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A comparison between two different procedures for bone marrow processing: a semiautomated procedure vs manual starch
G Menichella1, L Pierelli, R Serafini
1Servizio di Ematologia ed Emotrasfusione, Università Cattolica del S. Cuore, Rome, Italy.
Haematologica
|March 1, 1991
Summary
Efficient bone marrow processing is crucial for autologous cryopreserved bone marrow infusion after chemotherapy. This study compares gravity sedimentation and a semiautomated procedure to improve hematopoietic recovery and reduce infusion toxicity.
Area of Science:
- Hematology
- Transplantation Medicine
- Bioprocessing Engineering
Background:
- Autologous cryopreserved bone marrow infusion supports hematopoietic recovery post-chemotherapy.
- Inefficient bone marrow processing can lead to infusion toxicity and reduced cryopreservation efficacy.
- Optimizing ex-vivo bone marrow manipulation is critical for successful autologous bone marrow grafting.
Purpose of the Study:
- To compare the efficiency of two distinct bone marrow processing techniques.
- To evaluate the impact of processing methods on infusion toxicity and cryopreservation.
- To determine the optimal method for preparing bone marrow for autologous transplantation.
Main Methods:
- Collected bone marrow was processed using either gravity sedimentation with 6% hydroxyethyl-starch (HES) or a semiautomated procedure with a blood cell processor.
- Ex-vivo manipulation techniques were employed to prepare the bone marrow for infusion.
- Efficiency of both methods was evaluated based on specific parameters.
Main Results:
- The study compared the outcomes of gravity sedimentation versus semiautomated processing.
- Evaluation focused on parameters such as reduced hemolyzed red cells, decreased cell clumping, and optimized dimethyl sulfoxide (DMSO) levels.
- Freezing efficacy was assessed as a critical factor in graft success.
Conclusions:
- Both gravity sedimentation and semiautomated processing aim to improve bone marrow infusion quality.
- The choice of processing method impacts infusion toxicity and cryopreservation effectiveness.
- Further analysis is needed to determine the superior method for clinical application in autologous bone marrow transplantation.