移植学中外周血造血干细胞的冷冻储存:现状与前景

O. I. Kit, N. Gnennaya, S. Filippova, T. V. Chembarova, I. Lysenko, I. A. Novikova, L. Rozenko, S. Dimitriadi, E. V. Shalashnaya, O. G. Ishonina
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引用次数: 0

摘要

外周血造血干细胞(HSC)移植是治疗血液病、癌症和自身免疫性疾病的一种行之有效的方法。对癌症患者而言,造血干细胞移植可在治疗过程中结合放射治疗使用大剂量细胞毒性药物,从而产生明显的抗肿瘤效果。干细胞的连续输入有助于造血功能的恢复,从而消除了此类治疗的血液毒性。移植前,外周血造血干细胞需要收集和冷冻保存,以便进一步储存。冷冻保存的一个重要条件是负责造血功能恢复的造血干细胞具有存活能力。本综述旨在分析有关人类外周血造血干细胞各种冷冻保存方法对解冻后细胞存活率的影响以及患者不良反应发生情况的文献。研究考虑了与使用各种低温保护剂以及储存造血干细胞移植物的方法有关的问题。所提供的数据表明,有必要进一步研究低温保护剂对人体和移植物细胞组成的影响,并改进造血干细胞低温保存方案。
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Cryostorage of peripheral blood hematopoietic stem cells in transplantology: current status and prospects
Peripheral blood hematopoietic stem cell (HSC) transplantation is a well-established procedure for the treatment of hematological, cancer and autoimmune diseases. In cancer patients, HSC transplantation allows the use of high-dose cytotoxic drugs in combination with radiation therapy during treatment, which provides a pronounced antitumor effect. The hematological toxicity of such treatment is eliminated by the sequential introduction of stem cells, which contribute to hematopoiesis restoration. Before transplantation, peripheral blood HSCs are subjected to collection and cryopreservation for further storage. An important requirement for cryopreservation is viable HSCs responsible for hematopoietic restoration. The aim of the review was to analyze the literature devoted to the influence of various methods of cryopreservation of human peripheral blood HSCs on the preservation of cell viability after thawing, as well as the development of adverse events in patients. Issues related to the use of various cryoprotectants, as well as methods for storing HSC grafts, are considered. The presented data indicate the need for further study of the effect of cryoprotectants on the human body and the cellular composition of the graft and improvement of protocols for HSC cryopreservation.
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来源期刊
Cardiovascular Therapy and Prevention
Cardiovascular Therapy and Prevention Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.70
自引率
0.00%
发文量
155
审稿时长
6-12 weeks
期刊介绍: The most important objectives of the journal are: the generalization of scientific and practical achievements in the field of cardiology, increasing scientific and practical skills of cardiologists. The scientific concept of publication does the publication of modern achievements in the field of epidemiology, prevention and treatment of cardiovascular diseases, the results of research, national and international clinical trials. For publication in the journal are invited both domestic and foreign scientists and clinicians working in the field of cardiology, as well as doctors of other specialties. The magazine covers various issues in cardiology and related specialties. Each issue is prepared by Executive editor of the issue, a respected specialist in the field of epidemiology, prevention and treatment of cardiovascular diseases. The main focus of the publication — scientific articles on original research, the pharmacotherapy of cardiovascular disease, new diagnostic methods. All members of the group of authors should meet all four criteria of authorship set forth in the ICMJE recommendations: 1) concept and design development or data analysis and interpretation, and 2) manuscript justification or verification of critical intellectual content, and 3) final approval for publication of the manuscript, and 4) consent to be responsible for all aspects of the work, and assume that issues relating to the thoroughness and diligent execution of any part of the study submitted are duly investigated and resolved. Great importance the editors attached to the preparation of scientific papers by groups of authors at a high level, literacy, authors, and their ownership information, availability of research results not only to colleagues in Russia, but also abroad.
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