Peripheral-blood mononuclear cells (PBMCs) mobilized with AMD3100, a CXCR4 antagonist, combined with granulocyte colony-stimulating factor (G-CSF) have reconstituted autologous hematopoiesis in cancer patients following myeloablative conditioning. The engraftment potential of PBMCs mobilized with AMD3100 alone, however, has remained unproven. We therefore studied AMD3100-mobilized PBMCs in a canine model. Four dogs received 920 cGy total body irradiation (TBI) before infusion of autologous AMD3100-mobilized PBMCs (median CD34 cell count, 3.9 ؋ 10 6 /kg). Neutrophil (> 0.5 ؋ 10 9 /L [500/L]) and platelet (> 20 ؋/10 9 /L [> 20 000/L]) recoveries occurred at medians of 9 (range, 7-10) days and 25 (range, 23-38) days, respectively, after TBI, and all dogs had normal marrow function at 1 year after transplantation. To evaluate the long-term engraftment potential of AMD3100-mobilized PBMCs, 5 dogs were given 920 cGy TBI followed by infusion of AMD3100-mobilized PBMCs (median CD34 cell dose, 4.7 ؋ 10 6 /kg) from their dog leukocyte antigen (DLA)-identical littermates. Neutrophil and platelet recoveries occurred at medians of 8 (range, 8-10) days and 26 (range, 26-37) days, respectively, after TBI. With a median follow-up of 53 (range, 33-61) weeks, recipients' marrow function was normal, and blood-donor chimerism levels were 97% to 100%. In summary, both autologous and allogeneic AMD3100-
IntroductionUnder steady-state conditions, CD34 ϩ hematopoietic progenitor and stem cells circulate in the blood of animals and humans at frequencies too low to allow for efficient collection of numbers sufficient to ensure timely hematopoietic reconstitution after myeloablative therapy. The frequencies of CD34 ϩ cells in the blood are considerably increased both in response to various growth factors and during the recovery phase following myelosuppressive chemotherapy. Granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral-blood mononuclear cells (PBMCs) are routinely used as a source of hematopoietic stem cells for transplantation and, owing to the earlier neutrophil and platelet engraftments and shortened hospital stay associated with the use of this product, are often preferred over bone marrow. [1][2][3][4][5][6][7][8] In the setting of autologous hematopoietic cell transplantation (HCT), difficulties in mobilizing and harvesting sufficiently large numbers of hematopoietic stem cells may occur, particularly in patients who have been exposed to repetitive cycles of myelotoxic chemo-and/or radiation therapy. 9 Alternative strategies aimed at improving CD34 ϩ cell mobilization including use of novel growth factors or growth factor combinations have been explored in clinical studies. [10][11][12][13][14][15] With respect to efficacy and/or safety of the mobilization procedure, however, none of these strategies has proven superior to G-CSF used alone or in combination with chemotherapy.Recently, several studies have demonstrated the importance of the interaction between stromal-cell-derived factor-1␣ (SDF-1␣) and its rece...