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Heterogeneity of T-lymphocyte chronic lymphatic leukaemia (CLL). Study with conventional surface markers and monoclonal antibodies. t淋巴细胞慢性淋巴白血病(CLL)的异质性。用常规表面标记和单克隆抗体进行研究。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1984.TB02178.X
A. Singh, P. Lewis, G. Wetherley‐Mein
Lymphocyte surface markers (E-SRBC, EAC, EA gamma and SmIg) and monoclonal antibodies (OKT3, OKT4, OKT8 and OKIa) were used to characterise the blood and bone marrow lymphocytes of T-cell CLL (8 patients). The diagnosis of T-cell CLL was made primarily as the majority of blood lymphocytes formed E-SRBC in each patient. Other markers-EAC, EA gamma and SmIg--showed different patterns of association with E-SRBC. These findings considered together described 4 different phenotypes amongst these patients: (a) E+ (3 patients), (b) E+, EAC+ (1 patient), (c) E+, EA gamma + (2 patients), and (d) E+, SmIg+ (2 patients). Similarly, 4 different groups were defined with the help of monoclonal antibodies. Helper T-cell (3 patients) and suppressor T-cell (1 patient) CLL showed predominantly helper T- and suppressor T-lymphocytes respectively. Mixed T-cell CLL (1 patient) comprised an equal proportion of both subpopulations, while the remaining 3 patients, with excess of one or other subpopulations along with a considerable proportion of Ia antigen-bearing lymphocytes, formed the indeterminate cell type CLL.
采用淋巴细胞表面标记物(E-SRBC、EAC、EA γ和SmIg)和单克隆抗体(OKT3、OKT4、OKT8和OKIa)表征t细胞CLL(8例)的血液和骨髓淋巴细胞。t细胞CLL的诊断主要是由于每个患者的大部分血液淋巴细胞形成E-SRBC。其他标记物- eac, EA γ和SmIg-显示出与E-SRBC不同的关联模式。这些发现共同描述了这些患者的4种不同表型:(a) E+(3例),(b) E+, EAC+(1例),(c) E+, EA γ +(2例),(d) E+, SmIg+(2例)。同样,在单克隆抗体的帮助下,划分了4个不同的组。辅助性T细胞(3例)和抑制性T细胞(1例)CLL分别以辅助性T细胞和抑制性T细胞为主。混合型t细胞CLL(1例)由两种亚群的比例相等,其余3例患者,其中一种或另一种亚群过多,同时携带Ia抗原淋巴细胞的比例相当大,形成不确定细胞型CLL。
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引用次数: 4
Activated partial thromboplastin time. A multicenter evaluation of 11 reagents in the screening of mild haemophilia A 活化部分凝血活酶时间。11种试剂在轻度血友病A筛查中的多中心评价
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1981.TB01408.X
N. Ciavarella, S. Coccheri, P. Mannucci, M. Canciani, G. Mariani, P. Mori, M. Orlando, L. Tentori, O. Ponari
An internationally standardized preparation and 10 commercial kits widely used to perform the activated partial thromboplastin time (APTT) were compared in 4 laboratories for the purpose of assessing their ability to detect mild deficiencies of factor VIII activity. The participating laboratories were asked to carry out with each APTT reagent quadruplicate readings of 3 coded lyophilized plasmas containing varying levels of factor VIII (109, 26 and 17 U/dl respectively). An analysis of variance of clotting times showed significant differences between reagents and laboratories. All the reagents detected the abnormality of the plasma containing 17 U/dl, whereas a number of failures were found when the plasma with 26 U/dl was tested. When analysis of variance was carried out on ratios of factor-VIII deficient to normal plasma clotting times, the results showed less difference between laboratories and reagents. Clotting times of plasma with normal factor VIII level (109 U/dl) usually fell within the normal range indicated by manufacturers of the commercial reagents.
