Risk of Viral Transmission Via Bone Marrow Progenitor Cells Versus Umbilical Cord Blood Hematopoietic Stem Cells in Bone Marrow Transplantation

Hematopoietic stem cell transplantation (HSCT) is the treatment of choice for children and certain adults with malignant and nonmalignant hematologic disease. Since viral infections are the major problem, this study examined those that might potentially be transmitted to HSCT recipients via bone mar...

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Veröffentlicht in:Transplantation proceedings 2005-09, Vol.37 (7), p.3211-3212
Hauptverfasser: Behzad-Behbahani, A., Pouransari, R., Tabei, S.Z., Rahiminejad, M.S., Robati, M., Yaghobi, R., Nourani, H., Ramzi, M.M., Farhadi-Andarabi, A., Mojiri, A., Rahsaz, M., Banihashemi, M., Zare, N.
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container_end_page 3212
container_issue 7
container_start_page 3211
container_title Transplantation proceedings
container_volume 37
creator Behzad-Behbahani, A.
Pouransari, R.
Tabei, S.Z.
Rahiminejad, M.S.
Robati, M.
Yaghobi, R.
Nourani, H.
Ramzi, M.M.
Farhadi-Andarabi, A.
Mojiri, A.
Rahsaz, M.
Banihashemi, M.
Zare, N.
description Hematopoietic stem cell transplantation (HSCT) is the treatment of choice for children and certain adults with malignant and nonmalignant hematologic disease. Since viral infections are the major problem, this study examined those that might potentially be transmitted to HSCT recipients via bone marrow (BM) versus umbilical cord blood (UCB). BM progenitor cells, peripheral blood leukocytes, and plasma samples were collected from 30 allogenic BM donors. Umbilical cord blood hematopoietic stem cells and plasma samples were also collected from 34 UCB donors. Viral DNA extracted and purified from collected specimens was processed using nested polymerase chain reactions (PCR) to detect human parvovirus B19 (HPV B19), human herpesvirus-6 (HHV-6), varicella-zoster virus (VZV), human cytomegalovirus (HCMV), and Epstein-Barr virus (EBV). The prevalences of HCMV DNA in collected BM progenitor cells versus UCB hematopoietic stem cells were 73% versus 23%, respectively. Conversely, HHV-6 DNA was not detected in any collected specimen by simple PCR. Distribution of the other investigated virus DNAs except EBV DNA was similar in specimens collected from both groups. EBV DNA was not determined in UCB hematopoietic stem cells. The results indicate that the risk of viral transmission to BM transplant recipients via UCB hematopoietic stem cells is less than that with BM progenitor cells.
doi_str_mv 10.1016/j.transproceed.2005.07.007
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Since viral infections are the major problem, this study examined those that might potentially be transmitted to HSCT recipients via bone marrow (BM) versus umbilical cord blood (UCB). BM progenitor cells, peripheral blood leukocytes, and plasma samples were collected from 30 allogenic BM donors. Umbilical cord blood hematopoietic stem cells and plasma samples were also collected from 34 UCB donors. Viral DNA extracted and purified from collected specimens was processed using nested polymerase chain reactions (PCR) to detect human parvovirus B19 (HPV B19), human herpesvirus-6 (HHV-6), varicella-zoster virus (VZV), human cytomegalovirus (HCMV), and Epstein-Barr virus (EBV). The prevalences of HCMV DNA in collected BM progenitor cells versus UCB hematopoietic stem cells were 73% versus 23%, respectively. Conversely, HHV-6 DNA was not detected in any collected specimen by simple PCR. Distribution of the other investigated virus DNAs except EBV DNA was similar in specimens collected from both groups. EBV DNA was not determined in UCB hematopoietic stem cells. The results indicate that the risk of viral transmission to BM transplant recipients via UCB hematopoietic stem cells is less than that with BM progenitor cells.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16213350</pmid><doi>10.1016/j.transproceed.2005.07.007</doi><tpages>2</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Donors
Bone Marrow Transplantation - adverse effects
Bone marrow, stem cells transplantation. Graft versus host reaction
DNA, Viral - genetics
DNA, Viral - isolation & purification
Fetal Blood
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Medical sciences
Plasmids
Polymerase Chain Reaction
Risk Factors
Stem Cell Transplantation - adverse effects
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Umbilical Veins
Virus Diseases - classification
Virus Diseases - transmission
title Risk of Viral Transmission Via Bone Marrow Progenitor Cells Versus Umbilical Cord Blood Hematopoietic Stem Cells in Bone Marrow Transplantation
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