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Letter to the Editor| Volume 24, ISSUE 3, P223-224, March 2022

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The importance of evaluating differences in HES formulations used in hematopoietic progenitor cell cryopreservation

Published:October 20, 2021DOI:https://doi.org/10.1016/j.jcyt.2021.09.006
Hematopoietic progenitor cell (HPC) transplantation has become a reliable and effective means to reconstitute the hematopoietic system after its ablation by chemotherapy or irradiation. Collection and transplantation are typically coordinated to allow immediate transplantation for allogeneic units, whereas autologous units are often cryopreserved for later use [
  • Lecchi L.
  • Giovanelli S.
  • Gagliardi B.
  • Pezzali I.
  • Ratti I.
  • Marconi M.
An update on methods for cryopreservation and thawing of hemopoietic stem cells.
]. In the early 1960s, dimethyl sulfoxide (DMSO) was deemed to be the most effective of the commonly used permeating cryoprotective agents (CPAs) for HPC cryopreservation [
  • Ashwood-Smith M.
Preservation of mouse bone marrow at− 79°C. with dimethyl sulphoxide.
]. However, despite the efficacy and widespread use of DMSO, it is known to harbor extensive cytotoxicity and cause adverse reactions in transplant recipients. These complications can range from acute nausea, vomiting and abdominal cramps, seen in ≤50% of patients, to rare and substantially more serious cardiovascular, respiratory and neurological issues [
  • Swanson B.
Medical use of dimethyl sulfoxide (DMSO).
].
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