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ABO血型不合的异基因造血干细胞采集及移植效果研究
引用本文:Xu W,Zhu M,Li YP,Bian MH,Wei YZ,Xia X,Zhang XS. ABO血型不合的异基因造血干细胞采集及移植效果研究[J]. 中国实验血液学杂志, 2011, 19(5): 1237-1240
作者姓名:Xu W  Zhu M  Li YP  Bian MH  Wei YZ  Xia X  Zhang XS
作者单位:1. 安徽医科大学第一附属医院输血科,安徽合肥,230022
2. 合肥市第一人民医院核医学科,安徽合肥,230061
摘    要:本研究评价COBE Spectra血细胞分离机按干细胞采集程序采集HLA配型相合、ABO血型不合供者外周血造血干细胞的效能,观察未去除红细胞和(或)血浆进行异基因外周血干细胞移植的效果。应用COBE Spectra血细胞分离机的自动干细胞采集程序采集28例异基因供者外周血干细胞,并选用同期ABO血型相合15例作对照。检测采集物有核细胞(NC)数、单个核细胞(MNC)比例及CD34+细胞计数,观察造血功能重建情况和转变为供者血型所需要的时间。结果表明,ABO血型不合和相合组采集物中的NC、CD34+细胞数、MNC比例无统计学差异(p>0.05)。ABO血型不合组和相合组中性粒细胞和血小板恢复的时间无统计学差异(p>0.05)。14例ABO血型主要不合患者,红系造血明显延迟,ABO血型不合组28名患者于移植后35-193天血型成功转变为供者型,和ABO血型相合组相比均有统计学差异(p<0.01)。结论:ABO血型不合不是异基因造血干细胞移植的障碍,主要不合可能是红系造血明显延迟的主要原因。

关 键 词:ABO血型不合  ABO血型相合  异基因外周血造血干细胞移植  纯红细胞再生障碍

Peripheral blood stem cell collection from ABO incompatible allogeneic donors and its effect in hematopoietic stem cell transplantation
Xu Wei,Zhu Mei,Li Yan-Ping,Bian Mao-Hong,Wei Yu-Zhi,Xia Xue,Zhang Xun-Shan. Peripheral blood stem cell collection from ABO incompatible allogeneic donors and its effect in hematopoietic stem cell transplantation[J]. Journal of experimental hematology, 2011, 19(5): 1237-1240
Authors:Xu Wei  Zhu Mei  Li Yan-Ping  Bian Mao-Hong  Wei Yu-Zhi  Xia Xue  Zhang Xun-Shan
Affiliation:XU Wei,ZHU Mei1,LI Yan-Ping,BIAN Mao-Hong,WEI Yu-Zhi,XIA Xue,ZHANG Xun-ShanDepartment of Blood Transfusion,Anhui Medical University First Hospital,Hefei 230022,Anhui Province,China,1Department of Nuclear Medicine,Hefei First People Hospital,Hefei 230061
Abstract:The study was aimed to evaluate the yield of the COBE Spectra blood cell separator with auto-peripheral blood stem cell program for collection of peripheral blood hematopoietic stem cells(PBHSC) from HLA-matched ABO-incompatible allogeneic PBHSC donor,and observe the safety and effect of allogeneic peripheral blood hematopoietic stem cell transplantation(allo-PBHSCT) without removal of erythrocytes and plasma.PBHSC from 28 allogeneic donors were collected by COBE Spectra blood cell separator with auto-perip...
Keywords:ABO incompatibility  ABO compatibitity  allogeneic peripheral blood hematopoietic stem cell transplantation  pure red cell aplasia  
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