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Cryo handles cells
between harvesting, transplant
In the early days of bone marrow transplantation,
researchers aimed to get the cells out of the donor and into the recipient
as quickly as possible in hopes they would take.
However, in the years since, they've learned
there's a lot they can do to the cells while they're "out of body"
to improve chances of a successful transplant.
For example, donor and recipient need no longer
be the same ABO blood type: The red blood cells can be removed from the
marrow.
Even more exciting are new techniques to remove
or enhance immune-reactive cells in order to reduce the risk of graft-versus-host
disease or disease relapse after transplantation.
At the Center, the handling of cells between
harvesting and transplantation is the domain of the Cryobiology Laboratory,
three floors below ground level in the Columbia Building and open seven
days a week.
Medical director Dr. Scott Rowley says the
lab processes 1,400 stem cell or bone marrow collections per year in support
of transplant programs at the Center and other Seattle-area medical institutions.
It performs a variety of tests and separation and concentration procedures
on those cells, and it provides cold storage for the cells until they can
be transplanted.
Indeed, it's the lab's cold-storage function
that gives "the cryo lab" its name, since "cryo" comes
from the Greek word for "cold."
The lab's cold-storage capacity has become
increasingly important with the growth in autologous transplantation of
peripheral stem cells. These cells typically remain outside the patient's
body for weeks to months until the patient is ready to receive high-dose
chemotherapy that would have killed them. How they're cared for before they're
put back can mean the difference between life and death.
The cryo lab's high-tech equipment includes
a computer-controlled freezer that can cool cells at a controlled rate of
one degree per minute. The lab also has a dozen large, liquid nitrogen freezers
than can hold the cells in long-term storage at temperatures ranging from
minus 180 to minus 195 degrees Centigrade.
Freezers are "extensively alarmed"
because, as Rowley says, "people's lives depend upon it."
Currently, about 1,200 patients' cells are
stored in cryo lab freezers. The total of 4,500 cell packets are carefully
labeled and tracked:
"We have to know where the cells are
in these refrigerators," says Rowley, peering into one of the nitrogen-vapor-filled
freezers. "As you can see, it's pretty anonymous down there."
The Cryobiology Laboratory is a core resource
of the Center, used extensively by the transplant program and other clinical
division investigators, although less by other divisions.
Rowley says that in addition to its super-safe
freezers, the lab offers a staff with considerable expertise in cell processing.
Lab supervisor Beth MacLeod, for example, has been with the Center for 18
years and with the Cryo Lab for eight. |
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