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To Clot or Not to Clot: Deepening Our Understanding of Alterations in the Hemostatic System. 凝血还是不凝血:加深我们对止血系统改变的认识。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221125172
William J Reagan, Marjory B Brooks, Renata Grozovsky, Debra Pittman, Allison Vitsky, Karrie Brenneman

The session on the hemostatic system focused on new developments in coagulation and platelet biology as well as how therapeutic agents may affect hemostasis. The classic cascade model of coagulation was compared with the more recent models of cell-based and vascular-based coagulation, which may provide better insight on how the coagulation cascade works in vivo. A review of platelet biology highlighted that, as platelets age, desialylated platelets form and are recognized by Ashwell-Morell receptor (AMR), leading to hepatic uptake and subsequent increase in thrombopoietin (TPO) production. Administration of therapeutics that induce thrombocytopenia was also discussed, including Mylotarg, which is an antibody-drug conjugate that was shown to decrease human megakaryocyte development but had no effect on platelet aggregation. An acetyl co-A carboxylase inhibitor was shown to cause thrombocytopenia by inhibiting de novo lipogenesis, which is critical for the formation of the megakaryocyte demarcation membrane system responsible for platelet production. It was also illustrated how preclinical translation models have been very helpful in the development of adeno-associated virus (AAV) hemophilia B gene therapy and what old and new preclinical tools we have that can predict the risk of a prothrombotic state in people.

关于止血系统的会议集中在凝血和血小板生物学的新发展,以及治疗药物如何影响止血。将经典的凝血级联模型与最近的基于细胞和基于血管的凝血模型进行比较,这可能会更好地了解凝血级联在体内的工作原理。一项关于血小板生物学的综述强调,随着血小板老化,去盐化的血小板形成并被Ashwell-Morell受体(AMR)识别,导致肝脏摄取和随后血小板生成素(TPO)的产生增加。还讨论了诱导血小板减少的治疗药物的管理,包括Mylotarg,这是一种抗体-药物偶联物,被证明可以减少人类巨核细胞的发育,但对血小板聚集没有影响。乙酰辅酶a羧化酶抑制剂被证明通过抑制新生脂肪生成引起血小板减少症,这对于负责血小板产生的巨核细胞划分膜系统的形成至关重要。它还说明了临床前翻译模型如何在腺相关病毒(AAV)血友病B基因治疗的发展中非常有帮助,以及我们拥有的可以预测人类血栓前状态风险的新旧临床前工具。
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引用次数: 1
How Does Lifestyle Affect Hematopoiesis and the Bone Marrow Microenvironment? 生活方式如何影响造血和骨髓微环境?
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 Epub Date: 2022-09-16 DOI: 10.1177/01926233221123523
James J Vanhie, Michael De Lisio

Lifestyle factors are modifiable behavioral factors that have a significant impact on health and longevity. Diet-induced obesity and physical activity/exercise are two prevalent lifestyle factors that have strong relationships to overall health. The mechanisms linking obesity to negative health outcomes and the mechanisms linking increased participation in physical activity/exercise to positive health outcomes are beginning to be elucidated. Chronic inflammation, due in part to overproduction of myeloid cells from hematopoietic stem cells (HSCs) in the bone marrow, is an established mechanism responsible for the negative health effects of obesity. Recent work has shown that exercise training can reverse the aberrant myelopoiesis present in obesity in part by restoring the bone marrow microenvironment. Specifically, exercise training reduces marrow adipose tissue, increases HSC retention factor expression, and reduces pro-inflammatory cytokine levels in the bone marrow. Other, novel mechanistic factors responsible for these exercise-induced effects, including intercellular communication using extracellular vesicles (EVs), is beginning to be explored. This review will summarize the recent literature describing the effects of exercise on hematopoiesis in individuals with obesity and introduce the potential contribution of EVs to this process.

生活方式因素是可改变的行为因素,对健康和长寿有重大影响。饮食引起的肥胖和体力活动/锻炼是两个普遍存在的生活方式因素,与整体健康有着密切的关系。肥胖与不良健康后果之间的关联机制,以及增加体育活动/锻炼与积极健康后果之间的关联机制已开始得到阐明。慢性炎症的部分原因是骨髓中造血干细胞(HSCs)过度生成髓系细胞,这是肥胖对健康产生负面影响的既定机制。最近的研究表明,运动训练可部分通过恢复骨髓微环境来逆转肥胖症中出现的骨髓造血异常。具体来说,运动训练可减少骨髓脂肪组织,增加造血干细胞保留因子的表达,并降低骨髓中促炎细胞因子的水平。人们正开始探索导致这些运动诱导效应的其他新的机制因素,包括利用细胞外囊泡(EVs)进行细胞间交流。本综述将总结最近描述运动对肥胖症患者造血功能影响的文献,并介绍 EVs 对这一过程的潜在贡献。
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引用次数: 0
Black Cohosh Herbal Extract and Hematologic Alterations in B6C3F1/N Mice. 黑升麻草药提取物对B6C3F1/N小鼠血液学的影响。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221133549
Michelle Cora

