Flow cytometric detection of growth factor receptors in autografts and analysis of growth factor concentrations in autologous stem cell transplantation: possible significance for platelet recovery
I. Schiodt et al., Flow cytometric detection of growth factor receptors in autografts and analysis of growth factor concentrations in autologous stem cell transplantation: possible significance for platelet recovery, BONE MAR TR, 26(5), 2000, pp. 525-531
Citations number
23
Categorie Soggetti
Hematology,"Medical Research Diagnosis & Treatment
In order to improve prediction of hematopoietic recovery,we conducted a pil
ot study, analyzing the significance of growth factor receptor expression i
n autografts as well as endogenous growth factor levels in blood before, du
ring and after stem cell transplantation. Three early acting (stem cell fac
tor (SCF), Flt3 ligand (Flt3) and fetal antigen 1 (FA1)) and three lineage-
specific growth factors (EPO, G-CSF and thrombopoietin (Tpo)) were analyzed
by ELISA in 16 patients with multiple myeloma (MM) and 16 patients with no
n-Hodgkin's lymphoma (NHL). The relative number of SCF, Flt3, Tpo and G-CSF
receptor positive, CD34(+) progenitor cells were measured by flow cytometr
y in the leukapheresis product used for transplantation in a subgroup of 15
patients (NHL, n = 8, MM, n = 7), Three factors were identified as having
a significant impact on platelet recovery, First, the level of Tpo in blood
at the time of the nadir (day +7), Second, the percentage of re-infused th
rombopoietin receptor positive progenitors and finally, the percentage of F
lt3 receptor positive progenitors, On the other hand, none of the analyzed
factors significantly predicted myeloid or erythroid recovery. These findin
gs need to be confirmed in prospectively designed studies.