In vitro function of chronic myelocytic leukemia granulocytes. Effects of irradiation and storage.
Granulocyte function was studied in 9 patients with untreated, Ph1-positive chronic myelocytic leukemia (CML). The nitroblue tetrazolium reduction by stimulated granulocytes was impaired in all patients; 4 patients also had diminished phagocytosis and 2 others defective chemotaxis. In spite of this variety of polymorphonuclear (PMN) functional impairments, there is little evidence of increased susceptibility to infections in CML patients. This suggests that CML-PMN leucocytes (PMNs) may be successfully used for transfusion into neutropenic recipients, as previously reported. To evaluate the effects of irradiation and liquid storage on CML-PMNs, 5 of our patients were subjected to leukapheresis by continuous-flow centrifugation in the Aminco Celltrifuge, and granulocyte functional capacities were also evaluated on the cell-rich plasma immediately after collection and after short-term storage at 4 degrees C with or without irradiation (1500 rads). As evaluated by in vitro studies, granulocytes maintained, even after irradiation, functional activities similar to those found immediately after collection up to 24 h of storage at 4 degrees C and presented a moderate loss of function after 48 h. Chemotaxis appeared to be the most sensitive detector for cellular damage of stored leucocytes, irradiated and non-irradiated, so that it might be used for assessment of leucocyte function before transfusion.
D000328:Adult; D001793:Blood Preservation; D001803:Blood Transfusion; D002634:Chemotaxis, Leukocyte / Q000528:radiation effects; D005260:Female; D006098:Granulocytes / Q000502:physiology* / Q000528:radiation effects / Q000637:transplantation; D006801:Humans; D066298:In Vitro Techniques; D007937:Leukapheresis; D007951:Leukemia, Myeloid / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009503:Neutropenia / Q000628:therapy; D010587:Phagocytosis / Q000528:radiation effects; D013997:Time Factors