A novel method to evaluate prethawing viability of cryopreserved CD34+ hematopoietic stem cells for autologous transplantation

BACKGROUND Cryopreservation of CD34+ hematopoietic stem cells (HSCs) is associated with variable loss of viability. Although postfreezing CD34+ cell viability can be assessed on the sampling tube (bag tail) directly connected to the main bag (mother bag), results often underestimate the actual viabi...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2020-07, Vol.60 (7), p.1529-1535
Hauptverfasser: Marinelli Busilacchi, Elena, Costantini, Andrea, Mancini, Giorgia, Bencivenga, Rossella, Olivieri, Jacopo, Battaglini, Giovanna, Velletri, Laura, Viola, Nadia, Butini, Luca, Capelli, Debora, Poloni, Antonella, Olivieri, Attilio
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container_issue 7
container_start_page 1529
container_title Transfusion (Philadelphia, Pa.)
container_volume 60
creator Marinelli Busilacchi, Elena
Costantini, Andrea
Mancini, Giorgia
Bencivenga, Rossella
Olivieri, Jacopo
Battaglini, Giovanna
Velletri, Laura
Viola, Nadia
Butini, Luca
Capelli, Debora
Poloni, Antonella
Olivieri, Attilio
description BACKGROUND Cryopreservation of CD34+ hematopoietic stem cells (HSCs) is associated with variable loss of viability. Although postfreezing CD34+ cell viability can be assessed on the sampling tube (bag tail) directly connected to the main bag (mother bag), results often underestimate the actual viability observed when the mother bag is thawed and reinfused. We assessed a novel method to measure postfreezing CD34+ cell viability, based on small bag (minibag) samples; results were compared with those obtained on the corresponding mother bags and bag tails. STUDY DESIGN AND METHODS Sixty‐one apheresis procedures of 42 patients undergoing autologous HSC transplant were analyzed. Viable CD34+ cells were quantified with flow cytometry before controlled rate freezing (ICE‐CUBE14M system, SY‐LAB‐ IceCube, SIAD), after 10 days of storage (mini‐bag and bag tail), and before reinfusion (aliquot from a thawed mother bag). Results were compared using Studentʼs t test and Spearmanʼs rho correlation test. RESULTS The mean CD34+ cell viability before cryopreservation was 99.3% (confidence interval [CI], 98.94‐99.65%); the mean amount of CD34+ cells, white blood cells and neutrophils in the mother bag was 0.8 ± 1.1 × 109/L, 63.4 ± 23.5 × 109/L, and 25.7 ± 15.5 × 109/L, respectively. Mother bags postthawing CD34+ cell viability was 72.3% (CI, 67.74‐76.85%; p 
doi_str_mv 10.1111/trf.15825
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Although postfreezing CD34+ cell viability can be assessed on the sampling tube (bag tail) directly connected to the main bag (mother bag), results often underestimate the actual viability observed when the mother bag is thawed and reinfused. We assessed a novel method to measure postfreezing CD34+ cell viability, based on small bag (minibag) samples; results were compared with those obtained on the corresponding mother bags and bag tails. STUDY DESIGN AND METHODS Sixty‐one apheresis procedures of 42 patients undergoing autologous HSC transplant were analyzed. Viable CD34+ cells were quantified with flow cytometry before controlled rate freezing (ICE‐CUBE14M system, SY‐LAB‐ IceCube, SIAD), after 10 days of storage (mini‐bag and bag tail), and before reinfusion (aliquot from a thawed mother bag). Results were compared using Studentʼs t test and Spearmanʼs rho correlation test. RESULTS The mean CD34+ cell viability before cryopreservation was 99.3% (confidence interval [CI], 98.94‐99.65%); the mean amount of CD34+ cells, white blood cells and neutrophils in the mother bag was 0.8 ± 1.1 × 109/L, 63.4 ± 23.5 × 109/L, and 25.7 ± 15.5 × 109/L, respectively. Mother bags postthawing CD34+ cell viability was 72.3% (CI, 67.74‐76.85%; p &lt; 0.01 compared to prefreezing); no difference was observed with respect to minibags (73.7%; CI, 69.80‐77.59%; p = NS), whereas significantly lower values were found for bag tails (58.6%; CI, 54.19‐63.00%; p &lt; 0.01 vs. both mini‐ and mother bags). CONCLUSION Compared to bag tails, minibags represent a more accurate tool to measure the CD34+ cell viability of the apheresis mother bag prior to reinfusion; in addition, minibags may could be of help for case‐by‐case calculation of the amount of apheresis to be infused to patients undergoing autologous HSC transplant.