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Collection, Processing, and Banking of Umbilical Cord Blood Stem Cells for Transplantation and Regenerative Medicine

Protocol
Part of the Methods in Molecular Biology book series (MIMB, volume 879)

Abstract

Collection and banking of umbilical cord blood can provide a virtually unlimited source of ethnically diverse stem cell donors. It can be used in place of bone marrow or peripheral blood stem cells for hematologic transplants as well as in a variety of regenerative medicine applications. In this study, we review the latest developments in cord blood banking. We have banked over 300,000 collections at our facility, which were processed by either Ficoll or AXP methodologies. An average 95–99% processing efficiency was obtained. Processed samples can be frozen in either cryovials or bags and banked in the vapor phase of a liquid nitrogen dewar for prolonged periods of time. In conclusion, it is possible to simply and reproducibly harvest, process, and bank cord blood samples using currently available technology.

Key words

Cord blood Banking Processing Collection Stem cells 

Abbreviations

AXP

AutoXpress™ Platform

BMT

Bone marrow transplantation

CB

Cord blood

CBR

Cord Blood Registry

DMSO

Dimethylsulfoxide

GVHD

Graft-versus-host disease

HLA

Human leukocyte antigen

IDM

Infectious disease marker

MNC

Mononuclear cells

TNC

Total nucleated cells

Notes

Acknowledgments

I would like to acknowledge the invaluable technical assistance all of the Cord Blood Bank personnel that have made this study possible. I would also like to acknowledge the numerous physicians, midwifes, and nurses that have participated in the collection of the cord blood samples.

