Indium-labeled white blood cells apheresed from donors receiving G-CSF localize to sites of inflammation when infused into allogeneic bone marrow transplant recipients

Bone Marrow Transplant. 1997 Apr;19(8):809-12. doi: 10.1038/sj.bmt.1700749.

Abstract

G-CSF administration to normal donors results in granulocyte apheresis yields generally greater than those observed with other neutrophil mobilizing agents. In vitro, neutrophils cultured with G-CSF exhibit prolonged survival; however, the random migration of neutrophils exposed to this agent is inhibited. Although transfused neutrophils mobilized with agents other than G-CSF migrate to sites of inflammation or infection in vivo, this has yet to be demonstrated with infusion of G-CSF-mobilized neutrophils into neutropenic human subjects. Five neutropenic allogeneic bone marrow transplant (BMT) patients each received a fresh infusion of G-CSF-mobilized indium-labeled irradiated white blood cells (WBC) apheresed from HLA-matched normal donors on day +5 post-transplant. Localization of activity on delayed scintigraphic images of indium-labeled WBC scans to sites of tissue damage (oral/nasopharynx in two patients with mucositis and terminal ileum/cecum in one with diarrhea) occurred, and supports the hypothesis that G-CSF-mobilized HLA-matched donor neutrophils which have been irradiated are functional after infusion into neutropenic recipients.

MeSH terms

  • Adolescent
  • Adult
  • Bone Marrow Transplantation* / adverse effects
  • Cell Movement
  • Granulocyte Colony-Stimulating Factor / administration & dosage
  • Humans
  • Indium Radioisotopes
  • Inflammation / diagnostic imaging*
  • Inflammation / pathology
  • Inflammation / therapy
  • Leukapheresis
  • Leukocyte Transfusion*
  • Living Donors
  • Middle Aged
  • Neoplasms / therapy
  • Neutrophils / drug effects
  • Neutrophils / physiology
  • Neutrophils / transplantation
  • Radionuclide Imaging
  • Transplantation, Homologous

Substances

  • Indium Radioisotopes
  • Granulocyte Colony-Stimulating Factor