Take a spin: Apheresis in the care of adult leukaemia patients

Best Pract Res Clin Haematol. 2023 Jun;36(2):101467. doi: 10.1016/j.beha.2023.101467. Epub 2023 Apr 18.

Abstract

Apheresis is an automated process to separate the whole blood of a patient or a donor, collect or remove specific blood components, and return the remaining back to the individual. Apheresis is an integral part of blood and marrow transplantation and has been increasingly utilized in novel cellular therapies for a variety of blood disorders. This review uses clinical cases to highlight the multiple roles of apheresis in the care of adult leukaemia patients, including therapeutic leukapheresis in hyperleukocytosis, mobilized peripheral blood hematopoietic progenitor cell collection in donors, mononucleated cell collection in preparation of donor lymphocyte infusion or chimeric antigen receptor T cells manufacture, and extracorporeal photopheresis in the treatment of graft versus host diseases.

Keywords: Extracorporeal photopheresis; Leukapheresis; Mononucleated cell collection; Peripheral hematopoietic progenitor cell mobilization.

Publication types

  • Review

MeSH terms

  • Adult
  • Blood Component Removal*
  • Granulocyte Colony-Stimulating Factor
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunotherapy, Adoptive
  • Leukapheresis
  • Leukemia* / therapy
  • Photopheresis*

Substances

  • Granulocyte Colony-Stimulating Factor