Qualitative and quantitative polymerase chain reaction detection of the residual myeloma cell contamination after positive selection of CD34+ cells with small- and large-scale Miltenyi cell sorting system

Br J Haematol. 2002 Jun;117(3):642-5. doi: 10.1046/j.1365-2141.2002.03448.x.

Abstract

The purging efficacy of the Miltenyi sorting system was evaluated by qualitative and TaqMan quantitative polymerase chain reaction (PCR) in myeloma patients, using immunoglobulin genes. After small-scale selection, qualitative PCR showed that in 6 of 12 leukaphereses myeloma cells were no longer detectable. Envisaging a possible clinical application, the leukaphereses from three patients underwent large-scale selection. Qualitative PCR showed that myeloma cells were still detectable. Quantitative PCR, performed in two patients, showed a tumour depletion of 1 and 2 logs respectively. Although numbers are small, the promising results obtained with small-scale selection were not reproduced in large-scale experiments.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antigens, CD34 / analysis*
  • Bone Marrow Purging / methods*
  • Female
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Immunomagnetic Separation*
  • Leukapheresis
  • Male
  • Middle Aged
  • Multiple Myeloma / pathology*
  • Multiple Myeloma / therapy
  • Neoplasm, Residual
  • Polymerase Chain Reaction

Substances

  • Antigens, CD34