一种国际标准化制剂和10种广泛用于执行活化部分凝血活素时间(APTT)的商用试剂盒在4个实验室进行比较,以评估其检测因子VIII活性轻度缺陷的能力。参与实验的实验室被要求使用每种APTT试剂对含有不同水平因子VIII(分别为109、26和17 U/dl)的3种编码冻干血浆进行四次重复读数。对凝血时间的方差分析显示试剂和实验室之间存在显著差异。所有的试剂都检测到含有17u /dl的血浆的异常,而当检测含有26u /dl的血浆时,发现了许多失败。当对因子- viii缺乏与正常血浆凝血时间的比率进行方差分析时,结果显示实验室和试剂之间的差异较小。血浆凝血时间正常因子VIII水平(109 U/dl)通常落在商业试剂制造商指示的正常范围内。
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引用次数: 10
Comments to the above letter 对上述信件的评论
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1981.TB01655.X
L. Vilén, K. Fredén, J. Kutti
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引用次数: 0
Antibody to Transcobalamin II in Patients Treated with Long Acting Vitamin B12 Preparations 长效维生素B12制剂治疗患者的转钴胺素II抗体
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1968.TB01712.X
H. Olesen, B. Hom, M. Schwartz
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引用次数: 5
Sickle-cell anaemia in Turkey. Evaluation of 97 cases (with parents' findings). 土耳其的镰状细胞贫血症。97例病例评价(附家长结果)。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1977.TB02723.X
S. Özsoylu, Necdet ALTINÖZd
The haematological and clinical data in 97 sickle-cell anaemia cases and haemato-logical findings of their parents are reported. In spite of the low Hb values of the patients, they tolerated their anaemia and very rarely required blood transfusions. The Hb F levels of the patients were in general higher than African origin SS anaemia patients but lower than the Shiite Saudi Arabians. However, in most of the cases the concentration of Hb F did not seem to influence the Hb concentration of the patients. Serum iron was found unexpectedly decreased in 22 % of the patients. Osmotic fragility was found decreased in 100 % of the patients and in 83.5 % of the parents. The prevalence of G-6-PD deficiency was 21.2 % in male patients and 15.6 % in the parents.
报告了97例镰状细胞贫血的血液学和临床资料及其父母的血液学结果。尽管患者的Hb值较低,但他们能耐受贫血,很少需要输血。患者的Hb F水平普遍高于非洲血统的SS贫血患者,但低于什叶派沙特阿拉伯人。然而,在大多数情况下,Hb F的浓度似乎并不影响患者的Hb浓度。22%的患者血清铁意外下降。100%的患者和83.5%的家长的渗透脆弱性都有所下降。G-6-PD缺乏症在男性患者中患病率为21.2%,在父母中患病率为15.6%。
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引用次数: 0
Lymphopenia: a bad prognostic factor in Hodgkin's disease. 淋巴细胞减少:霍奇金病的一个不良预后因素。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1982.TB00582.X
B. Hancock, I. Dunsmore, H. Swan
Pretreatment peripheral blood lymphocyte counts have been recorded in 181 consecutive untreated patients with histologically proven Hodgkin's disease and the patients followed prospectively to determine the relationship of lymphopenia to survival. Lymphocyte counts at presentation did not correspond with histology type but were lower in stage 4 disease. Survival in the 77 patients with lymphocyte counts of less than 1.5 X 10(9)/l was 49.7% which was significantly worse (P less than 0.0001) than the 74.2% survival of those with 'normal' counts. This difference was maintained even after adjustment for other acknowledged prognostic variables including sex, age, stage, symptom status, histology type, and response to treatment. The study provides evidence that the lymphocyte count can be used as a meaningful marker in the clinical staging of Hodgkin's disease.
我们记录了181例经组织学证实的未经治疗的霍奇金病患者的预处理外周血淋巴细胞计数,并对这些患者进行前瞻性随访,以确定淋巴细胞减少与生存率的关系。出现时淋巴细胞计数与组织学类型不一致,但在4期时较低。77例淋巴细胞计数低于1.5 × 10(9)/l患者的生存率为49.7%,显著低于计数正常患者的74.2% (P < 0.0001)。即使校正了其他公认的预后变量,包括性别、年龄、分期、症状状态、组织学类型和对治疗的反应,这种差异仍然存在。本研究证明淋巴细胞计数可作为何杰金氏病临床分期的有意义的标志物。
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引用次数: 8
Pyridoxine-responsive primary acquired sideroblastic anaemia. In vitro and in vivo effects of vitamin B6 on decreased 5-aminolaevulinate synthase activity. 吡哆酮反应性原发性获得性铁母细胞贫血。体外和体内维生素B6对降低5-氨基乙酰戊酸合成酶活性的影响。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1982.TB00617.X
P. Meier, J. Fehr, U. Meyer
The activity of 5-aminolaevulinate (ALA) synthase, the first and rate-limiting of haem synthesis, was markedly reduced (13% of controls) in erythroblasts of a patient with acquired, primary sideroblastic anaemia (PASA). The reduced activity of ALA synthase could not be restored in vitro with 1 mmol/l pyridoxal-5-phosphate (PLP). Treatment of the patient with pyridoxine for several months increased the ALA synthase activity from 13% to 50% of controls in the absence and to 100% in the presence of PLP in the incubation medium. These studies suggest that both increased degradation of apo-ALA synthase and decreased affinity of ALA synthase for PLP may be involved in pyridoxine-responsive PASA.
