通过在异体干细胞收获前测量外周 CD34 阳性细胞计数,改进细胞治疗操作。

Shuhei Kurosawa, Kyoko Haraguchi, Yunoka Honma, Fuyuko Kawai, Moemi Ishiwada, Ryoko Iimura, Rei Watanabe, Sayuri Ishibashi, Kae Sakuma, Kiyomi Narishima, Misako Nishimura, Takashi Toya, Hiroaki Shimizu, Yuho Najima, Takeshi Kobayashi, Noriko Doki, Yoshiki Okuyama
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引用次数: 0

摘要

简介以前,我们机构在外周血干细胞采集(PBSCH)前和采集后测量外周血 CD34 细胞计数,并在 PBSCH 后同时分析两个样本。自2021年起,我们在PBSCH期间测量前CD34细胞计数,并根据这些结果调整处理血量。我们对这一变化对细胞疗法的影响进行了回顾性评估:方法:纳入相关的健康捐献者,并将其分为 1 天和 2 天采血队列。结果:1 天组别中,CD34 细胞计数在 PBSCH 后和 PBSCH 期间测量的捐献者分别归入以前和现在的子组别:结果:就 1 天队列(n = 212)而言,当前子队列的平均采血时间(分别为 151 [标准差,SD = 45.1] 分钟 vs. 180 [SD = 27.8] 分钟)和平均输注率(分别为 87.6% [SD = 21.1] vs. 78.1% [SD = 25.7])明显短于之前的子队列:结论:根据采血过程中测得的预PBSCH CD34细胞计数调整处理血量可减轻献血者负担并提高工作流程效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving cellular therapy operations through pre-harvest measurement of peripheral CD34-positive cell counts in allogeneic stem cell harvest.

Introduction: Previously, our institution measured peripheral blood CD34 cell counts both pre- and post-peripheral blood stem cell harvest (PBSCH), with both samples analyzed simultaneously post-PBSCH. Since 2021, we have measured pre-CD34 cell counts during PBSCH, adjusting the processed blood volume based on these results. We retrospectively evaluated how this change impacted cellular therapy.

Methods: Related healthy donors were included and divided into 1-day and 2-day harvest cohorts. Donors with CD34 cell counts measured post- and during PBSCH were categorized into the previous and current sub-cohorts, respectively.

Results: Regarding the 1-day cohort (n = 212), the current sub-cohort had a significantly shorter average harvest duration (151 [standard deviation, SD = 45.1] vs. 180 [SD = 27.8] minutes, respectively) and higher average infusion rates (87.6% [SD = 21.1] vs. 78.1% [SD = 25.7], respectively) than the previous sub-cohort.

Conclusion: Adjusting the processed blood volume based on pre-PBSCH CD34 cell counts measured during the harvest may reduce donor burden and enhance workflow efficiency.

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