Differences between graft product and donor side effects following bone marrow or stem cell donation
Identifieur interne : 00B219 ( Main/Exploration ); précédent : 00B218; suivant : 00B220Differences between graft product and donor side effects following bone marrow or stem cell donation
Auteurs : G. Favre [Suisse] ; M. Beksac [Turquie] ; A. Bacigalupo [Italie] ; T. Ruutu [Finlande] ; A. Nagler [Israël] ; E. Gluckman [France] ; N. Russell [Royaume-Uni] ; J. Apperley [Royaume-Uni] ; J. Szer [Australie] ; K. Bradstock [Australie] ; A. Buzyn [France] ; J. Matcham [Royaume-Uni] ; A. Gratwohl [Suisse] ; N. Schmitz [Allemagne]Source :
- Bone marrow transplantation : (Basingstoke) [ 0268-3369 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Cellule souche, Homme.
English descriptors
- KwdEn :
Abstract
We report graft product stem cell yields and donor safety results of a randomized multicenter study comparing allogeneic peripheral blood stem cell (PBSC) PBSC transplantation with BM transplantation. Matched HLA-identical sibling donors (n = 329) were randomized to filgrastim-mobilized PBSC or bone marrow (BM) donation groups. Median yields per kg recipient weight of CD34+ cells, T cells, and natural killer (NK) cells, respectively, were approximately two-fold, eight-fold, and greater than eight-fold in the PBSC group than in the BM group (CD34+ cells, 5.8 x 106/kg vs 2.7 × 106/kg; T cells, 300.1 × 106/kg vs 35.7 x 106/kg; NK cells, 28.2 × 106/kg vs 3.6 × 106/kg; P<0.001 for each). In connection with the cell collection procedures, PBSC donors spent a shorter median time in hospital than BM donors (0 vs 2 days; median difference -2 days, 95% Cl -2 to 2) and had fewer median days of restricted activity (2 vs 6 days; median difference -3 days, 95% CI -4 to 2). Overall, 65% of PBSC donors and 57% of BM donors reported at least one adverse event (AE), most of which were transient, mild-moderate in severity, and without clinical sequelae. PBSC donors experienced predominantly filgrastim-related AEs, while BM donors experienced predominantly harvest-related AEs.
Affiliations:
- Allemagne, Australie, Finlande, France, Israël, Italie, Royaume-Uni, Suisse, Turquie
- Angleterre, Grand Londres, Hambourg, Victoria (État), Île-de-France
- Hambourg, Londres, Melbourne, Paris
Links toward previous steps (curation, corpus...)
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Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Differences between graft product and donor side effects following bone marrow or stem cell donation</title>
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<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
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<author><name sortKey="Beksac, M" sort="Beksac, M" uniqKey="Beksac M" first="M." last="Beksac">M. Beksac</name>
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<author><name sortKey="Szer, J" sort="Szer, J" uniqKey="Szer J" first="J." last="Szer">J. Szer</name>
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<author><name sortKey="Buzyn, A" sort="Buzyn, A" uniqKey="Buzyn A" first="A." last="Buzyn">A. Buzyn</name>
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<author><name sortKey="Matcham, J" sort="Matcham, J" uniqKey="Matcham J" first="J." last="Matcham">J. Matcham</name>
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<s2>Cambridge</s2>
<s3>GBR</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Amgen Ltd.</wicri:noRegion>
</affiliation>
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<author><name sortKey="Gratwohl, A" sort="Gratwohl, A" uniqKey="Gratwohl A" first="A." last="Gratwohl">A. Gratwohl</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Hematology and Hematology Laboratory, Kantonsspital Basel</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>13 aut.</sZ>
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<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
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<author><name sortKey="Schmitz, N" sort="Schmitz, N" uniqKey="Schmitz N" first="N." last="Schmitz">N. Schmitz</name>
<affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Department of Hematology, AK St Georg</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Differences between graft product and donor side effects following bone marrow or stem cell donation</title>
