A strategy of splitting individual high volume cord blood units into two half subunits prior to processing increases the recovery of cells and facilitates ex vivo expansion of the infused haematopoietic progenitor cells in adults.

Research paper by A C AC Papassavas, V V Gioka, T T Chatzistamatiou, T T Kokkinos, I I Anagnostakis, G G Gecka, I I Redoukas, G G Paterakis, C C Stavropoulos-Giokas

Indexed on: 13 Mar '08Published on: 13 Mar '08Published in: International Journal of Laboratory Hematology


This study was designed to maximize the recovery of the desirable cell populations contained in the cord blood (CB) freezing bag, in order to optimize donor selection for adolescents and adults. To evaluate this hypothesis, high volume CB units (CBUs) were categorized into three volume collection groups (120-139, 140-159 and >or=160 ml) and were randomly split before volume reduction into two half low volume CBUs; (a) and (b). Using the SEPAX Cell Processing System, all CBUs were standardized to 26 ml. In 128 high volume split CBUs, the WBC, mononuclear cell and CD34+ cell recoveries were significantly higher (P <or= 0.05; 80%, 79.89% and 87.41% respectively) than those of the 106 high volume nonsplit CBUs (59.7%, 62.82% and 68.62% respectively), resulting in significantly higher (P <or= 0.05) mean weights of the potential recipients. The strategy of splitting high volume CBUs into two half low volume CBUs improves the recovery of the cells and is an attractive option for ex vivo expansion, in order to facilitate the CB transplantation in adults who are not eligible for single CB transplantation because of limitations of cell dose.