Infused CD34 cell count has a significant impact on transplant outcome. In this retrospective study, we aimed to analyze the impact of donor iron parameters on peripheral blood stem cell (PBSC) collection. A total of 303 related donors were included in the study. The mobilization regimen, recombinant G-CSF, was given for four consecutive days. A CD34+ cell count below 2×106/kg was defined as mobilization failure which was demonstrated in 23 donors (7.6%). Mobilization failure was more frequent in female donors than male donors (13.7% vs 3.4%). Body mass index, mean corpuscular volume, hemoglobin and ferritin levels were found to be lower in donors with mobilization failure. Body mass index was significantly correlated with PBSC count on the 4th day of G-CSF. Body mass index, male gender, mean corpuscular volume and ferritin levels had significant impact on PBSC count. Although PBSC count was found to be similar between female and male donors, female gender was shown to have an adverse impact on PBSC collection, which may be attributed to lower body weight and concurrent iron deficiency.

译文

注入的CD34细胞计数对移植结果有重大影响。在这项回顾性研究中,我们旨在分析供体铁参数对外周血干细胞 (PBSC) 收集的影响。本研究共纳入303个相关捐献者。连续四天给予动员方案重组g-csf。CD34 + 细胞计数低于2 × 106/kg被定义为在23个供体 (7.6%) 中证实的动员失败。动员失败在女性捐赠者中比男性捐赠者更常见 (13.7% vs 3.4%)。在动员失败的供体中,体重指数,平均红细胞体积,血红蛋白和铁蛋白水平较低。体重指数与g-csf第4天的PBSC计数显着相关。体重指数,男性,平均红细胞体积和铁蛋白水平对PBSC计数有显着影响。尽管发现女性和男性供体之间的PBSC计数相似,但显示女性性别对PBSC收集有不利影响,这可能归因于体重降低和同时缺铁。

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