Sarah Wexler
Chemotherapy-induced mesenchymal stem cell damage in patients with hematological malignancy
Wexler, Sarah; Hows, Jill; Kemp, Kevin C.; Wexler, Sarah A.; Morse, Ruth; Cox, Christine; Mallam, Elizabeth; Donaldson, Craig
Authors
Jill Hows
Kevin C. Kemp
Sarah A. Wexler
Ruth Morse Ruth.Morse@uwe.ac.uk
Associate Professor in Biomedical Sciences
Christine Cox
Elizabeth Mallam
Craig Donaldson
Abstract
Hematopoietic recovery after high-dose chemotherapy (HDC) in the treatment of hematological diseases may be slow and/or incomplete. This is generally attributed to progressive hematopoietic stem cell failure, although defective hematopoiesis may be in part due to poor stromal function. Chemotherapy is known to damage mature bone marrow stromal cells in vitro, but the extent to which marrow mesenchymal stem cells (MSCs) are damaged by HDC in vivo is largely unknown. To address this question, the phenotype and functional properties of marrow MSCs derived from untreated and chemotherapeutically treated patients with hematological malignancy were compared. This study demonstrates a significant reduction in MSC expansion and MSC CD44 expression by MSCs derived from patients receiving HDC regimens, thus implicating potential disadvantages in the use of autologous MSCs in chemotherapeutically pretreated patients for future therapeutic strategies. The clinical importance of these HDCinduced defects we have observed could be determined through prospective randomized trials of the effects of MSC cotransplantation on hematopoietic recovery in the setting of HDC with and without hematopoietic stem cell rescue. © Springer-Verlag 2010.
Citation
Hows, J., Wexler, S., Kemp, K. C., Morse, R., Wexler, S. A., Cox, C., …Donaldson, C. (2010). Chemotherapy-induced mesenchymal stem cell damage in patients with hematological malignancy. Annals of Hematology, 89(7), 701-713. https://doi.org/10.1007/s00277-009-0896-2
Journal Article Type | Article |
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Publication Date | Jul 1, 2010 |
Journal | Annals of Hematology |
Print ISSN | 0939-5555 |
Publisher | Springer (part of Springer Nature) |
Peer Reviewed | Peer Reviewed |
Volume | 89 |
Issue | 7 |
Pages | 701-713 |
DOI | https://doi.org/10.1007/s00277-009-0896-2 |
Keywords | mesenchymal stem cells, transplantation, chemotherapy, hematopoietic stem cells, bone marrow |
Public URL | https://uwe-repository.worktribe.com/output/986080 |
Publisher URL | http://dx.doi.org/10.1007/s00277-009-0896-2 |
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