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Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells

Received: 12 April 2023    Accepted: 27 April 2023    Published: 10 May 2023
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Abstract

Introduction: The umbilical cord blood (UCB) is the blood from the placenta's blood vessels and the portion of the umbilical cord that remains attached to the newborn after the delivery when the cord is clamped and cut. UCB is rich in hematopoietic stem cells (HSC) and other stem cells (SC). Between 1974 and 1988, scientific knowledge and UCB application possibilities for human therapy opened a new significative era in cell therapy, using UCB HSC as an alternative source of SC for bone marrow transplant and the cure of patients with malignant hematological diseases. Objective: The possibility of having a UCB bank (UCB-B) in Abu Dhabi encouraged us to make this analysis. Method: A literature review from Google Scholar, PubMed, SciELO, Scopus, and other sources, about the increasing application of UCB-SC and storage in UCB-B was done to update about all the possibilities for translational medicine. Results: We prepared a UCB overview, including the pioneering use of UCB-SC for HSC transplantation, their biological composition, characteristics, and the UC-associated tissues like Wharton-Jelly and the human term placenta, UCB advantages, and disadvantages in HSC transplantation, the number of clinical trials applying UCB donation samples, and promising possibilities for regenerative medicine. The existence of different types of UCB-Bs, and the development of new specific cellular manipulation techniques. The UCB-B regulatory framework and some ethical issues were also included in the review. Conclusions: After 30 years of UCB-B, more than 100 public UCB-Bs worldwide, with millions of UCB units donated altruistically, more than 800,000 clinical-grade products are now available: a great source of transplantable SC and other cellular material for the development of new therapies. Even though the UCB as a source of HSC for transplantation has been recently statistical ranked in third place, after HSC apheresis collected and bone marrow aspirates, until now, more than 50,000 UCB HSC allogeneic transplants (HSC-Allo-T) have been performed worldwide in both children and adults to treat many different diseases, including hematologic, metabolic, immunologic, neoplastic, and neurologic disorders. A significant effort has been focused on enhancing engraftment to reduce the risk of infection and cost. Recommendations: To that end, we must understand in detail the molecular mechanisms controlling SC self-renewal that may lead to the development of ex-vivo systems for HSCs expansion, characterize the mechanisms regulating the homing of HSC and determine the relative place of UCB HSC-Allo-T, as compared to other sources.

Published in Clinical Medicine Research (Volume 12, Issue 2)
DOI 10.11648/j.cmr.20231202.12
Page(s) 30-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Transplant, Blood, Umbilical Cord, Histocompatibility, Stem Cells, Regenerative Medicine, HLA

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    Rene Antonio Rivero-Jimenez, Antonio Alfonso Bencomo-Hernandez, Yandy Marx Castillo-Aleman, Fatema Mohammed Al Kaabi, Yendry Ventura-Carmenate. (2023). Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells. Clinical Medicine Research, 12(2), 30-47. https://doi.org/10.11648/j.cmr.20231202.12

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    Rene Antonio Rivero-Jimenez; Antonio Alfonso Bencomo-Hernandez; Yandy Marx Castillo-Aleman; Fatema Mohammed Al Kaabi; Yendry Ventura-Carmenate. Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells. Clin. Med. Res. 2023, 12(2), 30-47. doi: 10.11648/j.cmr.20231202.12

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    AMA Style

    Rene Antonio Rivero-Jimenez, Antonio Alfonso Bencomo-Hernandez, Yandy Marx Castillo-Aleman, Fatema Mohammed Al Kaabi, Yendry Ventura-Carmenate. Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells. Clin Med Res. 2023;12(2):30-47. doi: 10.11648/j.cmr.20231202.12