References

  1. 1.
    Hows JM (1987) Histocompatible unrelated donors for bone marrow transplantation. Bone Marrow Transplant 1:259–263PubMedGoogle Scholar
  2. 2.
    Bradley BA, Gilks WR, Gore SM, Klouda PT (1987) How many HLA typed volunteer donors for bone marrow transplantation (BMT) are needed to provide an effective service? Bone Marrow Transplant 2(suppl 1):79Google Scholar
  3. 3.
    Sullivan KM, Weiden PL, Storb R et al (1989) Influence of acute and chronic graft-versus-host disease on relapse and survival after bone marrow transplantation from HLA-identical siblings as treatment of acute and chronic leukemia. Blood 73:1720–1728PubMedGoogle Scholar
  4. 4.
    Broxmeyer HE, Gluckman E, Auerbach A et al (1990) Human umbilical cord blood: a clinically useful source of transplantable hematopoietic stem/progenitor cells. Intl J Cell Cloning 8(suppl 1):76CrossRefGoogle Scholar
  5. 5.
    Gluckman E, Broxmeyer HE, Auerbach A et al (1989) Hematopoietic reconstitution in a patient with Fanconi’s anemia by means of umbilical cord blood from an HLA-identical sibling. N Engl J Med 321:1174–1178PubMedCrossRefGoogle Scholar
  6. 6.
    Gluckman E (1990) Stem cell harvesting from cord blood: a new perspective. In: Henon PR, Wunder EW (eds) Peripheral blood stem cell autografts. Springer, BerlinGoogle Scholar
  7. 7.
    Broxmeyer HE, Kurtzburg J, Gluckman E et al (1991) Umbilical cord blood hematopoietic stem and repopulating cells in human clinical transplantation: an expanded role for cord blood transplantation. Blood Cells 17: 330–337Google Scholar
  8. 8.
    Broxmeyer HE, Kurtzburg J, Gluckman E et al (1991) Umbilical cord blood hematopoietic stem and repopulating cells in human clinical transplantation. Blood Cells 17:313–330PubMedGoogle Scholar
  9. 9.
    Broxmeyer HE, Douglas GW, Hangoc G et al (1989) Human umbilical cord blood as a potential source of transplantable hematopoietic stem/progenitor cells. Proc Natl Acad Sci U S A 86:3828–3832PubMedCrossRefGoogle Scholar
  10. 10.
    Vilmer E, Sterkers G, Rahimy C et al (1992) HLA-mismatched cord blood transplantation in a patient with advanced leukemia. Transplantation 53:1155–1157PubMedCrossRefGoogle Scholar
  11. 11.
    Wagner JE, Kernan NA, Steinbuch M et al (1995) Allogeneic sibling umbilical cord blood transplantation in children with malignant and nonmalignant disease. Lancet 346:214–219PubMedCrossRefGoogle Scholar
  12. 12.
    Rubinstein P, Rosenfield RE, Adamson JW, Stevens CE (1993) Stored placental blood for unrelated bone marrow reconstitution. Blood 81:1679–1690PubMedGoogle Scholar
  13. 13.
    Gluckman E, Rocha V, Boyer-Chammard A (1997) Outcome of cord-blood transplantation from related and unrelated donors. N Engl J Med 337(6):373–381PubMedCrossRefGoogle Scholar
  14. 14.
    Rubinstein P (2006) Why cord blood? Hum Immunol 67(6):398–404PubMedCrossRefGoogle Scholar
  15. 15.
    McGuckin C, Forraz N, Baradez MO et al (2005) Production of stem cells with embryonic characteristics from human umbilical cord blood. Cell Prolif 38:245–255PubMedCrossRefGoogle Scholar
  16. 16.
    McGuckin CP, Forraz N, Allouard Q, Pettengell R (2004) Umbilical cord blood stem cells can expand hematopoietic and neuroglial progenitors in vitro. Exp Cell Res 295:350–359PubMedCrossRefGoogle Scholar
  17. 17.
    Rogers I, Yamanaka N, Bielecki R, Wong CJ, Chua S, Yuen S, Casper RF (2007) Identification and analysis of in vitro cultured CD45-positive cells capable of multi-lineage differentiation. Exp Cell Res 313:1839–1852PubMedCrossRefGoogle Scholar
  18. 18.
    Kucia M, Halasa M, Wysoczynski M et al (2007) Morphological and molecular characterization of novel population of CXCR4+ SSEA-4+ Oct-4+ very small embryonic-like cells purified from human umbilical cord blood-preliminary report. Leukemia 21:297–303PubMedCrossRefGoogle Scholar
  19. 19.
    Harris DT, He X, Badowski M, Nichols JC (2008) Regenerative medicine of the eye: a short review. In: Levicar N, Habib NA, Dimarakis I, Gordon MY (eds) Stem cell repair and regeneration, vol 3. Imperial College Press, London, pp 211–225CrossRefGoogle Scholar
  20. 20.
    Sunkomat JNE, Goldman S, Harris DT (2007) Cord blood-derived MNCs delivered intracoronary contribute differently to vascularization compared to CD34+ cells in the rat model of acute ischemia. J Mol Cell Cardiol 42(6 suppl 1):S97CrossRefGoogle Scholar
  21. 21.
    Harris DT, Badowski M, Ahmad N, Gaballa M (2007) The potential of cord blood stem cells for use in regenerative medicine. Expert Opin Biol Ther 7(9):1311–1322PubMedCrossRefGoogle Scholar
  22. 22.
    Harris DT, Rogers I (2007) Umbilical cord blood: a unique source of pluripotent stem cells for regenerative medicine. Curr Stem Cell Res Ther 2:301–309PubMedCrossRefGoogle Scholar
  23. 23.
    Harris DT, Schumacher MJ, LoCascio J et al (1992) Phenotypic and functional immaturity of human umbilical cord blood T lymphocytes. Proc Natl Acad Sci U S A 89:10006–10010PubMedCrossRefGoogle Scholar
  24. 24.
    Harris DT, Schumacher MJ, LoCascio J et al (1994) Immunoreactivity of umbilical cord blood and post-partum maternal peripheral blood with regard to HLA-haploidentical transplantation. Bone Marrow Transplant 14:63–68PubMedGoogle Scholar
  25. 25.
    Harris DT, LoCascio J, Besencon FJ (1994) Analysis of the alloreactive capacity of human umbilical cord blood: implications for graft-versus-host disease. Bone Marrow Transplant 14:545–553PubMedCrossRefGoogle Scholar
  26. 26.
    Harris DT (1995) In vitro and in vivo assessment of the graft-versus-leukemia activity of cord blood. Bone Marrow Transplant 15:17–23PubMedGoogle Scholar
  27. 27.
    Harris DT (1994) GVL and GVHD implications of cord blood. Proceedings of the international conference/workshop on cord blood transplantation and biology/immunology. Blood Cells 20:560–565PubMedGoogle Scholar
  28. 28.
    Harris DT, Schumacher MJ, Rychlik S et al (1994) Collection, separation and cryopreservation of umbilical cord blood for use in transplantation. Bone Marrow Transplant 13:135–143PubMedGoogle Scholar
  29. 29.
    Harris DT (1994) What every physician needs to know about cord blood banking. Round-Up (Maricopa County Medical Society News), Dec 1994Google Scholar
  30. 30.
    Harris DT (1996) Experience in autologous and allogeneic cord blood banking. J Hematother 5(2):123–128PubMedCrossRefGoogle Scholar
  31. 31.
    Harris DT (1997) Cord blood banking for transplantation. Can J Clin Med 4:1–8Google Scholar
  32. 32.
    Harris DT (1998) Cord blood banking. The University of Arizona experience: successes, problems and cautions. Cancer Res Ther Control 7:63–67Google Scholar
  33. 33.
    Kielpinski G, Prinzi S, Duguid J, du Moulin G (2005) Roadmap to approval: use of an automated sterility test method as a lot release test for Carticel, autologous cultured chondrocytes. Cytotherapy 7(6):531–541PubMedCrossRefGoogle Scholar
  34. 34.
    Papassavas AC, Goika V, Chatzistamatiou T et al (2008) 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 hematopoietic progenitor cells in adults. Int J Lab Hematol 30(2):124–132PubMedCrossRefGoogle Scholar
  35. 35.
    Harris DT, McGaffey AP, Schwarz RH et al (2007) Comparing the mononuclear cell (MNC) recovery of AXP and Hespan. Obstet Gynecol 109(4):93SGoogle Scholar
  36. 36.
    AABB (2007) Standards for cellular therapy product services, 2nd edn. AABB Press, BethesdaGoogle Scholar
  37. 37.
    Lane TA, Plunkett M, Buenviaje J, Law P et al (2002) Recovery of leukocytes in cord blood units after cryopreservation by controlled rate freeze in DMSO and storage in vapor phase liquid nitrogen. In: Poster, ISCT conferenceGoogle Scholar
  38. 38.
    Harris DT, Mapother M, Goodman C (2000) Prevention of cross-sample and infectious contamination during cord blood banking by use of cryovials for storage in liquid nitrogen. Transfusion 40(10S):111SGoogle Scholar
  39. 39.
    2020: A new vision—a future for regenerative medicine. http://www.dhhs.gov/reference/newfuture.shtml. Retrieved on 12 Apr 2007

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of ImmunobiologyUniversity of ArizonaTucsonUSA

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