【摘要】 大量的临床移植表明人脐血 (UCB)可以在造血干细胞移植的儿童中得到造血重建 ,可是在成人中脐血移植 (UCBT)效果并不理想 ,这主要是脐血中所含的细胞数及造血干 /祖细胞数有限 ,而不适宜体重较大的成人。本研究在收集脐血的同时 ,也分别收集胎盘血 (UPB)及胎盘组织 (UPT)中的细胞 ,检测有核细胞数 ,CD34(造血干 /祖细胞的表明标记 )阳性细胞 ,粒单细胞集落 (CFU GM)。结果发现 :来自于胎盘血和胎盘组织中的有核细胞数是脐血细胞的 3- 4倍 ;脐血、胎盘血及胎盘组织细胞的有核细胞数分别为 (8.3± 1.0 4 )× 10 8,(16 .33± 5 .5 4 )× 10 8和(8.0 1± 2 .6 4 )× 10 8;CD34+ 细胞分别为 (0 .77± 0 .0 1)× 10 6,(1.2 5± 0 .5 5 )× 10 6和 (4.2 1± 1.90 )× 10 6;在细胞的长期培养中 ,UPB细胞和UPT细胞能生存更长时间 ,而且这些细胞更易贴壁形成纤维样的细胞 ;冰冻前后UPT细胞活性及回收率无明显差异 ,表明胎盘细胞和脐血细胞一样适合于长期储存 ;而且 ,在UPB和UPT中含有更高比例的T淋巴细胞抑制细胞群 ,可能意味着UPB和UPT具有更强的免疫抑制功能。结论指出 ,有必要建立含有胎盘和脐血细胞的血库 ,以便为大剂量放疗及化疗后的儿童及成年病人进行造血干细胞移植 ,为重建造血创造条件更多还原

【Abstract】 Clinical transplantation evidence has indication that umbilical cord blood (UCB) can be useful in the hematopoietic reconstitution in the children, but not well in the adult patients because of the low cell count. The purpose of our study was to evaluate a new method for collection of blood cells from human placenta and umbilical cord. We have simultaneously harvested blood cells from umbilical cord (UCB), placenta blood (UPB) and placenta tissue (UPT) for their content of nucleated cells, CD34 (hematopoietic stem progenitor maker) positive cells. Result showed that the nuclear cell (NC) from UPB and UPT has three to four times than that from umbilical cord blood only, (8.3±1.04)×10 8 (UCB), (16.33±5.54)×10 8 (UPB), and (8.01±2.64)×10 8 (UPT). CD34 + cells are (0.77±0.01)×10 6, ( 1.25 ±0.55)×10 6 and (4.21±1.90)×10 6 respectively. The cells from UPB and UPT have more survival ability than the cells from UCB in the long term cell culture condition. It is clear that the blood stored in the liquid nitrogen did not show large loss of total nucleated cell count and CD34 + cells. It was observed that UPT and UPB contained more suppressor lymphocytes, which may be important in prevention of graft versus host disease. In conclusion, our data may have implications for the development of placental blood collection together with umbilical cord blood banking for the stem cell transplantation.更多还原