Growth of human umbilical-cord blood in longterm haemopoietic cultures

Lancet. 1992 Jul 11;340(8811):73-6. doi: 10.1016/0140-6736(92)90396-k.

Abstract

Cryopreserved human umbilical-cord (HUC) blood is an alternative to bone marrow as a source of haemopoietic "stem" cells for HLA-identical transplantation of children with leukaemia or Fanconi's anaemia. We have studied the in-vitro growth potential of HUC blood in clonogenic assays and in longterm haemopoietic cultures. Clonogenic assays showed that HUC blood produced as many haemopoietic-cell colonies as normal adult bone marrow and a higher proportion of primitive-cell colonies. In longterm culture on preformed irradiated marrow stroma, both progenitor-cell production and lifespan of cultures were significantly greater in HUC blood than in normal bone marrow (p = 0.0007). Our findings indicate that the quality and quantity of HUC-blood-derived haemopoietic "stem" cells are better than those of normal bone marrow. Therefore, single HUC-blood donations are probably sufficient for adults requiring transplantation for leukaemia and other haemopoietic disorders. Banking of HLA-typed HUC blood to facilitate transplantation of patients who lack a family donor should be considered.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Transfusion / standards
  • Bone Marrow / growth & development
  • Cell Division / physiology*
  • Cell Survival
  • Cells, Cultured
  • Colony-Forming Units Assay
  • Cryopreservation
  • Erythroid Precursor Cells / chemistry
  • Erythroid Precursor Cells / cytology
  • Erythroid Precursor Cells / transplantation
  • Evaluation Studies as Topic
  • Fetal Blood / cytology*
  • Granulocyte-Macrophage Colony-Stimulating Factor / chemistry
  • Granulocyte-Macrophage Colony-Stimulating Factor / physiology
  • Hematopoietic Stem Cell Transplantation
  • Hematopoietic Stem Cells / chemistry
  • Hematopoietic Stem Cells / cytology*
  • Humans
  • Time Factors

Substances

  • Granulocyte-Macrophage Colony-Stimulating Factor