Abstract
The CD34 antigen is expressed by human hematopoietic progenitor and stem cells. These cells are capable of reconstituting marrow function after marrow-ablative chemo-radiotherapy. Several different technologies have been developed for the separation of CD34+ cells from bone marrow or peripheral blood stem cell (PBSC) components. We used an immunomagnetic separation technique to enrich CD34+ cells from PBSC components in anticipation of autologous transplantation for patients with B lymphoid malignancies. Twenty-nine patients enrolled on this study and received mobilization chemotherapy followed by G-CSF. Of these, 21 achieved a peripheral blood CD34+ cell level of at least 2.0 × 104/l required by protocol for separation of the stem cell components. A median of three components per patient was collected for processing. The average CD34+ cell concentration in the components after apheresis was 1.0 ± 1.2%. After the CD34+ cell selection, the enriched components contained 0.6 ± 0.6% of the starting nucleated cells. The recovery of CD34+ cells, however, averaged 58.4 ± 19.2% of the starting cell number, with a purity of 90.8 ± 6.5%. Overall depletion of CD34− cells was 99.96 ± 0.06%. Nineteen patients were treated with marrow-ablative conditioning regimens and received an average of 6.2 ± 2.0 × 106 CD34+ cells/kg body weight. These patients recovered to an ANC >0.5 × 109/l at a median of 11 days (range 8–14), and platelet transfusion independence at a median of 9 days (range 5–13). Four patients died of transplant-related complications or relapse before 100 days after transplantation. No patient required infusion of unseparated cells because of failure of sustained bone marrow function. These data demonstrate that peripheral blood-derived CD34+ cells enriched by use of an immunomagnetic separation technique are capable of rapid engraftment after autologous transplantation.
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Rowley, S., Loken, M., Radich, J. et al. Isolation of CD34+ cells from blood stem cell components using the Baxter Isolex system. Bone Marrow Transplant 21, 1253–1262 (1998). https://doi.org/10.1038/sj.bmt.1701257
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DOI: https://doi.org/10.1038/sj.bmt.1701257
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