title: Plerixafor mobilization leads to a lower ratio of CD34+ cells to total nucleated cells which results in greater storage costs.
abstract: BACKGROUND
  Plerixafor (Mozobil, AMD3100) with granulocyte-colony stimulating factor (G-CSF) mobilizes more CD34+ cells/kg compared to G-CSF alone. Given that plerixafor enhances mobilization of multiple white blood cell lineages, we determined if more storage space is required for products collected from patients mobilized with plerixafor.
  
  
  METHODS
  A review of the medical records of 15 patients mobilized with chemotherapy and G-CSF (control) and 14 patients mobilized with plerixafor plus G-CSF (plerixafor) was performed. Data on demographics, baseline characteristics, CD34+ cells/kg, total nucleated cells, total mononuclear cells, total apheresis sessions, and total bags for storage were collected. Mean values were determined and compared using Student's t-test.
  
  
  RESULTS
  We found that the proportion of CD34+ cells among total nucleated cells was less in the plerixafor group compared to the control group (P = 0.0427). More nucleated cells (10.7 x 10(10) vs. 7.1 x 10(10), P =0.0452) and mononuclear cells (9.7 x 10(10) vs. 5.9 x 10(10), P = 0.0059) were mobilized with plerixafor plus G-CSF. However, there was no significant difference in CD34+ cells/kg, total CD34+ cells or the proportion of mononuclear cells among total nucleated cells between the two groups. More storage bags were required for the plerixafor group compared to the control group (15 vs. 9, P = 0.0299).
  
  
  CONCLUSIONS
  Mobilization with plerixafor plus G-CSF resulted in a smaller proportion of CD34+ cells collected and a greater number of storage bags. An increase in the number of bags required for stem cell storage may be logistically problematic and will also lead to increased costs for storage of stem cells.
authors.affiliation: Department of Pathology, Division of Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Yvette C
authors.initials: YC
authors.lastname: Tanhehco
authors.forename: Jill
authors.initials: J
authors.lastname: Adamski
authors.forename: Mary
authors.initials: M
authors.lastname: Sell
authors.forename: Kathleen
authors.initials: K
authors.lastname: Cunningham
authors.forename: Christa
authors.initials: C
authors.lastname: Eisenmann
authors.forename: Deborah
authors.initials: D
authors.lastname: Magee
authors.forename: Edward A
authors.initials: EA
authors.lastname: Stadtmauer
authors.forename: Una
authors.initials: U
authors.lastname: O'Doherty
mesh_terms: D018952:Antigens, CD34; D001596:Benzylamines; D001781:Blood Component Removal / Q000379:methods; D001793:Blood Preservation / Q000191:economics*; D000080027:Cyclams; D004359:Drug Therapy, Combination; D016179:Granulocyte Colony-Stimulating Factor / Q000008:administration & dosage; D019650:Hematopoietic Stem Cell Mobilization / Q000379:methods*; D006571:Heterocyclic Compounds / Q000008:administration & dosage* / Q000494:pharmacology; D006801:Humans; D007962:Leukocytes / Q000166:cytology* / Q000187:drug effects; D019718:Receptors, CXCR4 / Q000037:antagonists & inhibitors; D012189:Retrospective Studies
chemical_list: D018952:Antigens, CD34; D001596:Benzylamines; D000080027:Cyclams; D006571:Heterocyclic Compounds; D019718:Receptors, CXCR4; D016179:Granulocyte Colony-Stimulating Factor; C088327:plerixafor
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