窒息对脐带血造血干细胞集落形成能力的影响

A. Shahfarhat, Abolfazl Nosrati Tirkani, Dariyush Hamidi Alamdari, محمدحسن ارجمند
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摘要

背景:窒息是一种医学状况,导致新生儿缺氧,在出生过程中持续足够长的时间,通常对大脑造成身体伤害。人脐带血(UCB)是异体干细胞移植中成熟的造血干细胞/祖细胞(HSPCs)来源。分娩窒息婴儿低氧水平可影响脐带血干细胞的增殖和分化。方法:比较Apgar评分3 ~ 5分或产后5 min需心肺复苏的重度窒息患儿脐带血造血干细胞质量及集落形成单位与Apgar评分正常的正常组。随后,分离造血干细胞,在HSPCs专用富集培养基(MethoCult H4435)中培养7天,评估其生长和集落形成情况。结果:产程低氧血症婴儿在104个脐带血造血干细胞培养皿中红细胞数量(P=0.0016)和白细胞前体菌落(P= 0.006)有显著差异。结论:脐带血因其干细胞含量而具有重要价值。围产期重度缺氧对UCB造血干细胞生长和形成集落的活力无负面影响。根据我们的研究,短暂的严重窒息不会对HSPCs的储蓄和未来可能出现的问题产生负面影响
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Asphyxia effects on colony forming ability of hematopoietic stem cell of cord blood
Background:Asphyxia is the medical situation resulting of deprivation of oxygen to a newborn infant that lasts long enough during the birth process to cause physical harm usually to the brain. Human umbilical cord blood (UCB) is a well-established source of hematopoietic stem/progenitor cells (HSPCs) for allogeneic stem cell transplantation. Low level of O2 in infants with asphyxia during labor can influence on proliferation and differentiation of stem cells in cord blood. Method:The quality and colony forming unit of hematopoietic stem cells in cord blood of infants with severe asphyxia with Apgar score 3-5or need to cardiac pulmonary resuscitation five minutes after delivery were compared with the normal group with normal Apgar score.Afterward, hematopoietic stem cells were isolated and cells were cultured in enrichedmedia (MethoCult H4435) special for HSPCs for 7 days to assessment growth and colony formation. Results: There was a significant difference in the number of RBC (P=0.0016) and WBC precursor’s colonies (P = 0.006), in plate with 104 cord blood hematopoietic stem cells in infants who exposed to hypoxemia during labor.Conclusion: Umbilical cord blood is valued for its content of stem cells.Severehypoxia in the perinatal period does not have negative influence on viability of UCB hematopoietic stem cells to growth and formation colonies.Based on our research transient severe asphyxia does not have negative effects on HSPCs to save and banking for likely problems in future
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