[The value of sequential CD 34 measurement for carrying out stem cell pheresis]

Wien Klin Wochenschr. 1994;106(8):238-41.
[Article in German]

Abstract

The recent significant improvement in disease-free survival in patients with certain haematological malignancies is due to high-dose chemotherapy and subsequent autologous bone marrow and/or stem cell transplantation. The proliferation and egression of stem cells into the peripheral blood must first be stimulated by defined chemotherapy and/or by administration of cytokines. However, the increase of circulating stem cells in peripheral blood is limited to only a few days. By immunologically analysing white blood cells for the expression of the surface antigen CD 34 it is possible to calculate the numbers of haematopoietic progenitor cells. Thus, besides monitoring haematopoietic recovery, the estimation of CD34+ cells in the peripheral blood can be used to indicate the optimal time point for stem cell collection. Two to four stem cell pheresis (one per day) may then yield sufficient stem cells to enable the safe and rapid reconstitution of haematopoiesis following supralethal chemotherapy.

Publication types

  • English Abstract

MeSH terms

  • Antigens, CD / analysis*
  • Antigens, CD34
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Blood Component Removal / methods*
  • Colony-Forming Units Assay / methods*
  • Cyclophosphamide / administration & dosage
  • Cyclophosphamide / adverse effects
  • Cytokines / administration & dosage*
  • Erythropoietin / administration & dosage
  • Flow Cytometry / methods*
  • Granulocyte-Macrophage Colony-Stimulating Factor / administration & dosage
  • Hematopoiesis / drug effects
  • Hematopoietic Stem Cells / drug effects
  • Hematopoietic Stem Cells / immunology*
  • Humans

Substances

  • Antigens, CD
  • Antigens, CD34
  • Antineoplastic Agents
  • Cytokines
  • Erythropoietin
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Cyclophosphamide