Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells

Abstract Background Peripheral blood stem cell (PBSC) donation is the primary procedure used to collect haemopoietic stem and progenitor cells (HSPCs) for haemopoietic stem cell transplants (HSCT), however there is a clinical need to reduce collection times and achieve sufficient HSPC doses for succ...

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Main Authors: Phoebe A. Cox, Fendi Pradana, Ella Noble, Samuel J. E. Lucas, Guy Pratt, Mark T. Drayson, Kevin Amin, Francesca A. M. Kinsella, Alex J. Wadley
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Stem Cell Research & Therapy
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Online Access:https://doi.org/10.1186/s13287-025-04261-1
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author Phoebe A. Cox
Fendi Pradana
Ella Noble
Samuel J. E. Lucas
Guy Pratt
Mark T. Drayson
Kevin Amin
Francesca A. M. Kinsella
Alex J. Wadley
author_facet Phoebe A. Cox
Fendi Pradana
Ella Noble
Samuel J. E. Lucas
Guy Pratt
Mark T. Drayson
Kevin Amin
Francesca A. M. Kinsella
Alex J. Wadley
author_sort Phoebe A. Cox
collection DOAJ
description Abstract Background Peripheral blood stem cell (PBSC) donation is the primary procedure used to collect haemopoietic stem and progenitor cells (HSPCs) for haemopoietic stem cell transplants (HSCT), however there is a clinical need to reduce collection times and achieve sufficient HSPC doses for successful engraftment. Short bouts of interval cycling transiently enrich peripheral blood with HSPCs and cytolytic natural killer (CD56dim NK) cells, which predict engraftment success and prevent post-transplant complications respectively. Despite this, feasible protocols for use during PBSC collections (≈ 3 h) have yet to be evaluated. Methods In a randomised crossover design, 18 adults (9 young: 22.7 ± 3.2 years, 9 older: 65.2 ± 12.9 years) completed 3 × 3-h trials: high-intensity interval exercise (HIIE, 9 × 2-min cycling at 80–85% heart rate (HR)max/9 × 18 min rest), moderate-intensity interval exercise (MIIE, 9 × 4-min cycling at 65–70% HRmax/9 × 16 min rest) and REST (180 min). Immune cell subsets, including HSPCs and CD56dim NK concentrations (cells/µL) were determined across 18 timepoints and area under the curve (AUC, cells/µL x minutes) and total cell dose (cells/kg) were estimated. Results By design, MIIE elicited lower average and peak HR and rating of perceived exertion than HIIE and was reported as more enjoyable. All cell subset concentrations increased following each interval of MIIE and HIIE. Across all participants, the estimated cell dose of total lymphocytes, monocytes, T cells, CD56bright and CD56dim NK was greater in MIIE and HIIE versus REST (p < 0.03), but there were no differences between MIIE and HIIE. The magnitude of change versus REST was greatest for CD56dim NK versus all cell subsets, and AUC was significantly greater in HIIE versus REST for this cell type only (p < 0.0001). There were no statistically significant differences in HSPC AUC (p = 0.77) or cell dose (p = 0.0732) in MIIE and HIIE versus REST. Age did not predict any changes across trials or timepoints for any cell type. Conclusion Persistent mobilisation of peripheral blood immune cells throughout 3 h of MIIE and HIIE evoked sustained numbers of CD56dim NK cells, but there was no reliable difference in HSPCs compared to a time-matched period of rest.
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spelling doaj-art-210bcf8f91294c8fb9460abfdd6cee292025-08-20T03:40:47ZengBMCStem Cell Research & Therapy1757-65122025-03-0116111610.1186/s13287-025-04261-1Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cellsPhoebe A. Cox0Fendi Pradana1Ella Noble2Samuel J. E. Lucas3Guy Pratt4Mark T. Drayson5Kevin Amin6Francesca A. M. Kinsella7Alex J. Wadley8School of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamSchool of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamSchool of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamSchool of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamBirmingham Centre for Cellular Therapy and Transplantation, University Hospitals Birmingham NHS Foundation TrustClinical Immunology Service, University of BirminghamSchool of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamInstitute of Immunology and Immunotherapy, University of BirminghamSchool of Sport, Exercise, and Rehabilitation Sciences, University of BirminghamAbstract Background Peripheral blood stem cell (PBSC) donation is the primary procedure used to collect haemopoietic stem and progenitor cells (HSPCs) for haemopoietic stem cell transplants (HSCT), however there is a clinical need to reduce collection times and achieve sufficient HSPC doses for successful engraftment. Short bouts of interval cycling transiently enrich peripheral blood with HSPCs and cytolytic natural killer (CD56dim NK) cells, which predict engraftment success and prevent post-transplant complications respectively. Despite this, feasible protocols for use during PBSC collections (≈ 3 h) have yet to be evaluated. Methods In a randomised crossover design, 18 adults (9 young: 22.7 ± 3.2 years, 9 older: 65.2 ± 12.9 years) completed 3 × 3-h trials: high-intensity interval exercise (HIIE, 9 × 2-min cycling at 80–85% heart rate (HR)max/9 × 18 min rest), moderate-intensity interval exercise (MIIE, 9 × 4-min cycling at 65–70% HRmax/9 × 16 min rest) and REST (180 min). Immune cell subsets, including HSPCs and CD56dim NK concentrations (cells/µL) were determined across 18 timepoints and area under the curve (AUC, cells/µL x minutes) and total cell dose (cells/kg) were estimated. Results By design, MIIE elicited lower average and peak HR and rating of perceived exertion than HIIE and was reported as more enjoyable. All cell subset concentrations increased following each interval of MIIE and HIIE. Across all participants, the estimated cell dose of total lymphocytes, monocytes, T cells, CD56bright and CD56dim NK was greater in MIIE and HIIE versus REST (p < 0.03), but there were no differences between MIIE and HIIE. The magnitude of change versus REST was greatest for CD56dim NK versus all cell subsets, and AUC was significantly greater in HIIE versus REST for this cell type only (p < 0.0001). There were no statistically significant differences in HSPC AUC (p = 0.77) or cell dose (p = 0.0732) in MIIE and HIIE versus REST. Age did not predict any changes across trials or timepoints for any cell type. Conclusion Persistent mobilisation of peripheral blood immune cells throughout 3 h of MIIE and HIIE evoked sustained numbers of CD56dim NK cells, but there was no reliable difference in HSPCs compared to a time-matched period of rest.https://doi.org/10.1186/s13287-025-04261-1HSPCPeripheral blood stem cell donationExerciseInterval cyclingNatural killer cellTransplantation
spellingShingle Phoebe A. Cox
Fendi Pradana
Ella Noble
Samuel J. E. Lucas
Guy Pratt
Mark T. Drayson
Kevin Amin
Francesca A. M. Kinsella
Alex J. Wadley
Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
Stem Cell Research & Therapy
HSPC
Peripheral blood stem cell donation
Exercise
Interval cycling
Natural killer cell
Transplantation
title Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
title_full Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
title_fullStr Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
title_full_unstemmed Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
title_short Examining the effect of intermittent cycling throughout a 3-h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
title_sort examining the effect of intermittent cycling throughout a 3 h period on peripheral blood concentrations of haemopoietic stem and progenitor cells and cytolytic natural killer cells
topic HSPC
Peripheral blood stem cell donation
Exercise
Interval cycling
Natural killer cell
Transplantation
url https://doi.org/10.1186/s13287-025-04261-1
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