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학술저널
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Awatif AlAnazi (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Amer Nadeem (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Khawar Siddiqui (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Ali AlAhmari (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Ibrahim Ghemlas (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Abdullah AlJefri (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Hawazen AlSaedi (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Saadiya Khan (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia) Mouhab Ayas (Department of Pediatric Hematology/Oncology King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia)
저널정보
대한혈액학회 Blood Research Blood Research Vol.58 No.1
발행연도
2023.3
수록면
28 - 35 (8page)
DOI
10.5045/br.2023.2022167

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Background Reduced harvest volumes in pediatric donors appear to have the potential to reduce donor- associated risks while maintaining engraftment in recipients; however, the allowable harvest volume reduction remains undefined. Methods We retrospectively analyzed the data pairs of 553 bone marrow (BM) harvests from pediatric (age at harvest <18 yr) sibling donors and clinical outcomes of 553 pediatric (age at infusion <14 yr) transplant-naïve recipients to assess the optimal BM harvest volume needed from pediatric donors to obtain the desired CD34+ cell count (≥3.0×106 cells per kg of recipient weight), and to study its impact on the clinical outcomes of transplantation in pediatric recipients. Results The minimum desired CD34+ cell count of ≥3.0×106 per kg of recipient weight was achieved for 506 (95.3%) of donor-recipient pairs. The median CD34+ cell yield was 6.4×106 per kg of recipient weight (range, 1.2‒33.8×106) in donors younger than 5 years old at harvest, 4.7×106 (range, 0.3‒28.5×106) in donors aged 5‒10 years and 2.1×106 (range, 0.3‒11.3×106) in donors older than 10 years (P <0.001). Conclusion The infused CD34+ cell dose (×106 cells/kg of recipient weight) had no impact on GRFS; however, a CD34+ cell dose of >7×106 cells/kg of recipient weight did not improve hematopoietic recovery.

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