title: High platelet contamination in progenitor cell concentrates results in significantly lower CD34+ yield after immunoselection.
abstract: BACKGROUND
  Selection of CD34+ cells by specific immunoselection leads to a significant loss of those cells. The factors influencing the yield and purity are not well identified. The results of CD34+ selection from peripheral blood progenitor cells (PBPCs) with high and low platelet contamination that are harvested with two different cell separators are reported.
  
  
  METHODS
  A progenitor cell concentrator (Ceprate SC, CellPro) was used to select CD34+ cells from 41 PBPC concentrates from 23 consecutive patients with relapsed non-Hodgkin's lymphoma (n = 3), breast cancer (n = 17), and multiple myeloma (n = 3). PBPC collection was performed by using two cell separators (CS3000 Plus, Fenwal: Group A, n = 11; and Spectra, COBE: Group B, n = 9). To reduce platelet contamination in the Spectra PBPC concentrates, an additional low-speed centrifugation was performed before CD34+ cell selection (Group C, n = 3). Leukapheresis components were stored overnight at 4 degrees C and combined with the next day's collection before the CD34+ selection procedure in 19 patients.
  
  
  RESULTS
  A median of 1.5 leukapheresis procedures per patient were performed. Pooled PBPC concentrates showed no statistical difference in median numbers of white cells and CD34+ cells in Groups A and B: 3.2 (0.8-9.2) versus 4.4 (1.6-8. 3) x 10(10) white cells per kg and 15.0 (4.7-24.0) versus 12.0 (5. 6-34.0) x 10(6) CD34+ cells per kg. Platelet contamination was significantly higher in Group B: 0.67 (0.15-2.4) versus 2.3 (0.5-7. 1) x 10(11) (p = 0.0273). After the selection process, there was a significantly greater loss of CD34+ cells in Group B than in Group A: 39.1 versus 63.2 percent (p = 0.0070), with a median purity of 78. 0 percent versus 81.0 percent. An additional low-speed centrifugation before CD34+ cell selection seemed to reduce CD34+ cell loss in Group C with 16.9, 31.9, and 37.5 percent, respectively.
  
  
  CONCLUSIONS
  CD34+ cell selection from PBPC concentrates resulted in an increased loss of CD34+ cells in concentrates with a higher platelet content. To improve CD34+ yield, PBPC concentrates with an initially low platelet contamination should be used, or additional low-speed centrifugation should be performed.
authors.affiliation: First Department of Internal Medicine, Cologne University Hospital, Cologne, Germany. Marcel.Reiser@uni-koeln.de
authors.forename: M
authors.initials: M
authors.lastname: Reiser
authors.forename: A
authors.initials: A
authors.lastname: Draube
authors.forename: C
authors.initials: C
authors.lastname: Scheid
authors.forename: M
authors.initials: M
authors.lastname: Fuchs
authors.forename: A
authors.initials: A
authors.lastname: Josting
authors.forename: V
authors.initials: V
authors.lastname: Diehl
authors.forename: D
authors.initials: D
authors.lastname: Söhngen
mesh_terms: D018952:Antigens, CD34 / Q000032:analysis*; D001792:Blood Platelets / Q000276:immunology*; D001943:Breast Neoplasms / Q000097:blood; D002469:Cell Separation / Q000379:methods; D004340:Drug Contamination; D005260:Female; D006412:Hematopoietic Stem Cells / Q000166:cytology*; D006801:Humans; D007158:Immunologic Techniques; D008228:Lymphoma, Non-Hodgkin / Q000097:blood; D009101:Multiple Myeloma / Q000097:blood
chemical_list: D018952:Antigens, CD34