Mononuclear cell collection in patients undergoing extra-corporeal photo-chemotherapy for acute and chronic graft-vs.-host-disease (GvHD): comparison between COBE Spectra version 4.7 and 6.0 (AutoPBSC).
A constant improvement in the performance of blood cell separators has been observed in recent years, allowing better yields in peripheral blood stem cell collection (PBSC) either from healthy donors or for autologous purposes. Nevertheless, to our knowledge, no reports on the efficiency of mononuclear cell (MNC) collection in patients undergoing extra-corporeal photochemotherapy (ECP) for graft-vs.-host-disease (GvHD) have been published. We retrospectively investigated the efficiency of 167 MNC collections performed consecutively in 12 patients between January 1999 and June 2001 by means of the COBE Spectra version 4.7 (V 4.7) or version 6.0 (V 6.0), for 109 and 58 procedures, respectively. MNC fractional extraction (FE) was higher in the V 6.0 group compared to the V 4.7 group : 0.59 +/- 0.21 vs. 0.51 +/- 0.22 (P < 0.05). However, platelet contamination was lower in the products obtained with V.6.0 compared to those obtained with V.4.7: 740 ( 630 x 10(3)/(L vs. 2,073 ( 1,429 x 10(3)/(L (P < 0.05). Only two patients with acute GvHD, both from V 4.7 group, required post-ECP platelet transfusion. The recently released version 6.0 allowed a satisfactory MNC yield with minimal platelet contamination in patients scheduled to undergo ECP for acute or chronic GvHD.
Perseghin
Paolo
P
Servizio di Immunoematologia e Trasfusionale, Unità di Aferesi e Criobiologia, Università di Milano-Bicocca, Ospedale San Gerardo de' Tintori, Monza, Italy. p.perseghin@hsgerardo.org
Dassi
Maria
M
Balduzzi
Adriana
A
Rovelli
Attilio
A
Bonanomi
Sonia
S
Uderzo
Cornelio
C
D000208:Acute Disease; D000293:Adolescent; D016026:Bone Marrow Transplantation / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D006086:Graft vs Host Disease / Q000628:therapy*; D006801:Humans; D007937:Leukapheresis / Q000295:instrumentation*; D007963:Leukocytes, Mononuclear; D017893:Photopheresis / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D012984:Software / Q000592:standards; D016896:Treatment Outcome