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1111/trf.15825</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Apheresis ; Autografts ; CD34 antigen ; Cell viability ; Confidence intervals ; Cryopreservation ; Flow cytometry ; Freezing ; Hematopoietic stem cells ; Leukocytes ; Leukocytes (neutrophilic) ; Stem cells ; Tails ; Transplantation ; Transplants &amp; implants</subject><ispartof>Transfusion (Philadelphia, Pa.), 2020-07, Vol.60 (7), p.1529-1535</ispartof><rights>2020 AABB</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3305-7f0761be80cf55a4c48fcac3ff4359eccd5ff7ede5f7fe4d9383f6d5f665406a3</citedby><cites>FETCH-LOGICAL-c3305-7f0761be80cf55a4c48fcac3ff4359eccd5ff7ede5f7fe4d9383f6d5f665406a3</cites><orcidid>0000-0002-0693-3376</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftrf.15825$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftrf.15825$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Marinelli Busilacchi, Elena</creatorcontrib><creatorcontrib>Costantini, Andrea</creatorcontrib><creatorcontrib>Mancini, Giorgia</creatorcontrib><creatorcontrib>Bencivenga, Rossella</creatorcontrib><creatorcontrib>Olivieri, Jacopo</creatorcontrib><creatorcontrib>Battaglini, Giovanna</creatorcontrib><creatorcontrib>Velletri, Laura</creatorcontrib><creatorcontrib>Viola, Nadia</creatorcontrib><creatorcontrib>Butini, Luca</creatorcontrib><creatorcontrib>Capelli, Debora</creatorcontrib><creatorcontrib>Poloni, Antonella</creatorcontrib><creatorcontrib>Olivieri, Attilio</creatorcontrib><title>A novel method to evaluate prethawing viability of cryopreserved CD34+ hematopoietic stem cells for autologous transplantation</title><title>Transfusion (Philadelphia, Pa.)</title><description>BACKGROUND Cryopreservation of CD34+ hematopoietic stem cells (HSCs) is associated with variable loss of viability. Although postfreezing CD34+ cell viability can be assessed on the sampling tube (bag tail) directly connected to the main bag (mother bag), results often underestimate the actual viability observed when the mother bag is thawed and reinfused. We assessed a novel method to measure postfreezing CD34+ cell viability, based on small bag (minibag) samples; results were compared with those obtained on the corresponding mother bags and bag tails. STUDY DESIGN AND METHODS Sixty‐one apheresis procedures of 42 patients undergoing autologous HSC transplant were analyzed. Viable CD34+ cells were quantified with flow cytometry before controlled rate freezing (ICE‐CUBE14M system, SY‐LAB‐ IceCube, SIAD), after 10 days of storage (mini‐bag and bag tail), and before reinfusion (aliquot from a thawed mother bag). Results were compared using Studentʼs t test and Spearmanʼs rho correlation test. RESULTS The mean CD34+ cell viability before cryopreservation was 99.3% (confidence interval [CI], 98.94‐99.65%); the mean amount of CD34+ cells, white blood cells and neutrophils in the mother bag was 0.8 ± 1.1 × 109/L, 63.4 ± 23.5 × 109/L, and 25.7 ± 15.5 × 109/L, respectively. Mother bags postthawing CD34+ cell viability was 72.3% (CI, 67.74‐76.85%; p &lt; 0.01 compared to prefreezing); no difference was observed with respect to minibags (73.7%; CI, 69.80‐77.59%; p = NS), whereas significantly lower values were found for bag tails (58.6%; CI, 54.19‐63.00%; p &lt; 0.01 vs. both mini‐ and mother bags). CONCLUSION Compared to bag tails, minibags represent a more accurate tool to measure the CD34+ cell viability of the apheresis mother bag prior to reinfusion; in addition, minibags may could be of help for case‐by‐case calculation of the amount of apheresis to be infused to patients undergoing autologous HSC transplant.</description><subject>Apheresis</subject><subject>Autografts</subject><subject>CD34 antigen</subject><subject>Cell viability</subject><subject>Confidence intervals</subject><subject>Cryopreservation</subject><subject>Flow cytometry</subject><subject>Freezing</subject><subject>Hematopoietic stem cells</subject><subject>Leukocytes</subject><subject>Leukocytes (neutrophilic)</subject><subject>Stem cells</subject><subject>Tails</subject><subject>Transplantation</subject><subject>Transplants &amp; implants</subject><issn>0041-1132</issn><issn>1537-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp10ctKxDAUBuAgCo6jC98g4EaRjklz6XQp4xUEQXRdYnqiGdKmJukMs_HZjY4rwWwC53wJP_wIHVMyo_lcpGBmVMxLsYMmVLCqKOta7KIJIZwWlLJyHx3EuCSElDWhE_R5iXu_Aoc7SO--xcljWCk3qgR4CHmm1rZ_wyurXq2zaYO9wTpsfN5FCCto8eKK8XP8Dp1KfvAWktU4JuiwBuciNj5gNSbv_JsfI05B9XFwqk8qWd8foj2jXISj33uKXm6unxd3xcPj7f3i8qHQjBFRVIZUkr7CnGgjhOKaz41WmhnDmahB61YYU0ELwlQGeFuzOTMyD6UUnEjFpuh0--8Q_McIMTWdjd8BVQ85VlNyUtOayarK9OQPXfox9DldViWXkspSZnW2VTr4GAOYZgi2U2HTUNJ8N9HkJpqfJrK92Nq1dbD5HzbPTzfbF1-B441f</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Marinelli