Table of Contents

 

 

 

 

Preface

ix

SECTION 1

BIOLOGY OF HPC TRANSPLANTATION

1

 

Hematopoietic Progenitor Cell Biology

1

 

Identification and Enumeration of Progenitor Cells

3

 

HLA Typing

6

 

References

8

SECTION 2

COLLECTION OF HPCS

11

 

HPCs from Marrow

11

 

HPCs from Peripheral Blood

15

 

HPCs from Placenta! or Umbilical Cord Blood

20

 

Selection of Unrelated Donor HPCs

24

 

References

26

SECTION 3

CRYOBIOLOGY, PROCESSING, AND STORAGE OF CRYOPRESERVED HPCS

33

 

Cryopreservation Theory

33

 

Cryopreservation Techniques

36

 

Cryoprotectant Solutions

41

 

Cooling and Warming Rates

44

 

References

47

SECTION 4

PROCESSING AND STORAGE OF NONCRYOPRESERVED HPCS

51

 

Processing and Storage Overview

51

 

Routine Cell Processing

52

 

Processing After Thawing

55

 

Cord Blood Processing

56

 

Cell Selection Techniques

63

 

Tumor Purging

65

 

Target Cell Population Enrichment

67

 

Testing Techniques

69

 

Noncryopreserved Storage

77

 

Storage and Transportation of Frozen Cells

80

 

Ex-Vivo Expansion of Cells

83

 

References

88

SECTION 5

CLINICAL ASPECTS OF HPC THERAPY

103

 

Infusion of Cell Therapy Products

103

 

HPC-C Transplantation

107

 

HPC Engraftment

110

 

Graft Rejection, GVHD, and Relapse

114

 

Donor Leukocyte Infusion

119

 

Immune Reconstitution After Stem Cell Transplantation

127

 

The Center for International Blood and Marrow Transplant Research

132

 

References

137

SECTION 6

ACUTE COMPLICATIONS OF HPC THERAPY

155

 

Chemotherapy and Growth Factors

155

 

Establishment of Venous Access

160

 

Apheresis Complications

166

 

Adverse Effects of Marrow Donation

171

 

Adverse Events Associated with Reinfusion

172

 

Immunohematologic Effects of ABO-Incompatible HPC Transplantation

180

 

References

185

SECTION 7

ADVANCES IN CELLULAR THERAPY AND GRAFT ENGINEERING

195

 

Gene Therapy

195

 

Mesenchymal Stem Cells

203

 

Multipotent Adult Progenitor Cells

205

 

Pancreatic Islet Cell Transplantation

209

 

Adoptive Immunotherapy (Dendritic Cell and T-Cell-Mediated Therapy)

213

 

References

217

SECTION 8

REGULATIONS AND STANDARDS FOR HPC FACILITIES

225

 

Development of Cellular Therapy Standards

225

 

AABB

229

 

American Association of Tissue Banks

233

 

American Society for Blood and Marrow Transplantation

235

 

Foundation for the Accreditation of Cellular Therapy

238

 

International Society for Cellular Therapy

243

 

National Marrow Donor Program

245

 

Food and Drug Administration

248

 

State and Local Regulations

251

 

Insurance Issues for Blood and Marrow Transplantation

254

 

References

261

 

Index

267