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  • @article{10.11648/j.cmr.20231202.12,
      author = {Rene Antonio Rivero-Jimenez and Antonio Alfonso Bencomo-Hernandez and Yandy Marx Castillo-Aleman and Fatema Mohammed Al Kaabi and Yendry Ventura-Carmenate},
      title = {Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells},
      journal = {Clinical Medicine Research},
      volume = {12},
      number = {2},
      pages = {30-47},
      doi = {10.11648/j.cmr.20231202.12},
      url = {https://doi.org/10.11648/j.cmr.20231202.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20231202.12},
      abstract = {Introduction: The umbilical cord blood (UCB) is the blood from the placenta's blood vessels and the portion of the umbilical cord that remains attached to the newborn after the delivery when the cord is clamped and cut. UCB is rich in hematopoietic stem cells (HSC) and other stem cells (SC). Between 1974 and 1988, scientific knowledge and UCB application possibilities for human therapy opened a new significative era in cell therapy, using UCB HSC as an alternative source of SC for bone marrow transplant and the cure of patients with malignant hematological diseases. Objective: The possibility of having a UCB bank (UCB-B) in Abu Dhabi encouraged us to make this analysis. Method: A literature review from Google Scholar, PubMed, SciELO, Scopus, and other sources, about the increasing application of UCB-SC and storage in UCB-B was done to update about all the possibilities for translational medicine. Results: We prepared a UCB overview, including the pioneering use of UCB-SC for HSC transplantation, their biological composition, characteristics, and the UC-associated tissues like Wharton-Jelly and the human term placenta, UCB advantages, and disadvantages in HSC transplantation, the number of clinical trials applying UCB donation samples, and promising possibilities for regenerative medicine. The existence of different types of UCB-Bs, and the development of new specific cellular manipulation techniques. The UCB-B regulatory framework and some ethical issues were also included in the review. Conclusions: After 30 years of UCB-B, more than 100 public UCB-Bs worldwide, with millions of UCB units donated altruistically, more than 800,000 clinical-grade products are now available: a great source of transplantable SC and other cellular material for the development of new therapies. Even though the UCB as a source of HSC for transplantation has been recently statistical ranked in third place, after HSC apheresis collected and bone marrow aspirates, until now, more than 50,000 UCB HSC allogeneic transplants (HSC-Allo-T) have been performed worldwide in both children and adults to treat many different diseases, including hematologic, metabolic, immunologic, neoplastic, and neurologic disorders. A significant effort has been focused on enhancing engraftment to reduce the risk of infection and cost. Recommendations: To that end, we must understand in detail the molecular mechanisms controlling SC self-renewal that may lead to the development of ex-vivo systems for HSCs expansion, characterize the mechanisms regulating the homing of HSC and determine the relative place of UCB HSC-Allo-T, as compared to other sources.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Expanding the Abu Dhabi Bone Marrow Transplant Program (AD-BMT®) Scope with the Collection and Cryopreservation of Cord Blood Stem Cells
    AU  - Rene Antonio Rivero-Jimenez
    AU  - Antonio Alfonso Bencomo-Hernandez
    AU  - Yandy Marx Castillo-Aleman
    AU  - Fatema Mohammed Al Kaabi
    AU  - Yendry Ventura-Carmenate
    Y1  - 2023/05/10
    PY  - 2023
    N1  - https://doi.org/10.11648/j.cmr.20231202.12
    DO  - 10.11648/j.cmr.20231202.12
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 30
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20231202.12
    AB  - Introduction: The umbilical cord blood (UCB) is the blood from the placenta's blood vessels and the portion of the umbilical cord that remains attached to the newborn after the delivery when the cord is clamped and cut. UCB is rich in hematopoietic stem cells (HSC) and other stem cells (SC). Between 1974 and 1988, scientific knowledge and UCB application possibilities for human therapy opened a new significative era in cell therapy, using UCB HSC as an alternative source of SC for bone marrow transplant and the cure of patients with malignant hematological diseases. Objective: The possibility of having a UCB bank (UCB-B) in Abu Dhabi encouraged us to make this analysis. Method: A literature review from Google Scholar, PubMed, SciELO, Scopus, and other sources, about the increasing application of UCB-SC and storage in UCB-B was done to update about all the possibilities for translational medicine. Results: We prepared a UCB overview, including the pioneering use of UCB-SC for HSC transplantation, their biological composition, characteristics, and the UC-associated tissues like Wharton-Jelly and the human term placenta, UCB advantages, and disadvantages in HSC transplantation, the number of clinical trials applying UCB donation samples, and promising possibilities for regenerative medicine. The existence of different types of UCB-Bs, and the development of new specific cellular manipulation techniques. The UCB-B regulatory framework and some ethical issues were also included in the review. Conclusions: After 30 years of UCB-B, more than 100 public UCB-Bs worldwide, with millions of UCB units donated altruistically, more than 800,000 clinical-grade products are now available: a great source of transplantable SC and other cellular material for the development of new therapies. Even though the UCB as a source of HSC for transplantation has been recently statistical ranked in third place, after HSC apheresis collected and bone marrow aspirates, until now, more than 50,000 UCB HSC allogeneic transplants (HSC-Allo-T) have been performed worldwide in both children and adults to treat many different diseases, including hematologic, metabolic, immunologic, neoplastic, and neurologic disorders. A significant effort has been focused on enhancing engraftment to reduce the risk of infection and cost. Recommendations: To that end, we must understand in detail the molecular mechanisms controlling SC self-renewal that may lead to the development of ex-vivo systems for HSCs expansion, characterize the mechanisms regulating the homing of HSC and determine the relative place of UCB HSC-Allo-T, as compared to other sources.
    VL  - 12
    IS  - 2
    ER  - 

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Author Information
  • Stem Cell Laboratory Department, Abu Dhabi Stem Cells Center (ADSCC), Abu Dhabi, United Arab Emirates

  • Stem Cell Laboratory Department, Abu Dhabi Stem Cells Center (ADSCC), Abu Dhabi, United Arab Emirates

  • Department of Immunology, ADSCC/Yas Clinic Khalifa City Hospital, Abu Dhabi, United Arab Emirates

  • Abu Dhabi Bone Marrow Program (AD-BMT?), ADSCC/Yas Clinic Khalifa City Hospital, Abu Dhabi, United Arab Emirates

  • AD-BMT?, ADSCC/Yas Clinic Khalifa City Hospital, Abu Dhabi, United Arab Emirates

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