Methods of stem cell mobilization.

A Dasgupta, D M Willerford, S L McAfee
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Abstract

The rapid rescue of hematopoiesis following transplantation of peripheral blood stem cells (PBSC) has facilitated expanded application of high-dose chemotherapy regimens for several malignancies. A variety of regimens have been described to enhance the circulation of PBSC, including the use of hematopoietic growth factors, either alone or following myelosuppressive chemotherapy. Such improvements of PBSC mobilization can increase the number of hematopoietic progenitors for transplantation and reduce the number of leukapheresis procedures required. We review several approaches to the collection of PBSC, including our experience with the use of cytokines in addition to chemotherapy. In addition, we discuss the investigation of novel cytokine combinations and in vitro expansion techniques, which may lead to further improvements in both the efficiency of PBSC collection and hematopoietic recovery following transplantation.

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干细胞动员方法。
外周血干细胞(PBSC)移植后造血功能的快速恢复促进了几种恶性肿瘤大剂量化疗方案的扩大应用。已有多种方案被描述为增强PBSC的循环,包括使用造血生长因子,无论是单独使用还是在骨髓抑制化疗后使用。这种PBSC动员的改善可以增加移植所需造血祖细胞的数量,减少所需的白细胞分离程序的数量。我们回顾了几种收集PBSC的方法,包括我们在化疗之外使用细胞因子的经验。此外,我们还讨论了新的细胞因子组合和体外扩增技术的研究,这可能会进一步提高移植后PBSC收集和造血恢复的效率。
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Hematopoietic rescue with peripheral blood stem cells: promising strategies in cancer therapy. Peripheral blood stem cells: a historical perspective. Hematopoietic "stem cell" transplantation: are there any clouds on an expanding horizon? Methods of stem cell mobilization. Stem cell purging ex vivo.
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