Mesenchymal stem cells in ex vivo cord blood expansion

Umbilical cord blood (CB) is becoming an important source of haematopoietic support for transplant patients lacking human leukocyte antigen matched donors. The ethnic diversity, relative ease of collection, ready availability as cryopreserved units from CB banks, reduced incidence and severity of gr...

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Veröffentlicht in:Best practice & research. Clinical haematology 2011-03, Vol.24 (1), p.83-92
Hauptverfasser: Robinson, Simon N., Ph.D, Simmons, Paul J., Ph.D, Yang, Hong, Ph.D., MD, Alousi, Amin M., MD, Marcos de Lima, J., MD, Shpall, Elizabeth J., MD
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container_end_page 92
container_issue 1
container_start_page 83
container_title Best practice & research. Clinical haematology
container_volume 24
creator Robinson, Simon N., Ph.D
Simmons, Paul J., Ph.D
Yang, Hong, Ph.D., MD
Alousi, Amin M., MD
Marcos de Lima, J., MD
Shpall, Elizabeth J., MD
description Umbilical cord blood (CB) is becoming an important source of haematopoietic support for transplant patients lacking human leukocyte antigen matched donors. The ethnic diversity, relative ease of collection, ready availability as cryopreserved units from CB banks, reduced incidence and severity of graft versus host disease and tolerance of higher degrees of HLA disparity between donor and recipient, are positive attributes when compared to bone marrow or cytokine-mobilized peripheral blood. However, CB transplantation is associated with significantly delayed neutrophil and platelet engraftment and an elevated risk of graft failure. These hurdles are thought to be due, at least in part, to low total nucleated cell and CD34+ cell doses transplanted. Here, current strategies directed at improving TNC and CD34+ cell doses at transplant are discussed, with particular attention paid to the use of a mesenchymal stem cell (MSC)/CB mononuclear cell ex vivo co-culture expansion system.
doi_str_mv 10.1016/j.beha.2010.11.001
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Antigens, CD34
Cell Adhesion
Cell Proliferation
Cell Separation - methods
Child
Coculture Techniques
cord blood (CB) transplantation
Cord Blood Stem Cell Transplantation
ex vivo expansion
Fetal Blood - cytology
Graft Survival
Hematology, Oncology and Palliative Medicine
Humans
mesenchymal stem cells (MSC)
Mesenchymal Stromal Cells - cytology
Plastics
title Mesenchymal stem cells in ex vivo cord blood expansion
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