title: Stem cell isolation.
abstract: High-dose chemotherapy with autologous hematopoietic progenitor cell support is increasingly used to treat a variety of malignant diseases. A drawback of this technique is the potential for infusing clonogenic tumor cells with the autograft, producing relapse of the disease in the patient. The use of positive selection techniques to isolate stem cells and thus reduce or eliminate tumor cell contamination has been extensively studied over the past few years. Preliminary clinical results have demonstrated that these procedures deplete 2 to 7 logs of tumor cells and do not impair engraftment. It is too early to assess the ultimate clinical benefit of this strategy. Additional applications of CD34-selection include ex vivo expansion of and gene transfer into hematopoietic progenitor cells and T-cell depletion of allogeneic grafts to reduce the incidence of graft-versus-host disease.
authors.affiliation: University of Colorado, Denver, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Shpall
authors.forename: A
authors.initials: A
authors.lastname: Gee
authors.forename: P J
authors.initials: PJ
authors.lastname: Cagnoni
authors.forename: C
authors.initials: C
authors.lastname: Hogan
authors.forename: U
authors.initials: U
authors.lastname: Gehling
authors.forename: L
authors.initials: L
authors.lastname: Hami
authors.forename: W
authors.initials: W
authors.lastname: Franklin
authors.forename: S I
authors.initials: SI
authors.lastname: Bearman
authors.forename: M
authors.initials: M
authors.lastname: Ross
authors.forename: R B
authors.initials: RB
authors.lastname: Jones
mesh_terms: D018952:Antigens, CD34 / Q000097:blood; D016465:Bone Marrow Purging; D002469:Cell Separation / Q000379:methods*; D018380:Hematopoietic Stem Cell Transplantation; D006412:Hematopoietic Stem Cells / Q000276:immunology*; D006801:Humans; D018189:Immunomagnetic Separation; D007163:Immunosorbent Techniques; D014182:Transplantation, Autologous
chemical_list: D018952:Antigens, CD34