影响健康颗粒细胞捐献者的白细胞动员的因素
Roman Gonta1,2, Jason M Schenkel1, Kimberly Klein1
1Division of Pathology and Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Transfusion medicine (Oxford, England)
|November 27, 2024
概括
较高的颗粒细胞剂量可以改善患者的治疗结果. 基线血小板计数可以预测粒细胞调动效率,而捐赠者的年龄和性别不会显著影响它. 需要对频繁捐赠进行进一步的研究.
科学领域:
- 血液学 血液学 血液学
- 输血医学 输血医学
- 在瘤学方面提供支持.
背景情况:
- 颗粒细胞输血对于治疗中性衰竭患者的感染至关重要.
- 较高的颗粒细胞剂量与更好的患者结果相关.
- 优化供体刺激和采集对于最大限度地提高粒细胞产量至关重要.
研究的目的:
- 确定影响健康捐献者的粒细胞调动效率的因素.
- 评估捐赠者特征对白细胞 (WBC) 调动的影响.
- 评估重复捐款对动员效率的影响.
主要方法:
- 对来自健康捐赠者的312个粒细胞采集的回顾性分析.
- 捐赠者接受了皮下filgrastim (G-CSF) 和口服德甲.
- 检查了供体因子 (年龄,性别,体重,BMI,Hgb,PLT) 和调动效率 (Δ WBC) 之间的相关性.
主要成果:
- 捐赠者年龄与 Δ WBC 呈负相关性;年龄较大的捐赠者动员效率较低.
- 基线血小板计数与 Δ WBC.正相关.
- 捐赠者的性别和BMI并没有显著影响动员效率.
- 重复捐献者在多次采集中没有显著改变 Δ WBC.
结论:
- 固定的剂量G-CSF和德克萨对WBC动员有效,降低了成本和副作用.
- 基线血小板计数可以作为粒细胞调动的预测指标.
- 需要进一步的研究来确定频繁的颗粒细胞捐赠的安全性和有效性.
相关概念视频
Structure and Function of Leukocytes
1.9K
An adult in good health typically has between 4,500 and 11,000 leukocytes, or white blood cells, per microliter of blood, which constitutes about 1% of the total blood volume. Unlike red blood cells, white blood cells contain a nucleus and other cellular organelles but do not have hemoglobin. Most white blood cells reside in connective tissues, particularly in lymphatic organs such as the lymph nodes, with only a small fraction present in circulating blood.
White blood cells protect the body...
White blood cells protect the body...
1.9K
Differentiation of Common Myeloid Progenitor Cells
3.2K
Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
3.2K
Regulation of Hematopoietic Stem Cells
3.1K
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.1K
Disorders of Leukocytes
861
Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
861


