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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-03-0973.

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Submitted March 28, 2002
Accepted October 20, 2002

Granulocyte-colony stimulating factor increases blood CD123hi dendritic cells with altered CD62L and CCR7 expression

Slavica Vuckovic, Min Kim, Daila Khalil, Cameron J Turtle, Georgina V Crosbie, Noel Williams, Len Brown, Katrina Williams, Cathryn Kelly, Penny Stravos, Robyn Rodwell, Geoff R Hill, Susan Wright, Kerry A Taylor, Devinder Gill, Paula Marlton, Ken Bradstock, and Derek N J Hart*

Mater Medical Research Institute, South Brisbane, QLD, Australia
Haematology/Oncology, Mater Misericordiae Hospital, South Brisbane, QLD, Australia
Westmead Hospital, Blood & Bone Marrow Transplant Service, Westmead, NSW, Australia
Princess Alexandra Hospital, Wooolloongabba, QLD, Australia

* Corresponding author; email: dhart{at}mmri.mater.org.au.

Changes in blood dendritic cell (BDC) counts (CD123hiBDC and CD11c+BDC) and expression of CD62L, CCR7 and CD49d were analysed in healthy donors, multiple myeloma (MM) and non-Hodgkin's lymphoma (NHL) patients, who received granulocyte-colony stimulating factor (G-CSF)-containing peripheral blood stem cell (PBSC) mobilization protocols. Low dose G-CSF in healthy donors (8-10µg/kg/day s.c.) and high dose G-CSF in patients (30µg/kg/day) increased CD123hiBDC (2-22 fold, means 3.7x106/L-17.7x106/L and 1.9x106/L-12.0x106/L) in healthy donors and MM but decreased CD11c+BDC (2-10 fold, means 57x106/L-1.6x106/L) in NHL patients, on the day of apheresis, compared to steady state. After apheresis, CD123hiBDC counts remained high, whereas low CD11c+BDC counts tended to recover in the following 2-5 days. Downregulation of CD62L and upregulation of CCR7 on CD123hiBDC were found in a majority of healthy donors and MM patients. CD49d expression was unchanged. Thus, PBSC mobilization may change BDC counts by altering molecules necessary for BDC homing from blood into tissues.


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