<author><name sortKey="Favre, G" sort="Favre, G" uniqKey="Favre G" first="G." last="Favre">G. Favre</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Hematology and Hematology Laboratory, Kantonsspital Basel</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Beksac, M" sort="Beksac, M" uniqKey="Beksac M" first="M." last="Beksac">M. Beksac</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Hematology/ Oncology, Ankara University</s1>
<s2>Ankara</s2>
<s3>TUR</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Turquie</country>
<wicri:noRegion>Ankara</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bacigalupo, A" sort="Bacigalupo, A" uniqKey="Bacigalupo A" first="A." last="Bacigalupo">A. Bacigalupo</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Hematology, Ospedale San Martino</s1>
<s2>Genoa</s2>
<s3>ITA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<wicri:noRegion>Genoa</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ruutu, T" sort="Ruutu, T" uniqKey="Ruutu T" first="T." last="Ruutu">T. Ruutu</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Medicine, Helsinki University Central Hospital</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Nagler, A" sort="Nagler, A" uniqKey="Nagler A" first="A." last="Nagler">A. Nagler</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Bone Marrow Transplantation, Hadassah University Hospital</s1>
<s2>Jerusalem</s2>
<s3>ISR</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Israël</country>
<wicri:noRegion>Jerusalem</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gluckman, E" sort="Gluckman, E" uniqKey="Gluckman E" first="E." last="Gluckman">E. Gluckman</name>
<affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Department of Hematology, Hopital St Louis</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Russell, N" sort="Russell, N" uniqKey="Russell N" first="N." last="Russell">N. Russell</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Haematology, Nottingham City Hospital</s1>
<s2>Nottingham</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Nottingham</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Apperley, J" sort="Apperley, J" uniqKey="Apperley J" first="J." last="Apperley">J. Apperley</name>
<affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Department of Haematology, Imperial College, Hammersmith Hospital</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Szer, J" sort="Szer, J" uniqKey="Szer J" first="J." last="Szer">J. Szer</name>
<affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Bone Marrow Transplant Unit, Royal Melbourne Hospital</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bradstock, K" sort="Bradstock, K" uniqKey="Bradstock K" first="K." last="Bradstock">K. Bradstock</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Blood and Marrow Transplantation Services, Westmead Hospital</s1>
<s2>Westmead</s2>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Westmead</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Buzyn, A" sort="Buzyn, A" uniqKey="Buzyn A" first="A." last="Buzyn">A. Buzyn</name>
<affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Hematologie Adultes, Hopital Necker</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Matcham, J" sort="Matcham, J" uniqKey="Matcham J" first="J." last="Matcham">J. Matcham</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Amgen Ltd.</s1>
<s2>Cambridge</s2>
<s3>GBR</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Amgen Ltd.</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gratwohl, A" sort="Gratwohl, A" uniqKey="Gratwohl A" first="A." last="Gratwohl">A. Gratwohl</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Hematology and Hematology Laboratory, Kantonsspital Basel</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schmitz, N" sort="Schmitz, N" uniqKey="Schmitz N" first="N." last="Schmitz">N. Schmitz</name>
<affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Department of Hematology, AK St Georg</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Bone marrow transplantation : (Basingstoke)</title>
<title level="j" type="abbreviated">Bone marrow transplant. : (Basingstoke)</title>
