Durability of hematopoiesis following autografting with peripheral blood hematopoietic progenitors

S. Siena, M. Bregni, M. Di Nicola, F. Ravagnani, F. Peccatori, L. Gandola, F. Lombardi, C. Tarella, G. Bonadonna, A. M. Gianni

Research output: Contribution to journalArticle

Abstract

Background: It is still not known whether hematopoiesis reconstituted by autografting with the peripheral blood hematopoietic progenitors (CPCs) after myeloablative high dose radiotherapy and/or chemotherapy is durable and capable of coping with the increased demand imposed by boost radiotherapy, surgery, or infection. Patients and methods: The durability of hematopoiesis was evaluated in 34 consecutive cancer patients treated with myeloablative total body irradiation (n - 17, median follow-up 3 years, range 3-49 months) and/or alkylating-agent chemotherapy (n = 17, median follow-up 8 months, range 6-41 months) and autografted with CPCs because bone marrow autografting was contraindicated. CPCs (>8 × 106 CD34+ cells/kg) had been collected during mobilization into the circulation in response to previous anticancer therapy and hematopoietic growth factor(s). Results: Following brief temporary pancytopenia, all patients achieved normal and durable hematopoiesis. The newly reconstituted hematopoietic system was capable of reacting favorably to stressful and debilitating events such as surgery, radiotherapy, or varicella-zoster infection. No secondary irreversible failure of blood cell production occurred. Conclusions: The documentation of the durability of normal hematopoiesis following myeloablative cancer therapy and autografting with mobilized CPCs implies that the latter procedure, rather than being solely an alternative to bone marrow autografting, represents an advantageous tool of choice permitting substantial amelioration of the therapeutic index of high-dose cancer therapy.

Original languageEnglish
Pages (from-to)935-941
Number of pages7
JournalAnnals of Oncology
Volume5
Issue number10
Publication statusPublished - Dec 1994

Keywords

  • CD34+ cells
  • Peripheral blood hematopoietic progenitors
  • PIXY321
  • RhG-CSF
  • RhGM-CSF
  • RhIL3

ASJC Scopus subject areas

  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Public Health, Environmental and Occupational Health
  • Neuropsychology and Physiological Psychology
  • Hematology
  • Oncology
  • Cancer Research

Fingerprint Dive into the research topics of 'Durability of hematopoiesis following autografting with peripheral blood hematopoietic progenitors'. Together they form a unique fingerprint.

  • Cite this