Use of hematopoietic progenitor cell count on the Sysmex XE-2100 for peripheral blood stem cell harvest monitoring

Leuk Lymphoma. 2007 Jan;48(1):89-96. doi: 10.1080/10428190600886149.

Abstract

Successful peripheral blood stem cell (PBSC) collection depends on the timing of apheresis based on CD34+ cell enumeration. Because this analysis is expensive and induces organization difficulties, we evaluated hematopoietic progenitor cell (HPC) quantification on the Sysmex XE-2100 as a surrogate analysis. We tested 157 blood samples for CD34+ cells and HPC counts. We found a good linear correlation between HPC and CD34+ and determined simple rules allowing to use HPC count in daily practice. We set a positive cut-off >30 HPC/mm(3) for allowing PBSC harvest and a negative cut-off at 0 HPC/mm(3) for which collection should be delayed. These two situations accounted for 62% of cases and CD34+ cell count by flow cytometry confirmed HPC result in 95% of cases. Between 0 and 30 HPC/mm3, CD34+ enumeration is required for decision-making. We conclude that HPC count may be a useful surrogate for CD34+ enumeration in PBSC harvest monitoring.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Antigens, CD34 / analysis
  • Antigens, CD34 / blood
  • Blood Cell Count / instrumentation*
  • Hematopoietic Stem Cells / cytology*
  • Humans
  • Sensitivity and Specificity
  • Tissue and Organ Harvesting*

Substances

  • Antigens, CD34