Factors predicting peripheral blood progenitor cell collection from pediatric donors for allogeneic transplantation

TitleFactors predicting peripheral blood progenitor cell collection from pediatric donors for allogeneic transplantation
Publication TypeJournal Article
Year of Publication2003
AuthorsDiaz MA, Sevilla J, de la Rubia J, Verdeguer A, Espigado I, Vicent MG, Pascual MJ, Zamora C, Arrieta R, Serrano D, del Canizo,C, Arbona C, de Arriba F, Bargay J, Brunet S, Sanz MA
JournalHaematologica
Volume88
Issue8
Pagination919 - 22
Keywords*Blood Donors / sn [Statistics & Numerical Data], *Hematopoietic Stem Cell Transplantation / sn [Statistics & Numerical Data], *Hematopoietic Stem Cells / cy [Cytology], *Hematopoietic Stem Cells / me [Metabolism], *Tissue and Organ Harvesting / sn [Statistics & Numerical Data], Adolescent, Age Factors, Antigens, CD34 / bi [Biosynthesis], Blood Component Removal / mt [Methods], Blood Component Removal / sn [Statistics & Numerical Data], Body Weight, Cell Count / sn [Statistics & Numerical Data], Child, Child, Preschool, Female, Hematopoietic Stem Cell Mobilization / mt [Methods], Hematopoietic Stem Cell Mobilization / sn [Statistics & Numerical Data], Hematopoietic Stem Cell Transplantation / mt [Methods], Hematopoietic Stem Cells / ch [Chemistry], Humans, Infant, Male, Multivariate Analysis, Predictive Value of Tests, Retrospective Studies, Spain, Tissue and Organ Harvesting / mt [Methods]
Abstract

BACKGROUND AND OBJECTIVES: Although several studies have reported on the use of children as donors for peripheral blood progenitor cells (PBPC), no specific characteristics have been identified as predictors of PBPC collection in this population. In this study we analyzed predictive factors for PBPC collection in pediatric donors. DESIGN AND METHODS: We retrospectively analyzed factors predicting the yield for a target CD34+ cell dose of > or =4x10(6)/Kg donor or recipient body weight, in 105 aphereses from 76 healthy pediatric donors (36 boys and 40 girls) included in the Spanish National Donor Registry. Mobilization consisted of granulocyte colony-stimulating factor (G-CSF) in single doses of 10 microg/kg per day subcutaneously for 4 or 5 days. Apheresis started after the fourth dose of G-CSF. RESULTS: Median age and body weight were 10 years (range 1-18) and 42 kg (range 9-89), respectively. The median number of CD34+ cells/kg recipient body weight was 4.22 (range 0.1-32). On multivariate analysis variables that had a significant negative impact on the CD34+ cell yield, considering the recipient's body weight were the total blood volume processed (regression coefficient (RC): 0.41, 95% CI: 0.21-0.81; p=0.01) and day of apheresis other than first (RC: 0.16, 95% CI: 0.07-0.34; p

Short TitleFactors predicting peripheral blood progenitor cell collection from pediatric donors for allogeneic transplantation
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