Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Case Report
  • Published:

‘Agglutination and flocculation’ of stem cells collected by apheresis due to cryofibrinogen

Summary:

Collection of peripheral stem cells by apheresis is a well-described process. Here, investigations concerning ‘agglutination and flocculation’ of stem cells collected from two patients are described. In both cases, cryoproteins were observed and cryofibrinogen was identified using high-resolution two-dimensional electrophoresis. In one case, peripheral stem cells were collected after a second course of mobilization, and the cells were immediately washed at 37°C before being frozen, allowing their use, despite the presence of cryofibrinogen. In the other case, ‘agglutination’ was reversed by warming the bag, and plasma was removed before freezing.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Gratwohl A, Baldomero H, Passweg J et al. Hematopoietic stem cell transplantation for hematological malignancies in Europe. Leukemia 2003; 17: 941–959.

    Article  CAS  Google Scholar 

  2. Tissot JD, Invernizzi F, Schifferli JA et al. Two-dimensional electrophoretic analysis of cryoproteins: a report of 335 samples. Electrophoresis 1999; 20: 606–613.

    Article  CAS  Google Scholar 

  3. Bargetzi MJ, Passweg J, Baertschi E et al. Mobilization of peripheral blood progenitor cells with vinorelbine and granulocyte colony-stimulating factor in multiple myeloma patients is reliable and cost effective. Bone Marrow Transplant 2003; 31: 99–103.

    Article  CAS  Google Scholar 

  4. Tissot JD, Clément F, Schifferli JA et al. Clonality of cold agglutinins in patients with hemolytic anemia. An analysis by high-resolution two-dimensional gel electrophoresis. Am J Hematol 1992; 40: 171–175.

    Article  CAS  Google Scholar 

  5. Brouet JC, Clauvel JP, Danon F et al. Biological and clinical signification of cryoglobulins. A report of 86 cases. Am J Med 1974; 57: 755–788.

    Article  Google Scholar 

  6. Musset L, Diemert MC, Taibi F et al. Characterization of cryoglobulins by immunoblotting. Clin Chem 1992; 38: 798–802.

    CAS  PubMed  Google Scholar 

  7. Tissot JD, Schifferli JA, Hochstrasser DF et al. Two-dimensional polyacrylamide gel electrophoresis analysis of cryoglobulins and identification of an IgM-associated peptide. J Immunol Methods 1994; 173: 63–75.

    Article  CAS  Google Scholar 

  8. Trendelenburg M, Lutz HU, Tissot JD et al. Cryoglobulin/albumin complexes in a patient with severe autoimmune syndrome. Scand J Immunol 2004; in press.

  9. Blain H, Cacoub P, Musset L et al. Cryofibrinogenaemia: a study of 49 patients. Clin Exp Immunol 2000; 120: 253–260.

    Article  CAS  Google Scholar 

  10. Trejo O, Ramos-Casals M, Lopez-Guillermo A et al. Hematologic malignancies in patients with cryoglobulinemia: association with autoimmune and chronic viral diseases. Semin Arthritis Rheum 2003; 33: 19–28.

    Article  Google Scholar 

  11. Lee J, Apisarnthanarax N, Jordon RE, Duvic M . Cryofibrinogenemia in a patient with B-cell lymphoma. Clin Lymphoma 2000; 1: 234–237.

    Article  CAS  Google Scholar 

  12. Shimoni A, Korbling M, Champlin R, Molldrem J . Cryofibrinogenemia and skin necrosis in a patient with diffuse large cell lymphoma after high-dose chemotherapy and autologous stem cell transplantation. Bone Marrow Transplant 2000; 26: 1343–1345.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J-D Tissot.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Siegenthaler, M., Vu, DH., Ebnöther, M. et al. ‘Agglutination and flocculation’ of stem cells collected by apheresis due to cryofibrinogen. Bone Marrow Transplant 33, 765–767 (2004). https://doi.org/10.1038/sj.bmt.1704420

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.bmt.1704420

Keywords

Search

Quick links