Abstract
Eighty-three pediatric patients underwent autologous peripheral blood stem cell transplants at a single institution and were included in a study evaluating the correlations between five engraftment parameters and the time to both neutrophil and platelet recovery. The parameters included: the number of nucleated cells per kg (TNC/kg), the absolute CD34+ cell content per kg (CD34+/kg), the number of mononuclear cells per kg (MNC/kg), the number of BFU-E/kg, and the number of CFU-GM/kg. A two-tailed Mann–Whitney test (α = 0.05) was used to determine if there were significant differences between patients with neuroblastoma (n = 45) and patients with other diagnoses (n = 38). No statistically significant differences existed between neuroblastoma patients and patients with other diagnoses. Therefore, the two groups of patients were pooled together. Data were analyzed using both a univariate and multivariate correlation method and Student's t-test (α = 0.05). Two statistically significant logarithmic relationships were found. The first relationship was between MNC/kg and time to ANC reconstitution (P = 0.05). The second relationship was between CFU-GM/kg and time to platelet recovery (P = 0.01). Based on the statistical data, we conclude that there is no correlation between nucleated cell dose, CD34+ cell dose, and BFU-E content with either neutrophil or platelet recovery. Accordingly, in this study MNC cell dose per kilogram was the most important parameter predicting the length of time between graft infusion and neutrophil recovery while CFU-GM content per kilogram was the most important parameter predicting the length of time until platelet recovery. Bone Marrow Transplantation (2000) 25, 583–588.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Kessigner A, Armitage JO, Smither DM et al. High-dose therapy and autologous peripheral blood stem cell transplantation for patients with lymphoma Blood 1989 74: 1260–1265
To LB, Roberts MM, Haylock D et al. Comparison of haematological recovery time and supportive care requirements of autologous peripheral blood stem cell transplants, autologous bone marrow transplants and allogeneic bone marrow transplants Bone Marrow Transplant 1992 9: 277–284
Hill RS, Mazza P, Amos D . Engraftment in 86 patients with lymphoid malignancy after autologous marrow transplantation Bone Marrow Transplant 1989 4: 69–74
To LB, Dyson PG, Branford AL . Peripheral blood stem cells collected in very early remission produce rapid and sustained autologous haemopoietic reconstitution in acute non-lymphoblastic leukemia Bone Marrow Transplant 1987 2: 103–108
Sheridan WP, Begley CG, Juttner CA et al. Effect of peripheral blood progenitor cells mobilized by filgrastim (G-CSF) on platelet recovery after high dose chemotherapy Lancet 1992 1: 640–644
Henon PR, Liang H, Beck-Wirth G et al. Comparison of hematopoietic and immune recovery after autologous bone marrow or blood stem cell transplants Bone Marrow Transplant 1993 9: 285–291
Schwarzberg L, Birch R, Blanco R et al. Rapid and sustained hematopoietic reconstitution by peripheral blood stem cell infusion alone following high-dose chemotherapy Bone Marrow Transplant 1993 11: 369–374
To LB, Dyson PG, Branford AL et al. CFU-mix are no better than CFU-GM in predicting hemopoietic reconstitutive capacity of peripheral blood stem cell collected in the very early remission phase of acute nonlymphoblastic leukemia Exp Hematol 1987 15: 351–354
Kawano Y, Takaue Y, Watanabe T et al. Effects of progenitor cell dose and preleukapheresis use of human recombinant granulocyte colony-stimulating factor on the recovery of hematopoiesis after blood stem cell autografting in children Exp Hematol 1993 21: 103–108
Hohaus S, Goldschmidt H, Ehrhardt R, Haas R . Successful autografting following myeloablative conditioning therapy with blood stem cells mobilized by chemotherapy plus rhG-CSF Exp Hematol 1993 21: 508–514
Brice P, Marolleau JP, Dompret H et al. Autologous peripheral blood stem cell transplantation after high dose therapy in patients with advanced lymphomas Bone Marrow Transplant 1992 9: 285–291
Elias AD, Ayash L, Anderson KC et al. Mobilization of peripheral blood progenitor cells by chemotherapy and granulocyte-macrophage colony-stimulating factor for hematologic support after high-dose intensification for breast cancer Blood 1992 79: 3036–3044
Besinger WI, Longin K, Appelbaum S et al. Peripheral blood stem cells (PBSCs) collected after recombinant granulocyte colony-stimulating factor (rhG-CSF): an analysis of factors correlating with the tempo of engraftment after transplantation Br J Haematol 1994 87: 825–831
Fritsch G, Emminger W, Buchinger P et al. CD34 positive cell proportions in peripheral blood correlate with colony-forming capacity Exp Hematol 1991 19: 1079–1083
Weaver CH, Hazelton B, Birch RI et al. 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 1995 10: 3961–3969
Sutherland JH, Eaves CJ, Lansdorp PM et al. Kinetics of committed and primitive blood progenitor mobilization after chemotherapy and growth factor treatment and their use in autotransplants Blood 1994 83: 3808–3814
Bensinger W, Appelbaum F, Rowley S et al. Factors that influence collection and engraftment of autologous peripheral blood stem cells J Clin Oncol 1995 13: 2547–2555
Hazelton B, Birch R, Schwartzberg L et al. CD34 yield alone is sufficient to determine adequacy of peripheral blood progenitor cell products Proc Am Assoc Cancer Res 1994 35: 205–212
Diaz MA, Alegre A, Villa M et al. Pediatric experience with autologous peripheral blood progenitor cell transplantation: influence of CD34+ cell dose in engraftment kinetics Bone Marrow Transplant 1996 18: 699–703
Brodeur GM, Seeger RC, Barret A et al. International criteria for diagnosis, staging, and response to treatment in patients with neuroblastoma J Clin Oncol 1988 6: 1874–1881
Cohn S, Moss TJ, Hoover M et al. Treatment of poor risk neuroblastoma patients with high dose chemotherapy and autologous peripheral stem cell rescue Bone Marrow Transplant 1997 20: 543–551
Rowley SD . Hematopoietic progenitor cell assay. In: Areman E, Deeg HJ, Sacher RA (eds) Bone Marrow Stem Cell Processing: A Manual of Current Techniques FA Davis: PhilaÍdelphia 1992 p406
Henon PH . Blood stem cell autografts in malignant blood diseases. The French experience with a special focus on myeloma Haematologica 1990 751: 53–59
Henon PR, Butturini A, Gale RP . Blood-derived haematopoietic cell transplants: blood to blood? Lancet 1991 337: 961–963
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Figuerres, E., Haut, P., Olzewski, M. et al. Analysis of parameters affecting engraftment in children undergoing autologous peripheral blood stem cell transplants. Bone Marrow Transplant 25, 583–588 (2000). https://doi.org/10.1038/sj.bmt.1702193
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.bmt.1702193
Keywords
This article is cited by
-
Rapid immune reconstitution following autologous hematopoietic stem cell transplantation in children: a single institution experience
Bone Marrow Transplantation (2003)
-
Peripheral blood stem cell collection in children with acute leukemia: effectiveness of the ‘DIAVE’ mobilizing regimen
Bone Marrow Transplantation (2002)