Overview on novel strategies and current guidelines for hematopoietic stem cell mobilisation and collection

Transfus Apher Sci. 2023 Dec;62(6):103830. doi: 10.1016/j.transci.2023.103830. Epub 2023 Oct 12.

Abstract

The success of the autologous stem cell transplantation is strictly related to an adequate hematopoietic stem cell mobilization and collection. The minimum threshold for a successful mobilization is currently defined as 2 × 106/kg CD34+ cells. However, the optimal stem cell mobilization strategy is still controversial. The availability of plerixafor, a selective and reversible CXCR4 inhibitor, has been associated with an higher use of chemo-free protocols by many centres. In the near future, it is conceivable that artificial intelligence may became more accurate and comprehensive, possibly guiding clinicians in choosing the optimal mobilisation treatment for the various patients undergoing hematopoietic stem cell transplantation. Machine learning-based scoring models may be the basis for the development of "intelligent" mobilisation algorithms.

Keywords: Artificial intelligence; Guidelines; Scoring models; Stem cell collection; Stem cell mobilization.

Publication types

  • Editorial

MeSH terms

  • Antigens, CD34 / metabolism
  • Artificial Intelligence
  • Granulocyte Colony-Stimulating Factor / pharmacology
  • Hematopoietic Stem Cell Mobilization / methods
  • Hematopoietic Stem Cell Transplantation* / methods
  • Hematopoietic Stem Cells / metabolism
  • Heterocyclic Compounds* / pharmacology
  • Humans
  • Multiple Myeloma* / therapy
  • Transplantation, Autologous

Substances

  • Antigens, CD34
  • Heterocyclic Compounds
  • Granulocyte Colony-Stimulating Factor