Skip to main content

Hematopoietic Stem Cell Mobilization: A Clinical Protocol

  • Protocol
  • First Online:
Stem Cell Mobilization

Part of the book series: Methods in Molecular Biology ((MIMB,volume 904))

Abstract

Autologous hematopoietic stem cell transplantation is the standard treatment for a wide variety of malignancies. At present, most hematopoietic progenitor/stem cell (HPC) collections are collected from the peripheral blood via leukapheresis following chemotherapy and/or growth factor-mediated mobilization. Most mobilization regimens consist of chemotherapy followed by one or more growth factors such as G-CSF, GM-CSF, or plerixafor. Occasionally a subset of patients will prove unable to mobilize effectively and will not collect at least 2.0 × 3106 CD34+ cells/kg, the number of HPC currently considered to be appropriate for transplant in order to achieve timely engraftment and recovery of hematopoiesis. When this occurs it may be necessary to either remobilize, possibly with a different method, or to do a marrow harvest. Recent research has explored the benefits of using HPC outside of the oncology arena, notably in the area of cardiac regeneration following infarction, making the subject of mobilization potentially important to many areas of medicine.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tricot G, Jagannath S, Vesole D et al (1995) Peripheral blood stem cell transplants for multiple myeloma: identification of favorable variables for rapid engraftment in 225 patients. Blood 85:588–596

    PubMed  CAS  Google Scholar 

  2. Morris CL, Siegel E, Barlogie B et al (2003) Mobilization of CD34+ cells in elderly patients (>/= 70 years) with multiple myeloma: influence of age, prior therapy, platelet count and mobilization regimen. Br J Haematol 120:413–423

    Article  PubMed  Google Scholar 

  3. Bensinger W, Appelbaum F, Rowley S et al (1995) Factors that influence collection and engraftment of autologous peripheral-blood stem cells. J Clin Oncol 13:2547–2555

    PubMed  CAS  Google Scholar 

  4. Rosenbaum ER, O’Connell B, Cottler-Fox M (2012) Validation of a formula for predicting daily CD34(+) cell collection by leukapheresis. Cytotherapy 14(4):461–466

    Article  Google Scholar 

  5. Rivadeneyra-Espinoza L, Perez-Romano B, Gonzalez-Flores A et al (2006) Instrument- and protocol-dependent variation in the enumeration of CD34+ cells by flow cytometry. Transfusion 46:530–536

    Article  PubMed  Google Scholar 

  6. Bender JG, To LB, Williams S et al (1992) Defining a therapeutic dose of peripheral blood stem cells. J Hematother 1:329–341

    Article  PubMed  CAS  Google Scholar 

  7. Weaver CH, Hazelton B, Birch R et al (1995) An analysis of engraftment kinetics as a function of the CD34 content of peripheral blood progenitor cell collections in 692 patients after the administration of myeloablative chemotherapy. Blood 86:3961–3969

    PubMed  CAS  Google Scholar 

  8. Suh C, Kim S, Kim SH et al (2004) Initiation of peripheral blood progenitor cell harvest based on peripheral blood hematopoietic progenitor cell counts enumerated by the Sysmex SE9000. Transfusion 44:1762–1768

    Article  PubMed  Google Scholar 

  9. Park KU, Kim SH, Suh C et al (2001) Correlation of hematopoietic progenitor cell count determined by the SE-automated hematology analyzer with CD34(+) cell count by flow cytometry in leukapheresis products. Am J Hematol 67:42–47

    Article  PubMed  CAS  Google Scholar 

  10. Dao MA, Arevelo J, Nolta JA (2003) Reversibility of CD34 expression on human hematopoietic stem cells that retain the capacity for secondary reconstitution. Blood 101:112–118

    Article  PubMed  CAS  Google Scholar 

  11. Hess DA, Wirthlin L, Craft TP et al (2006) Selection based on CD133 and high aldehyde dehydrogenase activity isolates long-term reconstituting human hematopoietic stem cells. Blood 107:2162–2169

    Article  PubMed  CAS  Google Scholar 

  12. Rosenbaum ER, Nakagawa M, Pesek G et al (2009) A 15 hour extended dosing-collection interval for Plerixafor is at least as effective as the standard 10 hour interval. Blood 114:2152

    Google Scholar 

  13. Product information. Leukine (sargramostim). Seattle, WA: Bayer Healthcare Pharmaceuticals, April 2008

    Google Scholar 

  14. Product information. Neupogen (filgrastim). Thousand Oaks, CA: Amgen Inc., 1991–1996.

    Google Scholar 

  15. Product information. Mozobil (plerixafor). Cambridge, MA: Genzyme Corporation, December 2008

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michele Cottler-Fox .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this protocol

Cite this protocol

Pesek, G., Cottler-Fox, M. (2012). Hematopoietic Stem Cell Mobilization: A Clinical Protocol. In: Kolonin, M., Simmons, P. (eds) Stem Cell Mobilization. Methods in Molecular Biology, vol 904. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-943-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-61779-943-3_5

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61779-942-6

  • Online ISBN: 978-1-61779-943-3

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics