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Related Experiment Videos

Stem cell purging ex vivo

M V Seiden1, K C Anderson

  • 1Division of Hematology and Oncology, Massachusetts General Hospital, Boston, USA.

The Journal of Infusional Chemotherapy
|January 1, 1996
PubMed
Summary
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Detecting tumor cells in bone marrow (BM) and peripheral blood progenitor cells (PBPC) has advanced significantly. While techniques confirm frequent contamination, the clinical benefit of purging these cells requires further study in trials.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Diagnostics

Background:

  • Bone marrow (BM) and peripheral blood progenitor cells (PBPC) are frequently contaminated with tumor cells.
  • Tumor cell contamination poses a risk for disease relapse after autograft procedures.

Purpose of the Study:

  • To review techniques for detecting tumor cell contamination in BM and PBPC.
  • To evaluate the effectiveness of ex vivo processing strategies for reducing tumor cell contamination.
  • To discuss the clinical implications of residual tumor cells in autografts.

Main Methods:

  • Immunohistochemistry
  • In situ hybridization (ISH)
  • Flow cytometry
  • Clonogenic tumor assays

Related Experiment Videos

  • Polymerase chain reaction (PCR)-based assays
  • Gene marking studies
  • Main Results:

    • Detection capabilities vary widely, from 1 tumor cell in 100 to 1 tumor cell in a million.
    • BM contamination is generally higher than in PBPC.
    • Gene marking studies confirm tumor cell viability and potential for relapse.
    • Purging techniques can reduce tumor contamination by 3-5 logs; positive selection by 3-4 logs.

    Conclusions:

    • Advanced techniques effectively detect tumor cell contamination in BM and PBPC.
    • Ex vivo processing can significantly reduce tumor cell load.
    • The clinical benefit of purging and its impact on patient outcomes require validation through randomized clinical trials.