Pilot study of allogeneic G-CSF-stimulated bone marrow transplantation: harvest, engraftment, and graft-versus-host disease

Biol Blood Marrow Transplant. 2006 Jul;12(7):729-33. doi: 10.1016/j.bbmt.2006.03.006.

Abstract

Peripheral blood progenitor cell (PBPC) harvests mobilized by granulocyte colony-stimulating factor (G-CSF) contain more CD34+ cells and provide more rapid engraftment than do bone marrow (BM) harvests. However, some reports have suggested a higher risk of chronic graft-versus-host disease (GVHD), possibly because such PBPC harvests contain approximately 10 times more T lymphocytes than do BM harvests. Some groups are attempting to combine the faster engraftment of PBPCs with the lower incidence of GVHD observed after BM transplantation by using G-CSF-primed BM conventionally harvested from iliac crests for allogenic BM transplantation. We report the results of a pilot study of 38 allogeneic transplants using G-CSF-stimulated BM from related donors, with a focus on the harvest composition, engraftment, and incidence of acute and chronic GVHDs.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Bone Marrow Transplantation / methods*
  • Bone Marrow Transplantation / mortality
  • Cause of Death
  • Child
  • Child, Preschool
  • Chronic Disease
  • Developing Countries
  • Female
  • Graft Survival*
  • Graft vs Host Disease / immunology*
  • Granulocyte Colony-Stimulating Factor / pharmacology*
  • Hematologic Neoplasms / mortality
  • Hematologic Neoplasms / therapy*
  • Hematopoietic Stem Cells / classification
  • Hematopoietic Stem Cells / drug effects*
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • T-Lymphocyte Subsets / classification
  • T-Lymphocyte Subsets / drug effects*
  • Transplantation, Homologous
  • Treatment Outcome

Substances

  • Granulocyte Colony-Stimulating Factor