| Literature DB >> 30989487 |
Kota Yoshifuji1, Takashi Toya2, Hiroto Adachi1, Masahiro Fujita1, Atsushi Wada1, Ryosuke Konuma1, Yuya Kishida1, Tatsuya Konishi1, Akihito Nagata1, Yuta Yamada1, Satoshi Kaito1, Takuma Kumagai1, Kyoko Inamoto1, Megumi Akiyama1, Aiko Igarashi1, Yuho Najima1, Noriko Doki1, Takeshi Kobayashi1, Kazuhiko Kakihana1, Hisashi Sakamaki1, Kazuteru Ohashi1.
Abstract
Autologous stem-cell transplantation is an effective procedure for the treatment of multiple myeloma, and involves the collection of hematopoietic stem cells (HSCs). However, in some patients, HSCs in the bone marrow fail to mobilize. Pomalidomide upregulates CXCR4 in hematopoietic stem cells, in a manner similar to that of lenalidomide, and is, thus, likely to have a negative impact on hematopoietic stem-cell mobilization in multiple myeloma patients. Here, we report the two cases in which hematopoietic stem cells were mobilized using plerixafor plus granulocyte-colony stimulating factor after exposure to lenalidomide and pomalidomide. Use of plerixafor with a sufficient washout period may lead to successful mobilization following pomalidomide use, although further study of this potential use is needed.Entities:
Keywords: CXCR4; Multiple myeloma; Plerixafor; Pomalidomide; Stem-cell mobilization
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Year: 2019 PMID: 30989487 DOI: 10.1007/s12185-019-02622-0
Source DB: PubMed Journal: Int J Hematol ISSN: 0925-5710 Impact factor: 2.490