rhG-C SF动员对外周血淋巴细胞亚群和CD34+细胞的影响

Impaction on peripheral blood lymphocyte subsets and CD34+ cells of mobilization with rhG-CSF

  • 摘要: 目的: 动态观察自体外周血造血干细胞移植患者经rhG-CSF动员过程中外周血及外周血造血干细胞(PBPC)中淋巴细胞亚群和CD34+细胞的变化,指导临床选择最佳采集时机。方法: 对大剂量化疗(HDC)联合重组人粒细胞集落刺激因子(rhG-CSF)动员的38例白血病和淋巴瘤患者,采用流式细胞术(FACS)测定其动员前后外周血及PBPC中的淋巴细胞亚群CD3、CD4、CD8、NK、CD19和造血干细胞CD34细胞含量的变化,同时用甲基纤维素半固体培养基进行CFU-GM培养来评价干细胞克隆生成能力。结果: 动员后外周血淋巴细胞亚群CD3、CD4细胞含量均低于动员前(P<0.01),而动员后外周血中的CD34细胞含量明显高于动员前(P(0.05)。动员后第5天CD34含量达到最高峰。PBPC中CD4、CD4/CD8明显低于外周血(P<0.005),其他淋巴细胞亚群含量与外周血比较无明显变化。动员后外周血中CD34+细胞明显高于动员后,动员后PBPC中CFU-GM生成明显高于外周血(P<0.05),CD4/CD8比值严重倒置,B细胞恢复较快。结论: 大剂量化疗联合rhG-CSF动员会使...

     

    Abstract: Objective: To investigate the changes of lymphocyte subsets and CD34+ cells in the peripheral blood(PB) of patients with hematological malignancy mobilized with rhG-CSF. Methods: In order get enough peripheral blood progenitor/stem cells,38 patients with leukaemia or lymphoma were mobilized with high-dose chemotherapy and middle-dose rhG-CSF.The lymphocyte subsets(include CD3,CD4,CD8,CD19,and NK cell) and CD34+ cells in the PB before and after mobilization were analyzed with flow cytometry.Meanwhile we culture CFU-GM ability in methyl cellulose(MC)semisolid culture medium to(observe) stem cells’ quality. Results: The ratio of CD3,CD4 in monucear cells were obviously deceased after mobilization((P<0.01),P<0.01).While CD34+ cells in PB increased significantly after mobilization(P<0.05),it reached the peak on day 5.CD4/CD8 ratio is inverted seriously. Conclusion: High dose chemotherapy and rhG-CSF have markedly effect on mobilization of the peripheral blood hematopoietic cells(PBPCs) and shift the lymphocyte subsets.

     

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