Busilacchi, Elena</creator><creator>Costantini, Andrea</creator><creator>Mancini, Giorgia</creator><creator>Bencivenga, Rossella</creator><creator>Olivieri, Jacopo</creator><creator>Battaglini, Giovanna</creator><creator>Velletri, Laura</creator><creator>Viola, Nadia</creator><creator>Butini, Luca</creator><creator>Capelli, Debora</creator><creator>Poloni, Antonella</creator><creator>Olivieri, Attilio</creator><general>John Wiley &amp; 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implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marinelli Busilacchi, Elena</creatorcontrib><creatorcontrib>Costantini, Andrea</creatorcontrib><creatorcontrib>Mancini, Giorgia</creatorcontrib><creatorcontrib>Bencivenga, Rossella</creatorcontrib><creatorcontrib>Olivieri, Jacopo</creatorcontrib><creatorcontrib>Battaglini, Giovanna</creatorcontrib><creatorcontrib>Velletri, Laura</creatorcontrib><creatorcontrib>Viola, Nadia</creatorcontrib><creatorcontrib>Butini, Luca</creatorcontrib><creatorcontrib>Capelli, Debora</creatorcontrib><creatorcontrib>Poloni, Antonella</creatorcontrib><creatorcontrib>Olivieri, Attilio</creatorcontrib><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transfusion (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marinelli Busilacchi, Elena</au><au>Costantini, Andrea</au><au>Mancini, Giorgia</au><au>Bencivenga, Rossella</au><au>Olivieri, Jacopo</au><au>Battaglini, Giovanna</au><au>Velletri, Laura</au><au>Viola, Nadia</au><au>Butini, Luca</au><au>Capelli, Debora</au><au>Poloni, Antonella</au><au>Olivieri, Attilio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A novel method to evaluate prethawing viability of cryopreserved CD34+ hematopoietic stem cells for autologous transplantation</atitle><jtitle>Transfusion (Philadelphia, Pa.)</jtitle><date>2020-07</date><risdate>2020</risdate><volume>60</volume><issue>7</issue><spage>1529</spage><epage>1535</epage><pages>1529-1535</pages><issn>0041-1132</issn><eissn>1537-2995</eissn><abstract>BACKGROUND Cryopreservation of CD34+ hematopoietic stem cells (HSCs) is associated with variable loss of viability. Although postfreezing CD34+ cell viability can be assessed on the sampling tube (bag tail) directly connected to the main bag (mother bag), results often underestimate the actual viability observed when the mother bag is thawed and reinfused. We assessed a novel method to measure postfreezing CD34+ cell viability, based on small bag (minibag) samples; results were compared with those obtained on the corresponding mother bags and bag tails. STUDY DESIGN AND METHODS Sixty‐one apheresis procedures of 42 patients undergoing autologous HSC transplant were analyzed. Viable CD34+ cells were quantified with flow cytometry before controlled rate freezing (ICE‐CUBE14M system, SY‐LAB‐ IceCube, SIAD), after 10 days of storage (mini‐bag and bag tail), and before reinfusion (aliquot from a thawed mother bag). Results were compared using Studentʼs t test and Spearmanʼs rho correlation test. RESULTS The mean CD34+ cell viability before cryopreservation was 99.3% (confidence interval [CI], 98.94‐99.65%); the mean amount of CD34+ cells, white blood cells and neutrophils in the mother bag was 0.8 ± 1.1 × 109/L, 63.4 ± 23.5 × 109/L, and 25.7 ± 15.5 × 109/L, respectively. Mother bags postthawing CD34+ cell viability was 72.3% (CI, 67.74‐76.85%; p &lt; 0.01 compared to prefreezing); no difference was observed with respect to minibags (73.7%; CI, 69.80‐77.59%; p = NS), whereas significantly lower values were found for bag tails (58.6%; CI, 54.19‐63.00%; p &lt; 0.01 vs. both mini‐ and mother bags). CONCLUSION Compared to bag tails, minibags represent a more accurate tool to measure the CD34+ cell viability of the apheresis mother bag prior to reinfusion; in addition, minibags may could be of help for case‐by‐case calculation of the amount of apheresis to be infused to patients undergoing autologous HSC transplant.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><doi>10.1111/trf.15825</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0693-3376</orcidid></addata></record>
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source Wiley Journals
subjects Apheresis
Autografts
CD34 antigen
Cell viability
Confidence intervals
Cryopreservation
Flow cytometry
Freezing
Hematopoietic stem cells
Leukocytes
Leukocytes (neutrophilic)
Stem cells
Tails
Transplantation
Transplants & implants
title A novel method to evaluate prethawing viability of cryopreserved CD34+ hematopoietic stem cells for autologous transplantation
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