Collection of mobilized peripheral blood stem cells from a donor with severe iron deficient anemia.
We report a 45-year-old woman with iron deficient anemia (IDA) who underwent a collection of allogeneic peripheral blood stem cells (PBSCs) induced by granulocyte-colony stimulating factor (G-CSF) after a rapid improvement of IDA by iron replacement. Her peripheral red blood cells (RBCs) after iron therapy were composed of two different-sized subpopulations; one consisted of microcytes, which were iron deficient RBCs, and another of normocytes, which were produced after iron replacement. On the first day of PBSC collection, the interface setting was maintained aiming at 2% hematocrit as usual; however, PBSCs could not be collected adequately. Sedimentation of iron deficient, lighter RBCs under centrifugation within a blood cell separator could be similar to that of mononuclear cells, and the lighter RBCs could contaminate the mononuclear cell layer, resulting in the collection of the lighter layers of mononuclear cells than desired. On the second day, we succeeded in obtaining enough PBSCs by collecting heavier layers than those collected on the first day by using a 4% hematocrit and monitoring white blood cell counts of the collection line serially. It should be noted that the lighter RBCs from a donor with a history of IDA could complicate collection of PBSCs.
Kamezaki
Kenjirou
K
Center for Cellular and Molecular Medicine, Kyushu University Hospital, Fukuoka, Japan. kamezaki@pa2.so-net.ne.jp
Miyamoto
Toshihiro
T
Henzan
Tomoko
T
Numata
Akihiko
A
Iwasaki
Hiromi
H
Nagafuji
Koji
K
Harada
Mine
M
Teshima
Takanori
T
Akashi
Koichi
K
D018798:Anemia, Iron-Deficiency / Q000188:drug therapy*; D004912:Erythrocytes / Q000187:drug effects*; D015672:Erythroid Precursor Cells / Q000187:drug effects*; D005260:Female; D006397:Hematinics / Q000494:pharmacology*; D006400:Hematocrit; D019650:Hematopoietic Stem Cell Mobilization; D006801:Humans; D058085:Iron Compounds / Q000494:pharmacology*; D008875:Middle Aged
D006397:Hematinics; D058085:Iron Compounds