Simple predictors of peripheral blood stem cell yield in healthy donors: A retrospective analysis in a tertiary care hospital

Autor: Thulasi Raman Ramalingam, Lakshman Vaidhyanathan, Anurekha Muthu, Vikram Prabhakar, Balasubramaniam Ramakrishnan, Revathi Raj, Jose M Easow
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Applied Hematology, Vol 12, Iss 1, Pp 31-36 (2021)
Druh dokumentu: article
ISSN: 1658-5127
DOI: 10.4103/joah.joah_100_20
Popis: BACKGROUND: Peripheral blood stem cells (PBSCs) are commonly used for hematopoietic stem cell transplant (HSCT) over other stem cell sources. The hematopoietic stem cells (HSCs) are mobilized from marrow by granulocyte colony-stimulating factor (G-CSF) and then harvested by apheresis technique. The HSC yield differs in donors that may be due to inadequate mobilization or difficulty in harvesting the mobilized stem cells. MATERIALS AND METHODS: We retrospectively analyzed donor demographic and pre-apheresis hematological variables with circulating CD34+ cell (cir CD34) count and HSC yield in product in 100 normal donors. G-CSF was given for 5 consecutive days, and the stem cells were harvested on day 5. The cir CD34 count and pre-apheresis variables were recorded a day before harvest. RESULTS: Of 100 donors, 77% were males and 23% were females. Male sex, younger age, and donor weight were significantly associated with better CD34 yield in the product. Among the pre-apheresis hematological variables, absolute neutrophil count, hematocrit, and absolute nucleated red blood cell count significantly correlated with post-GCF circulating CD34 and CD34 yield in the product. Donors with mean corpuscular volume
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