在一例获得性原发性铁母细胞贫血(PASA)患者的红母细胞中,血红素合成的第一个和限速酶——5-氨基乙酰戊酸(ALA)合成酶的活性显著降低(为对照组的13%)。1 mmol/l吡哆醛-5-磷酸(PLP)不能恢复体外ALA合酶活性。用吡哆醇治疗患者几个月后,ALA合成酶活性从对照组的13%增加到50%,在培养培养基中存在PLP时增加到100%。这些研究表明,apo-ALA合成酶的降解增加和ALA合成酶对PLP的亲和力降低可能与吡哆醇反应性PASA有关。
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引用次数: 9
Studies on lymphocytes XIII. Nuclear volume measurement as a rapid approach to estimate proliferative fraction. 淋巴细胞的研究13。核体积测量作为快速估计增殖分数的方法。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1976.TB01138.X
C. Sipe, A. Chanana, E. Cronkite, G. L. Gulliani, D. Joel
A rapid method for measuring volume distributions of human, calf and goat lymphocytes and their nuclei is described along with the type of quantitation these measurements can provide by computer analysis. The size distribution studies indicate the presence of two populations of lymphocytes and their nuclei irrespective of the cell source. It is suggested that proliferative fractions of various cell populations may be estimated by determining the nuclear volume distribution.
描述了一种快速测量人、小牛和山羊淋巴细胞及其细胞核体积分布的方法,以及这些测量方法可以通过计算机分析提供的定量类型。大小分布研究表明淋巴细胞和细胞核的两种群体的存在与细胞来源无关。建议通过测定核体积分布来估计各种细胞群的增殖分数。
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引用次数: 10
Unique multimeric pattern of von Willebrand factor in a patient with a benign monoclonal gammopathy. 良性单克隆伽玛病患者中血管性血友病因子的独特多聚体模式。
Pub Date : 2009-04-24 DOI: 10.1016/0049-3848(86)91547-1
M. López-Fernández, C. López-Berges, R. Martín, J. Nieto, F. del Río, A. López‐borrasca, J. Batlle
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引用次数: 8
Chronic lymphocytic leukaemia of T cell origin. Clinical variation possibly due to involvement of different T lymphocyte subpopulations. T细胞源性慢性淋巴细胞白血病。临床差异可能是由于不同T淋巴细胞亚群的参与。
Pub Date : 2009-04-24 DOI: 10.1111/J.1600-0609.1983.TB01517.X
C. Geisler, E. Ralfkiaer, L. Astrup, I. Christensen, E. Dickmeiss, M. Hansen, J. Larsen, J. Petersen, T. Plesner
Based on the literature and 2 patients studied, we suggest that at least 2 different clinical entities are included in the concept of T CLL: (i) a clinical variant characterized by a relatively benign course, splenomegaly without lymphadenopathy, low lymphocyte count and granulocytopenia; the proliferating lymphocyte is morphologically mature, of medium size and a cytoplasm with azurophilic granules staining positively for acid phosphatase and corresponding to parallel tubular arrays as demonstrated by electron microscopy. The cells form E-rosettes, have no surface-membrane-bound Ig, but Fc-receptors for IgG. With monoclonal antibodies, the phenotype is OKT3+, OKT4- and OKT8+, theoretically corresponding to the suppressor/cytotoxic T lymphocyte subset, but functionally the cells demonstrate killer cell (responsible for ADCC), but not natural or suppressor cell activity. (ii) another clinical variant with an aggressive course, massive hepato-splenomegaly, lymph node enlargement and very high lymphocyte counts; the lymphocytes are small without cytoplasmic granules; their immunological and functional characteristics have not been determined, but morphologically the cells correspond to the T helper/inducer lymphocyte subset. Thus, involvement of different T lymphocyte subsets may be the reason for the clinical variation in T CLL.
根据文献和对2例患者的研究,我们认为至少有2种不同的临床实体包括在T淋巴细胞白血病的概念中:(i)临床变异特征为相对良性病程,脾肿大而无淋巴结病变,淋巴细胞计数低和粒细胞减少;增生的淋巴细胞形态成熟,大小中等,细胞质中有嗜氮颗粒,酸性磷酸酶染色呈阳性,电镜显示为平行管状排列。细胞形成e-莲座,没有表面膜结合的IgG,但有IgG的fc受体。对于单克隆抗体,表型为OKT3+, OKT4-和OKT8+,理论上对应于抑制/细胞毒性T淋巴细胞亚群,但功能上细胞表现为杀伤细胞(负责ADCC),而不是天然细胞或抑制细胞活性。(ii)另一种临床变型,病程具有侵袭性,肝脾肿大,淋巴结肿大,淋巴细胞计数很高;淋巴细胞小,无胞浆颗粒;其免疫学和功能特征尚未确定,但形态学上细胞对应于T辅助/诱导淋巴细胞亚群。因此,不同T淋巴细胞亚群的参与可能是T淋巴细胞白血病临床变异的原因。
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引用次数: 8
期刊
Scandinavian journal of haematology
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