The potential of mononuclear cells as a predictive marker for the level of stem cells in autologous peripheral blood stem cell transplantation in Multiple Myeloma: A Review Article

Bibliographic Details
Title: The potential of mononuclear cells as a predictive marker for the level of stem cells in autologous peripheral blood stem cell transplantation in Multiple Myeloma: A Review Article
Authors: Darshana Kottahachchi, Tharushika Deshani Hewapathirana, Thisali Chandula Perera, Shashikala Suresh
Source: Medical Laboratory Journal, Vol 18, Iss 2, Pp 11-15 (2024)
Publisher Information: Golestan University of Medical Sciences, 2024.
Publication Year: 2024
Collection: LCC:Medicine
Subject Terms: multiple myeloma, mononuclear cells, stem cells, autologous transplantation, plasma cells, Medicine
More Details: Multiple myeloma (MM) is a plasma cell neoplasm that is characterized by the clonal proliferation of malignant plasma cells in the bone marrow. It is considered the second most common hematological malignancy which accounts for approximately 1% - 2% of all cancers and among 10% of hematological malignancies. Autologous peripheral blood stem cell Transplantation (PBSCT) is the best treatment for MM. Since the optimum harvested stem cell yield is a crucial factor for sufficient engraftment, the enumeration of Mononuclear cell (MNC) count in peripheral blood and harvested CD 34+ stem cell count can be considered as the best predictive markers for the best timing of apheresis which positively correlates with engraftment outcome of PBSCT. MNC count can be obtained using either a hematological analyzer or peripheral blood smear while flow cytometry is the advanced technology that can be used to enumerate CD 34+ stem cell count other than peripheral blood smear. The unavailability of a flow cytometer, the expensiveness of this method, and the lack of trained personnel regarding this new technology, especially in lower-middle-income countries cause disturbance in the enumeration of stem cells. In such a situation, this review describes the importance of establishing an association between peripheral blood MNCs and harvested CD 34+ cells. Furthermore, this association facilitates conducting effective PBSCT for MM patients even in the absence of a flow cytometer and eventually, it focuses on decentralizing the treatment of PBSCT.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2538-4449
Relation: http://mlj.goums.ac.ir/article-1-1626-en.pdf; https://doaj.org/toc/2538-4449
Access URL: https://doaj.org/article/f03f8cdcbe4c494494c42b8a79739f79
Accession Number: edsdoj.f03f8cdcbe4c494494c42b8a79739f79
Database: Directory of Open Access Journals
More Details
ISSN:25384449
Published in:Medical Laboratory Journal
Language:English