Abstract
T-cell depletion is an essential step in reducing the risk of graft-versus-host disease (GVHD) in patients with inherited metabolic storage diseases (IMSD) undergoing hematopoietic stem cell transplantation. This goal can be achieved either by selective removal of T cells or by positive selection of CD34+ cells. Large-scale preparations of purified CD34+ cells from bone marrow products have not been extensively described. We report our results with bone marrow CD34+ cell enrichment using the CliniMACS system in eight children with IMSD. The median recovery of positively selected CD34+ cells was 46.2% with a purity of 97.5%, and a residual T cell content of 0.04 × 106 . A median of 5.5 × 106/kg of CD34+ cells was infused. All patients engrafted at a median time of 12 days and none of the patients developed GVHD. This method is technically feasible and can be successfully used to transplant children with IMSD.
Original language | English |
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Pages (from-to) | 857-860 |
Number of pages | 4 |
Journal | Bone Marrow Transplantation |
Volume | 31 |
Issue number | 10 |
DOIs | |
State | Published - May 2003 |
Externally published | Yes |
Keywords
- Hematopoietic stem cell
- Immunomagnetic enrichment
- Storage diseases
- Transplantation