SEPARATION OF G-CSF-MOBILIZED PBSC TRANSPLANTS BY COUNTERFLOW CENTRIFUGAL ELUTRIATION - MODEST ENRICHMENT OF CD34(+) CELLS BUT NO LOSS OF PRIMITIVE HEMATOPOIETIC PROGENITORS

The suitability of counterflow centrifugal elutriation (CCE) for reduc tion of the number of non-stem cells in autologous G-CSP-mobilized per ipheral blood stem cell (PBSC) transplants was investigated. By cell s ize-monitored CCE, small cells could be rapidly separated from the hae mopoietic progenitor cells present in leukapheresis product (LP) sampl es. The large cell fraction contained an average 86 +/- 25% of the CD3 4(+) cells and 76 +/- 20% of the granulocyte-macrophage progenitors (C FU-GM) loaded into the separation chamber, and was depleted of 75 +/- 18% of the lymphocytes, 89 +/- 7% of the erythrocytes and 98 +/- 2% of the platelets (n = 21). Due to the presence of high numbers of large immature myeloid cells, which co-elutriated with progenitor cells, enr ichment of CD34(+) cells in the large cell fraction was only modest (a verage 1.8 times). No indication of preferential co-elutriation of pri mitive stem cells with the small cells was obtained. There was no diff erence in expression of CD38 or Thy-1 on CD34(+) cells between the two elutriation fractions. Frequencies of cobblestone-area-forming cells (CAFC) week 6, which are considered to represent cells with long-term repopulating ability, were reduced in the small cell fractions as comp ared to those in the unseparated samples and the large cell fractions. On average, 100% of CAFC week 6 were recovered in the large cell frac tions (n=5). In conclusion erythrocytes, platelets and 40-50% of leuco cytes can be depleted from G-CSF-mobilized PBSC samples by CCE with an almost complete recovery of both clonogenic and primitive stem cells.