<idno type="ISSN">0268-3369</idno>
<imprint><date when="2003">2003</date>
</imprint>
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<seriesStmt><title level="j" type="main">Bone marrow transplantation : (Basingstoke)</title>
<title level="j" type="abbreviated">Bone marrow transplant. : (Basingstoke)</title>
<idno type="ISSN">0268-3369</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Blood</term>
<term>Blood cell</term>
<term>Bone marrow</term>
<term>Filgrastim</term>
<term>Hematopoietic cell</term>
<term>Homograft</term>
<term>Human</term>
<term>Leukapheresis</term>
<term>Mobilization</term>
<term>Quality of life</term>
<term>Related donor</term>
<term>Safety</term>
<term>Stem cell</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Homogreffe</term>
<term>Cellule hématopoïétique</term>
<term>Cellule souche</term>
<term>Moelle osseuse</term>
<term>Sang</term>
<term>Cellule sanguine</term>
<term>Donneur apparenté</term>
<term>Leucophérèse</term>
<term>Mobilisation</term>
<term>Filgrastim</term>
<term>Qualité vie</term>
<term>Sécurité</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cellule souche</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">We report graft product stem cell yields and donor safety results of a randomized multicenter study comparing allogeneic peripheral blood stem cell (PBSC) PBSC transplantation with BM transplantation. Matched HLA-identical sibling donors (n = 329) were randomized to filgrastim-mobilized PBSC or bone marrow (BM) donation groups. Median yields per kg recipient weight of CD34<sup>+</sup>
cells, T cells, and natural killer (NK) cells, respectively, were approximately two-fold, eight-fold, and greater than eight-fold in the PBSC group than in the BM group (CD34<sup>+</sup>
cells, 5.8 x 10<sup>6</sup>
/kg vs 2.7 × 10<sup>6</sup>
/kg; T cells, 300.1 × 10<sup>6</sup>
/kg vs 35.7 x 10<sup>6</sup>
/kg; NK cells, 28.2 × 10<sup>6</sup>
/kg vs 3.6 × 10<sup>6</sup>
/kg; P<0.001 for each). In connection with the cell collection procedures, PBSC donors spent a shorter median time in hospital than BM donors (0 vs 2 days; median difference -2 days, 95% Cl -2 to 2) and had fewer median days of restricted activity (2 vs 6 days; median difference -3 days, 95% CI -4 to 2). Overall, 65% of PBSC donors and 57% of BM donors reported at least one adverse event (AE), most of which were transient, mild-moderate in severity, and without clinical sequelae. PBSC donors experienced predominantly filgrastim-related AEs, while BM donors experienced predominantly harvest-related AEs.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Finlande</li>
<li>France</li>
<li>Israël</li>
<li>Italie</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>Turquie</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Hambourg</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Hambourg</li>
<li>Londres</li>
<li>Melbourne</li>
<li>Paris</li>
</settlement>
</list>
<tree><country name="Suisse"><noRegion><name sortKey="Favre, G" sort="Favre, G" uniqKey="Favre G" first="G." last="Favre">G. Favre</name>
</noRegion>
<name sortKey="Gratwohl, A" sort="Gratwohl, A" uniqKey="Gratwohl A" first="A." last="Gratwohl">A. Gratwohl</name>
</country>
<country name="Turquie"><noRegion><name sortKey="Beksac, M" sort="Beksac, M" uniqKey="Beksac M" first="M." last="Beksac">M. Beksac</name>
</noRegion>
</country>
<country name="Italie"><noRegion><name sortKey="Bacigalupo, A" sort="Bacigalupo, A" uniqKey="Bacigalupo A" first="A." last="Bacigalupo">A. Bacigalupo</name>
</noRegion>
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<name sortKey="Buzyn, A" sort="Buzyn, A" uniqKey="Buzyn A" first="A." last="Buzyn">A. Buzyn</name>
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<name sortKey="Matcham, J" sort="Matcham, J" uniqKey="Matcham J" first="J." last="Matcham">J. Matcham</name>
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<name sortKey="Bradstock, K" sort="Bradstock, K" uniqKey="Bradstock K" first="K." last="Bradstock">K. Bradstock</name>
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<country name="Allemagne"><region name="Hambourg"><name sortKey="Schmitz, N" sort="Schmitz, N" uniqKey="Schmitz N" first="N." last="Schmitz">N. Schmitz</name>
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