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Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease.

Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease. Research Abstract Details 

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  • Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease. Abstract Text:

    wei zhangWei Zhang,dao-bin zhouDao-Bin Zhou,yan zhaoYan Zhao,jun-ling zhuangJun-Ling Zhuang,xiao-mei lengXiao-Mei Leng,shu-jie wangShu-Jie Wang,li jiaoLi Jiao,fu-lin tangFu-Lin Tang,jie-ping zhangJie-Ping Zhang,xuan wangXuan Wang,ti shenTi Shen,

    OBJECTIVE: To evaluate the feasibility and safety of peripheral CD34+ cell mobilization in patients with severe autoimmune disease. METHODS: Forty-two patients underwent a total of 46 mobilizations by the regimen of cyclophosphamide 2-3 g/m2+ recombinant human granulocyte colony stimulating factor (rhG-CSF) 5 microg x kg(-1) x d(-1). The positive selection of CD34+ cell was performed through the CliniMACS. RESULTS: In 8.1 +/- 2. 3 days after administration of cyclophosphamide, the peripheral white blood cell and mononuclear cell (MNC) decreased to the lowest level. In 3.7 +/- 1.6 days after injection of rhG-CSF, the peripheral absolute MNC and CD34+ cell counts were 0.95 x 10(9)/L and 0.035 x 10(9)/L, respectively. After 2.4 +/- 0.6 times of leukapheresis, there gained 4.46 x 10(8)/kg of MNC and 5.26 x 10(6)/kg of CD34+, respectively. After mobilization, the underlying diseases were ameliorated more or less. In systemic lupus erythematosus (SLE) patients, SLE Disease Activity Index (SLEDAI) decreased from a median of 17 to 3 (P < 0.01). In rheumatic arthritis patients, an American College of Rheumatology criteria for 20% (ACR20) response was achieved in all five patients. Totally, 17.4% of patients whose absolute neutrophil count < 0.5 x 10(9)/L suffered infection, and 31.0% of patients had bone pain after the injection of rhG-CSF. Two patients suffered severe complications, one with acute renal failure and recovered by hemodialysis, the other died of thrombotic thrombocytopenic purpura. Failed mobilization occurred in three patients. CONCLUSIONS: Sufficient CD34+ cells can be mobilized by low dose of cyclophosphamide and rhG-CSF. CD34+ cell mobilization for treatment of severe autoimmune disease not only is appropriate in both effectiveness and safety but ameliorates disease also.

    Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease. Publishing Authors By Initials

    w zhangW Zhang,db zhouDB Zhou,y zhaoY Zhao,jl zhuangJL Zhuang,xm lengXM Leng,sj wangSJ Wang,l jiaoL Jiao,fl tangFL Tang,jp zhangJP Zhang,x wangX Wang,t shenT Shen,

    For similar abstracts research abstracts see: abstracts research

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    Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Chinese medical sciences journal = Chung-kuo i hsü

    VOLUME: 22

    Page Numbers: 108-12

    Journal Abbreviation: Chin. Med. Sci. J.

    ISSN: 1001-9294

    DAY: 3

    MONTH: Jun

    YEAR: 2007

    Peripheral blood CD34+ cell mobilization in 42 patients with severe autoimmune disease. Information

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    LANGUAGE: eng

    NlmUniqueID: 9112559

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    AFFILIATION: Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730.

    Country: China

    China Research PublicationChina Research Publication

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    MEDLINETA: Chin Med Sci J

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