Umbilical Cord Blood Produces Small Megakaryocytes After Transplantation

Mark Ignatz, Martha Sola-Visner, Lisa M. Rimsza, Debra Fuchs, Jonathan J. Shuster, Xiao Miao Li, Anil Jotwani, Susan Staba, John R. Wingard, Zhongbo Hu, William B. Slayton

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Delayed platelet engraftment is a major complication of umbilical cord blood (CB) transplantation. Megakaryocytes derived from CB in vitro are smaller than megakaryocytes derived from bone marrow (BM) or mobilized peripheral blood from adults. Small megakaryocyte size may contribute to delayed platelet engraftment. To test whether small size persists after transplantation, we measured megakaryocyte size, concentration, and maturational stage in BM biopsy specimens obtained after transplantation in archived BM samples from patients receiving CB (CB group, n = 10) versus mobilized peripheral blood or BM transplantation (BM group, n = 9). Megakaryocytes in the postengraftment BM samples were significantly smaller in the CB group than in the BM group (median diameter, 16.7 vs 22.0 μm). There were no significant differences in megakaryocyte concentration or maturational stage between the CB and BM groups. For the first time, we demonstrate that the attainment of adult size in CB-derived megakaryocytes is delayed after human CB transplantation.

Original languageEnglish (US)
Pages (from-to)145-150
Number of pages6
JournalBiology of Blood and Marrow Transplantation
Volume13
Issue number2
DOIs
StatePublished - Feb 1 2007

Keywords

  • Cord blood
  • Engraftment
  • Megakaryocyte
  • Thrombocytopenia
  • Transplantation

ASJC Scopus subject areas

  • Hematology
  • Transplantation

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    Ignatz, M., Sola-Visner, M., Rimsza, L. M., Fuchs, D., Shuster, J. J., Li, X. M., Jotwani, A., Staba, S., Wingard, J. R., Hu, Z., & Slayton, W. B. (2007). Umbilical Cord Blood Produces Small Megakaryocytes After Transplantation. Biology of Blood and Marrow Transplantation, 13(2), 145-150. https://doi.org/10.1016/j.bbmt.2006.10.032