Summary:administration followed by stem cell collection during the rebound recovery period. [3][4][5] However, the mechanism of PC mobilization is not well understood. Whether hematoTo determine the effect of growth factor mobilization on the expression of adhesion molecules, we compared poietic PCs circulate or remain within the BM may depend on the presence and function of adhesion molecules. 6-9 CD34 ؉ progenitor cell (PC) populations from steadystate bone marrow (BM) with granulocyte-macrophage Adhesion molecules mediate the adhesion of hematopoietic stem cells to the marrow stromal and endothelial cells and colony-stimulating factor (GM-CSF)-mobilized apheresis products (peripheral blood stem cell (PSC) ) using play a pivotal role in PC mobilization and homing. 6-9 CD34 + cells have been shown to express a wide range of flow cytometry. To increase the accuracy of this analysis, CD34 + cells were enriched (MiniMACS) before cytoadhesion molecules including members of the integrin family: VLA-4 (␣4(CD49d)/1(CD29)), VLA-5 (␣5(CD49e)/ metric analysis. A significantly lower expression of very late antigen-4 (VLA-4), leukocyte function antigen-1 1(CD29)), LFA-1 (␣L(CD11a)/2(CD18)) and Mac-1 (␣M(CD11b)/2(CD18)); the selectin family including L-(LFA-1) and LFA-3 were observed on PSC compared to BM CD34 + cells. In addition, significantly lower mean selectin (CD62L) and the selectin ligands sialyl Lewis X (CD15s); sialyl Lewis A ; CD44 (H-CAM); Pgp-1 and memfluorescence intensity (MFI) of VLA-4, VLA-5, intercellular adhesion molecule-1 (ICAM-1), and sialyl bers of the immunoglobulin (Ig) superfamily including ICAM-1 (CD54) and LFA-3 (CD58). 10-13 Lewis X were observed on PSC as compared to BM CD34 + cells. Significantly higher levels of L-selectin and One strategy to gain insight into the mechanism of mobilization is to compare the expression of adhesion molecules CD44 expression were observed on PSC as compared to BM CD34 + cells based on frequency and MFI (P р on CD34 + cells. However, the results from such studies have been inconsistent. This variability has been due in part 0.05). In addition, the duration of GM-CSF administration or number of prior aphereses had no effect on to the low frequency of CD34 + cells in the stem cell population making analysis difficult. One consistent observation adhesion molecule expression. These data suggest that decreased expression of adhesion molecules including has been that VLA-4 has a critical role in the mobilization of PCs in response to G-CSF in primate studies. 6 Studies VLA-4, LFA-1, ICAM-1 and LFA-3 play a role in PC mobilization. Based on these studies, we suggest that PC in rodents have confirmed this observation and also shown that the counter-receptor is vascular cell adhesion moleculemobilization occurs as a stochastic process and is associated with the selection of CD34 + cells with low 1 (VCAM)-1. 14 In clinical studies, Mohle et al 15 compared the expression of a number of adhesion molecules on adhesion molecule expression.