Plasma-depleted, not erythrocyte-depleted, cord blood compositions and method of making
The umbilical cord blood (UCB) compositions of the present invention possess the unique features of having plasma that is substantially depleted from the UCB unit and red blood cells (RBC) that are not depleted from the UCB unit. Such UCB units can be prepared by a process that combines plasma depletion with cryopreservation, selection, thawing, and/or transplantation of hematopoietic stem cells to provide superior clinical outcome by maximizing post-processing cell recovery and post-thaw infusion cell dose. Methods for treating a wide variety of malignant diseases and benign diseases associated with the hematopoietic system by administering the UCB compositions of the present invention are also provided.
1. A composition comprising anticoagulated plasma-depleted umbilical cord blood and a cryoprotectant,
wherein the anticoagulated plasma-depleted umbilical cord blood is not depleted in red blood cells when compared to whole blood umbilical cord blood,
wherein the anticoagulated plasma-depleted umbilical cord blood is at least 50% red blood cells by volume, and
wherein the anticoagulant is about 5% to about 40% by volume of the plasma-depleted umbilical cord blood.
2. The composition of claim 1 , wherein said anticoagulated plasma-depleted umbilical cord blood comprises at least 65% red blood cells by volume.
3. The composition of claim 1 , wherein said anticoagulated plasma-depleted umbilical cord blood comprises from 0% to about 30% plasma by volume.
4. The composition of claim 1 , wherein said anticoagulated plasma-depleted umbilical cord blood comprises stem cells.
5. The composition of claim 4 , wherein said stem cells are hematopoietic stem cells.
6. The composition of claim 1 , wherein said anticoagulated plasma-depleted umbilical cord blood comprises from about 5% to about 20% by volume of said anticoagulant.
7. The composition of claim 1 , wherein said anticoagulant is selected from the group consisting of citric acid, sodium citrate, and mixtures thereof.
8. The composition of claim 1 , wherein said cryoprotectant is dimethyl sulfoxide (DMSO).
9. The composition of claim 1 , wherein said cryoprotectant is a mixture of DMSO and Gentran® 40.
10. The composition of claim 1 , wherein said cryoprotectant is a mixture of DMSO and hydroxyethyl starch (HES).
11. The composition of claim 1 , wherein said composition comprises a red blood cell concentration of from about 3.2×10 6 to about 8×10 6 red blood cells/μl.
12. The composition of claim 1 , wherein said composition comprises a white blood cell concentration of greater than 10×10 6 white blood cells/ml.
13. The composition of claim 1 , wherein said composition comprises a CD34+ cell number of from 2.1 to 8.0×10 5 /kg of a mammalian subject's body weight.
14. The composition of claim 1 , wherein said composition comprises a total nucleated cell number of from 4.8×10 7 to 15.0×10 7 /kg of a mammalian subject's body weight.
15. A method for preparing a composition of claim 1 , said method comprising:
removing a volume of plasma from an anticoagulated umbilical cord blood sample to form the anticoagulated plasma-depleted umbilical cord blood sample, and then
adding a cryoprotectant to the anticoagulated plasma-depleted umbilical cord blood sample to form a mixture.
16. The method of claim 15 , wherein said anticoagulant is selected from the group consisting of citric acid, sodium citrate, and mixtures thereof.
17. The method of claim 15 , wherein said cryoprotectant is dimethyl sulfoxide (DMSO).
18. The method of claim 15 , wherein said cryoprotectant is a mixture of DMSO and Gentran® 40.
19. The method of claim 15 , wherein said cryoprotectant is a mixture of DMSO and hydroxyethyl starch (HES).
20. The method of claim 15 , further comprising:
lowering the temperature of the anticoagulated plasma-depleted umbilical cord blood sample and cryoprotectant mixture at a rate of about −1° C. per minute from about 4° C. to about −50° C.
21. The method of claim 20 , further comprising:
lowering the temperature of the anticoagulated plasma-depleted umbilical cord blood sample and cryoprotectant mixture at a rate of about −10° C. per minute from about −50° C. to about −90° C.
22. The method of claim 21 , further comprising:
storing the anticoagulated plasma-depleted umbilical cord blood sample and cryoprotectant mixture below about −135° C.
23. The method of claim 22 , further comprising:
thawing the stored anticoagulated plasma-depleted umbilical cord blood sample and cryoprotectant mixture.
24. The composition of claim 1 , wherein said anticoagulant is a mixture of citric acid, sodium citrate, sodium phosphate, and dextrose.
25. The composition of claim 1 , wherein said cryoprotectant comprises from about 5% to about 15% by volume of DMSO.
26. The composition of claim 25 , wherein said cryoprotectant further comprises Gentran® 40.
27. The composition of claim 1 , wherein said cryoprotectant is glycerol.
28. The composition of claim 1 , wherein said anticoagulant is a mixture of citric acid, sodium citrate, sodium phosphate, dextrose, and adenosine.
29. The method of claim 15 , wherein said anticoagulant is a mixture of citric acid, sodium citrate, sodium phosphate, and dextrose.
30. The method of claim 15 , wherein said anticoagulant is a mixture of citric acid, sodium citrate, sodium phosphate, dextrose, and adenosine.