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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1998-9-17
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pubmed:abstractText |
The CD34 antigen is expressed by human hematopoietic progenitor and stem cells. These cells are capable of reconstituting marrow function after marrow-ablative chemo-radiotherapy. Several different technologies have been developed for the separation of CD34+ cells from bone marrow or peripheral blood stem cell (PBSC) components. We used an immunomagnetic separation technique to enrich CD34+ cells from PBSC components in anticipation of autologous transplantation for patients with B lymphoid malignancies. Twenty-nine patients enrolled on this study and received mobilization chemotherapy followed by G-CSF. Of these, 21 achieved a peripheral blood CD34+ cell level of at least 2.0 x 10(4)/l required by protocol for separation of the stem cell components. A median of three components per patient was collected for processing. The average CD34+ cell concentration in the components after apheresis was 1.0 +/- 1.2%. After the CD34+ cell selection, the enriched components contained 0.6 +/- 0.6% of the starting nucleated cells. The recovery of CD34+ cells, however, averaged 58.4 +/- 19.2% of the starting cell number, with a purity of 90.8 +/- 6.5%. Overall depletion of CD34- cells was 99.96 +/- 0.06%. Nineteen patients were treated with marrow-ablative conditioning regimens and received an average of 6.2 +/- 2.0 x 10(6) CD34+ cells/kg body weight. These patients recovered to an ANC >0.5 x 10(9)/l at a median of 11 days (range 8-14), and platelet transfusion independence at a median of 9 days (range 5-13). Four patients died of transplant-related complications or relapse before 100 days after transplantation. No patient required infusion of unseparated cells because of failure of sustained bone marrow function. These data demonstrate that peripheral blood-derived CD34+ cells enriched by use of an immunomagnetic separation technique are capable of rapid engraftment after autologous transplantation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0268-3369
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pubmed:author |
pubmed-author:AppelbaumFF,
pubmed-author:BeachKK,
pubmed-author:BensingerW IWI,
pubmed-author:GooleyTT,
pubmed-author:HolmbergLL,
pubmed-author:KunkleL ALA,
pubmed-author:LokenMM,
pubmed-author:MacLeodBB,
pubmed-author:McSweeneyPP,
pubmed-author:MillsB JBJ,
pubmed-author:RadicaAA,
pubmed-author:RowleyS DSD
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pubmed:issnType |
Print
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pubmed:volume |
21
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1253-62
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:9674860-Adult,
pubmed-meshheading:9674860-Antigens, CD19,
pubmed-meshheading:9674860-Antigens, CD34,
pubmed-meshheading:9674860-Female,
pubmed-meshheading:9674860-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:9674860-Humans,
pubmed-meshheading:9674860-Immunomagnetic Separation,
pubmed-meshheading:9674860-Lymphoma, Non-Hodgkin,
pubmed-meshheading:9674860-Male,
pubmed-meshheading:9674860-Middle Aged,
pubmed-meshheading:9674860-Transplantation, Autologous
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pubmed:year |
1998
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pubmed:articleTitle |
Isolation of CD34+ cells from blood stem cell components using the Baxter Isolex system.
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pubmed:affiliation |
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98104, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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