PMID- 25559146 OWN - NLM STAT- MEDLINE DCOM- 20160321 LR - 20181202 IS - 1477-2566 (Electronic) IS - 1465-3249 (Linking) VI - 17 IP - 4 DP - 2015 Apr TI - Preoperative exercise facilitates abundant bone marrow collection in patients with type 2 diabetes for mononuclear cell therapy. PG - 454-7 LID - S1465-3249(14)00858-5 [pii] LID - 10.1016/j.jcyt.2014.11.007 [doi] AB - BACKGROUND AIMS: Traditional bone marrow (BM) collection is inadequate for separation of abundant mononuclear cells (MNCs). We aimed to investigate the effects of preoperative exercise on BM collection in patients with type 2 diabetes mellitus (T2DM). METHODS: Sixty patients with T2DM were randomly assigned to either a control group or an exercise group (n = 30 each). The patients in the exercise group exercised before the collection. All patients underwent routine surgical care. The collected BM volume, operation duration, collecting speed, puncture times and pain scores were recorded. BM samples were tested before and after MNCs separation for CD34+ flow cytometry and whole blood cell count. RESULTS: The collected BM volumes were significantly larger and collection speed was faster in the exercise group (379.77 +/- 4.93 mL and 1.40 +/- 0.14 mL/s) than those in the control group (356.67 +/- 15.36 mL and 0.89 +/- 0.16 mL/s, P = 0.00 for both). Puncture times were significantly less and pain scores were lower in the exercise group (2.07 +/- 0.25 and 2.67 +/- 1.56) than those in the control group (2.50 +/- 0.63 and 3.43 +/- 1.76, P = 0.00 and 0.02, respectively). CD34+ cells and whole blood cell count variables were comparable in the 2 groups. CONCLUSIONS: Preoperative exercise facilitates BM collection by increasing collected volume, improving collecting speed, relieving patients' pains and ensuring MNC quality. CI - Copyright (c) 2015 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved. FAU - Wu, Zhixian AU - Wu Z AD - Organ Transplant Institute, Fuzhou General Hospital (Dongfang Hospital), Xiamen University, Fuzhou, People's Republic of China. FAU - Luo, Fang AU - Luo F AD - Organ Transplant Institute, Fuzhou General Hospital (Dongfang Hospital), Xiamen University, Fuzhou, People's Republic of China. FAU - Wu, Zhifen AU - Wu Z AD - Obstetrics and Gynecology Department, Quanzhou First Hospital, Quanzhou, People's Republic of China. FAU - Tao, Xiaoqin AU - Tao X AD - Organ Transplant Institute, Fuzhou General Hospital (Dongfang Hospital), Xiamen University, Fuzhou, People's Republic of China. FAU - Zou, Xuelian AU - Zou X AD - Organ Transplant Institute, Fuzhou General Hospital (Dongfang Hospital), Xiamen University, Fuzhou, People's Republic of China. FAU - Tan, Jianming AU - Tan J AD - Organ Transplant Institute, Fuzhou General Hospital (Dongfang Hospital), Xiamen University, Fuzhou, People's Republic of China. Electronic address: doctortjm@yahoo.com. LA - eng SI - ClinicalTrials.gov/NCT00767260 PT - Journal Article PT - Randomized Controlled Trial DEP - 20150102 PL - England TA - Cytotherapy JT - Cytotherapy JID - 100895309 SB - IM MH - Adult MH - Aged MH - Bone Marrow Cells/*cytology MH - Cell Separation/*methods MH - *Cell- and Tissue-Based Therapy MH - Diabetes Mellitus, Type 2/*physiopathology/therapy MH - Exercise/*physiology MH - Female MH - Flow Cytometry MH - Humans MH - Male MH - Middle Aged MH - Monocytes/*cytology/transplantation MH - Preoperative Care OTO - NOTNLM OT - bone marrow OT - exercise OT - mononuclear cells OT - type 2 diabetes EDAT- 2015/01/07 06:00 MHDA- 2016/03/22 06:00 CRDT- 2015/01/07 06:00 PHST- 2014/09/09 00:00 [received] PHST- 2014/11/16 00:00 [revised] PHST- 2014/11/18 00:00 [accepted] PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2016/03/22 06:00 [medline] AID - S1465-3249(14)00858-5 [pii] AID - 10.1016/j.jcyt.2014.11.007 [doi] PST - ppublish SO - Cytotherapy. 2015 Apr;17(4):454-7. doi: 10.1016/j.jcyt.2014.11.007. Epub 2015 Jan 2.