在血液恶性肿瘤中,多发性骨髓瘤(MM)是自体造血干细胞移植(auto-HCT)的主要适应症。Auto-HCT主要使用外周血干细胞(PBSC)进行,PBSCs的动员和收集是自动HCT的重要步骤。尽管通过在MM中掺入PBSC动员的新型试剂,常规方法取得了更大的成功,动员失败仍然是一个令人担忧的问题。本综述全面总结了在MM患者中动员PBSCs的各种动员策略以及这些策略随时间的演变。此外,现有证据证实,所使用的动员方案可能是移植物含量的重要决定因素。然而,除了造血移植外,目前关于移植物特征对患者结局的影响的数据有限.在这次审查中,我们讨论了移植物特征对临床结果的影响,动员失败,动员不良的预测因素,以及此类患者的潜在动员方案。
Among hematological malignancies, multiple myeloma (MM) represents the leading indication of autologous hematopoietic stem cell transplantation (auto-HCT). Auto-HCT is predominantly performed with peripheral blood stem cells (PBSCs), and the mobilization and collection of PBSCs are essential steps for auto-HCT. Despite the improved success of conventional methods with the incorporation of novel agents for PBSC mobilization in MM, mobilization failure is still a concern. The current review comprehensively summarizes various mobilization strategies for mobilizing PBSCs in MM patients and the evolution of these strategies over time. Moreover, existing evidence substantiates that the mobilization regimen used may be an important determinant of graft content. However, limited data are available on the effects of graft characteristics in patient outcomes other than hematopoietic engraftment. In this review, we discussed the effect of graft characteristics on clinical outcomes, mobilization failure, factors predictive of poor mobilization, and potential mobilization regimens for such patients.