title: Mobilization of CD34(+)CD38(-) hematopoietic stem cells after priming in acute myeloid leukemia.
abstract: OBJECTIVE
  To evaluate quantitatively and qualitatively the different CD34(+) cell subsets after priming by chemotherapy granulocyte colony-stimulating factor (± G-CSF) in patients with acute myeloid leukemia.
  
  
  METHODS
  Peripheral blood and bone marrow samples were harvested in 8 acute myeloid leukemia patients during and after induction chemotherapy. The CD34/CD38 cell profile was analyzed by multi-parameter flow cytometry. Adhesion profile was made using CXC chemokine receptor 4 (CXCR4) (CD184), VLA-4 (CD49d/CD29) and CD47.
  
  
  RESULTS
  Chemotherapy ± G-CSF mobilized immature cells (CD34(+)CD38(-) population), while the more mature cells (CD34(+)CD38(low) and CD34(+)CD38(+) populations) decreased progressively after treatment. Circulating CD34(+) cells tended to be more sensitive to chemotherapy after priming with G-CSF. CD34(+) cell mobilization was correlated with a gradual increase in CXCR4 and CD47 expression, suggesting a role in cell protection and the capacity of homing back to the marrow.
  
  
  CONCLUSIONS
  Chemotherapy ± G-CSF mobilizes into the circulation CD34(+) bone marrow cells, of which, the immature CD34(+)CD38(-) cell population. Further manipulations of these interactions may be a means with which to control the trafficking of leukemia stem cells to improve patients' outcomes.
authors.affiliation: Adriana Plesa, Eve Mattei, Charles Dumontet, Laboratoire de Cytologie et d'Immunologie, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, 69495 Pierre Bénite, France.
authors.forename: Adriana
authors.initials: A
authors.lastname: Plesa
authors.forename: Youcef
authors.initials: Y
authors.lastname: Chelghoum
authors.forename: Eve
authors.initials: E
authors.lastname: Mattei
authors.forename: Hélène
authors.initials: H
authors.lastname: Labussière
authors.forename: Mohamed
authors.initials: M
authors.lastname: Elhamri
authors.forename: Giovanna
authors.initials: G
authors.lastname: Cannas
authors.forename: Stéphane
authors.initials: S
authors.lastname: Morisset
authors.forename: Inès
authors.initials: I
authors.lastname: Tagoug
authors.forename: Mauricette
authors.initials: M
authors.lastname: Michallet
authors.forename: Charles
authors.initials: C
authors.lastname: Dumontet
authors.forename: Xavier
authors.initials: X
authors.lastname: Thomas
keywords: Acute myeloid leukemia; Immunophenotype; Leukemia stem cell; Priming; Timed sequential chemotherapy