Journal of Southern Medical University ›› 2004, Vol. 24 ›› Issue (09): 1051-1052.

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Low-dose granulocyte colony-stimulating factor combined with granulocyte-macrophage colony-stimulating factor for mobilizing peripheral CD34+ hematopoietic progenitor cells

MENG Fan-yi, XU Bing, SUN Jin, YANG Yi, NIU Jing-na   

  1. 第一军医大学南方医院血液科, 广东, 广州, 510515
  • Online:2004-09-20 Published:2004-09-20

Abstract: Objective To study the efficacy of combined use of low-dose granulocyte colony-stimulating factor (G-CSF) and granulocyte-macrophage colony-stimulating factor (GM-CSF) in mobilizing hematopoietic stem/progenitor cells. Methods Twenty adult patients with malignant hematologic diseases were paired using statistical methods, and the 10 pairs were divided into 2 equal groups. For non-Hodgkin lymphoma, the treatment regimen adopted intravenous infusion of cytoxan (2 g/d for 1 or 2 d) and VP16 (0.2 g/d for 1 to 3 d), while for acute non-lymphocytic leukemia, Ara-C (2 g/d for 1 to 3 d) and VP16 (0.2 g/d for 1 to3 d) were used. When the while blood cell count (WBC) was below 1.0×109/L, G-CSF and GM-CSF were administered subcutaneously at the same dose of 2.5 μg/d·kg in the 10 patients in the experimental group, while the patients in the control group received only 5 μg/d·kg G-CSF, both for 5 to 6 d. After WBC>5.0×109/L, the peripheral blood mononuclear cells (PBMNC) were separated by CS-3000 pluse separator and CD34+ cells were determined by flow cytometry. Results The purity of the isolated PBMNC was 95%-99%. In the experimental group, the mean number of CD34+ cells acquired was 9.4×106/kg ranging from 8.4×106 to 10.2×106/kg, and granulocyte-macrophage colony-forming unit (CFU-GM) was 42.4×104/kg on average ranging from 21.9×104 to 72.8×104/kg, as compared with 4.8×106/kg[(4.1-8.3) ×106/kg]for CD34+ cells and 28.1×104/kg[(7.1-60.2)×104/kg]for CFU-GM in the control group (P<0.05). No obvious difference was observed between the two groups in terms of the adverse effects of the treatment (P>0.05). Conclusion Combined use of G-CSF and GM-CSF can be more effective than the exclusive use of GM-CSF for mobilizing CD34+ cells.

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