학술논문

HLA-identical stem cell transplantation: is there an optimal CD34 cell dose?
Document Type
Article
Author
Source
Bone Marrow Transplantation. May2003, Vol. 31 Issue 10, p839. 7p.
Subject
*STEM cell transplantation
*HLA histocompatibility antigens
*GRAFT versus host disease
Language
ISSN
0268-3369
Abstract
Summary:A review of the published literature, supplemented with a recent analysis of Fred Hutchinson data, has been undertaken to investigate the association of infused CD34 cell dose with various clinical outcomes after HLA-identical transplantation. Separate assessments for unrelated vs related donors and the use of bone marrow or mobilized G-PBMC have been incorporated. The three primary findings are: (1) higher CD34 dose results in better neutrophil and platelet recovery in all settings; (2) high CD34 doses (>8 x 106/kg) are associated with the development of more chronic GVHD when using related G-PBMC; (3) higher CD34 dose is correlated with improved survival after bone marrow transplantation, especially with unrelated donors. This is not seen when using G-PBMC. The data suggest that the CD34 content of the graft can have a significant impact on clinical outcome after allogeneic transplantation, but optimal dose is dependent on both donor type and stem cell source.Bone Marrow Transplantation (2003) 31, 839-845. doi:10.1038/sj.bmt.1704019 [ABSTRACT FROM AUTHOR]