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The effect of caffeine intake and passive smoking on umbilical cord blood unit's quality parameters
Walid Almashaqbeh1,2, Husam Ardah3, Amal Alasmari4
1Saudi Stem Cell Donor Registry and Cord Blood Bank, King Abdullah International Medical Research Center, College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Insights
Caffeine consumption by pregnant women significantly reduces cord blood (CB) stem cell quality and quantity. Passive smoking showed no significant impact on cord blood stem cell metrics.
Area of Science:
- Hematology
- Stem Cell Biology
- Public Health
Background:
- Cord blood (CB) is a crucial source of hematopoietic stem cells for treating hematological disorders.
- Limitations in CB utilization stem from reduced nucleated cell counts, necessitating strategies for improved donor selection and inventory quality.
- Understanding factors affecting CB quality is vital for maximizing stem cell harvesting benefits.
Purpose of the Study:
- To investigate the impact of passive smoking and maternal caffeine consumption on cord blood quality.
- To analyze maternal and neonatal factors influencing cord blood stem cell parameters.
- To provide data for optimizing cord blood banking strategies and public health awareness.
Main Methods:
- Cord blood units were collected from mothers at King Abdulaziz Medical City after informed consent.
- Maternal interviews collected data on demographics, smoking exposure, and caffeine intake, supplemented by chart reviews.
- Laboratory testing assessed cord blood nucleated cell counts (MNC), lymphocyte levels, and stem cell potency (CFU, BFU-E).
Main Results:
- Maternal caffeine consumption was associated with a significant reduction in cord blood MNC, including lymphocytes.
- Caffeine intake also led to decreased stem cell potency, evidenced by lower total CFU and BFU-E counts.
- Passive smoking exposure did not show a significant impact on the measured cord blood quality parameters.
Conclusions:
- Maternal caffeine consumption negatively affects cord blood stem cell yield and potency.
- Passive smoking's effect on cord blood quality in this cohort was not statistically significant.
- Findings emphasize the need to raise awareness among pregnant women regarding caffeine intake to preserve cord blood stem cell quality.
Abstract:
Today cord blood (CB) is a valuable source of hematopoietic stem cells to treat many hematological disorders. One of the limitations of CB utilization is the reduced number of nucleated cells including stem cells. Therefore, CB banks around the world have developed strategies in an attempt to improve donor selection and the quality of the CB inventory. This study aimed to determine the impact of passive smoking and caffeine consumption on CB quality. CBs were obtained from mothers who gave birth at King Abdulaziz Medical City. All mothers gave their informed consent. Personal interviews about the mother's demographics, smoking status and exposure, and caffeine consumption executed, followed by a chart review to analyze maternal and neonatal factors. Laboratory testing was performed on all collected CB units. Using descriptive statistics, maternal and newborn factors were analyzed. T-test or Mann-Whitney U Test, as appropriate, for continuous variables analysis to study the effect of second hand smoking and coffee consumption for the primary outcome. Our study demonstrated a reduction in CB MNC, including lymphocytes, in caffeine consumers among pregnant donors, as well as a reduction in cell potency activities, including total CFU and BFU-E. The effect of passive cigarette smoking on the same cohort was insignificant. Outcome of this study will help in optimizing the quality and quantity of stem cell harvesting from CB to get the maximum benefit and such knowledge will raise the awareness among pregnant women.
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