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Stem Cells Collection and Mobilization in Adult Autologous/Allogeneic Transplantation: Critical Points and Future Challenges

by Tafuri, Maria Antonietta , Annibali, Ombretta , Rigacci, Luigi , Prisciandaro, Michele , Mele, Marcella , Nobile, Carolina , Tomarchio, Valeria , Marinucci, Alessandra , Vacca, Michele , Santinelli, Enrico , Bonchi, Cecilia , Palazzo, Gloria

in Adult / allogeneic / Allografts / Apheresis / autologous / Blood / Blood Component Removal - methods / Blood diseases / Bone marrow / Care and treatment / Cellular therapy / Chemotherapy / CXCR4 antagonists / Diagnosis / General anesthesia / Granulocytes / Hematopoietic Stem Cell Mobilization - methods / Hematopoietic Stem Cell Transplantation / Hematopoietic Stem Cells / Humans / Medical examination / mobilization / Patient outcomes / stem cell collection / Stem cell transplantation / transplant / Transplantation / Transplantation, Homologous

2024

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Stem Cells Collection and Mobilization in Adult Autologous/Allogeneic Transplantation: Critical Points and Future Challenges

2024

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Stem Cells Collection and Mobilization in Adult Autologous/Allogeneic Transplantation: Critical Points and Future Challenges

2024

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Journal Article

Stem Cells Collection and Mobilization in Adult Autologous/Allogeneic Transplantation: Critical Points and Future Challenges

Tafuri, Maria Antonietta,

Annibali, Ombretta,

Rigacci, Luigi,

Prisciandaro, Michele,

Mele, Marcella,

Nobile, Carolina,

Tomarchio, Valeria,

Marinucci, Alessandra,

Vacca, Michele,

Santinelli, Enrico,

Bonchi, Cecilia,

Palazzo, Gloria

2024

Overview

Achieving successful hematopoietic stem cell transplantation (HSCT) relies on two fundamental pillars: effective mobilization and efficient collection through apheresis to attain the optimal graft dose. These cornerstones pave the way for enhanced patient outcomes. The primary challenges encountered by the clinical unit and collection facility within a transplant program encompass augmenting mobilization efficiency to optimize the harvest of target cell populations, implementing robust monitoring and predictive strategies for mobilization, streamlining the apheresis procedure to minimize collection duration while ensuring adequate yield, prioritizing patient comfort by reducing the overall collection time, guaranteeing the quality and purity of stem cell products to optimize graft function and transplant success, and facilitating seamless coordination between diverse entities involved in the HSCT process. In this review, we aim to address key questions and provide insights into the critical aspects of mobilizing and collecting hematopoietic stem cells for transplantation purposes.

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Publisher

MDPI AG

Subject

/ Blood

/ Blood Component Removal - methods