者可接受性相似。
CFCS是一种更高效的干细胞采集系统。IFCS要获得相同结果需要更长的采集时间。