Black cohosh is a readily available dietary supplement currently marketed as a remedy for dysmenorrhea and menopausal symptoms and is one of the top-selling herbal supplements in the United States. Black cohosh extract (BCE) was nominated to the National Toxicology Program (NTP) by the National Cancer Institute and the National Institute of Environmental Health Sciences due to its widespread use and lack of animal toxicity studies. Results of the NTP BCE subchronic mouse toxicity study revealed a dose-dependent, non-regenerative decrease in the erythron with an increase in the mean corpuscular volume (macrocytosis). Howell-Jolly bodies, or micronuclei, were significantly increased. These particular changes indicated an ineffective erythropoiesis consistent with a condition known as megaloblastic anemia. Megaloblastic anemia is due to disruptions in DNA synthesis during hematopoiesis and can be a result of an inherited or drug-induced disorder or a consequence of folate or cobalamin deficiency. Subsequent mouse studies revealed hematological and biochemical changes that were consistent with a functional cobalamin deficiency. This article will review basic mechanisms and laboratory features of megaloblastic anemia. The results of our studies including morphological abnormalities of the erythron and biomarkers of folate and cobalamin deficiencies, as well as hepatic microarray gene changes, are also discussed.

黑升麻是一种现成的膳食补充剂,目前作为治疗痛经和更年期症状的药物在市场上销售,是美国最畅销的草药补充剂之一。黑升麻提取物(BCE)被国家癌症研究所和国家环境健康科学研究所提名为国家毒理学计划(NTP),因为它的广泛使用和缺乏动物毒性研究。NTP BCE小鼠亚慢性毒性研究结果显示,红细胞呈剂量依赖性、非再生性减少,平均红细胞体积(巨噬细胞增多)增加。Howell-Jolly体或微核显著增加。这些特殊的变化表明红细胞生成功能低下,与巨幼细胞性贫血相符。巨幼细胞性贫血是由于造血过程中DNA合成的中断,可能是遗传或药物引起的疾病,也可能是叶酸或钴胺素缺乏的结果。随后的小鼠研究显示血液学和生化变化与功能性钴胺素缺乏症一致。本文将综述巨幼细胞性贫血的基本机制和实验室特征。我们的研究结果包括红细胞形态异常和叶酸和钴胺素缺乏的生物标志物,以及肝脏微阵列基因变化,也进行了讨论。
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引用次数: 0
Pathology of Bone: Changes Associated With Different Classes of Compounds. 骨病理:与不同种类化合物相关的变化。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221123778
Kathryn E Gropp

During this presentation, a variety of class effects were reviewed by their differing effects on bone, including inhibition of endochondral ossification, inhibition of the growth hormone-insulin-like growth factor 1 axis, promotion of bone formation, inhibition of bone formation, abnormal bone formation, promotion of bone resorption, inhibition of bone resorption, and bone necrosis.

在本报告中,我们将根据其对骨骼的不同影响来回顾各种类型的效应,包括抑制软骨内成骨、抑制生长激素-胰岛素样生长因子1轴、促进骨形成、抑制骨形成、异常骨形成、促进骨吸收、抑制骨吸收和骨坏死。
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引用次数: 0
Overview of Session 3 Mechanisms of Decreased Erythropoiesis and Erythroid Cell Injury. 第三部分:红细胞生成减少和红细胞损伤的机制综述。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221120550
A Eric Schultze, Lila Ramaiah

This session, held during the 41st Annual STP Symposium, focused on mechanisms of decreased erythropoiesis and erythroid cell injury. The speakers provided comprehensive overviews of physiologic and pathologic erythropoiesis, reviewed various mechanisms of erythroid cell injury, and shared innovative investigative research with the audience.

本次会议在第41届STP年度研讨会期间举行,重点讨论了红细胞生成减少和红细胞损伤的机制。主讲人全面介绍了生理性和病理性红细胞生成,回顾了红细胞损伤的各种机制,并与观众分享了创新的调查研究。
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引用次数: 0
Methodologies and Emerging Technologies for the Evaluation of the Hematopoietic System. 评估造血系统的方法和新兴技术。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221128755
Florence Poitout-Belissent, Allison Vitsky, Mark A Smith, Madhu P Sirivelu

Hematology and bone marrow analysis is central to our understanding of the hematopoietic system and how it responds to insults, and this session presented during the 2022 STP symposium provided a review of current and novel approaches for the evaluation of the hematopoietic system in the context of nonclinical investigations. This publication summarizes the information presented on novel approaches for evaluation of the hematopoietic system using automated hematology analyzers, including details around the quantitative assessment of bone marrow cell suspensions as well as introducing several newly available hematology parameters. It was followed by a discussion on intravital microscopy and live cell imaging and how these methods can assist with de-risking hematopoiesis-associated safety concerns, and a review of recent assays using artificial intelligence for the evaluation of bone marrow.

血液学和骨髓分析是我们理解造血系统及其对损伤的反应的核心,在2022年STP研讨会上提出的这一会议回顾了在非临床研究背景下评估造血系统的当前和新的方法。本出版物总结了使用自动血液学分析仪评估造血系统的新方法的信息,包括骨髓细胞悬液定量评估的细节,以及介绍了几个新的血液学参数。随后讨论了活体显微镜和活细胞成像,以及这些方法如何帮助降低与造血相关的安全问题,并回顾了最近使用人工智能评估骨髓的检测方法。
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引用次数: 0
Gemtuzumab Ozogamicin Treatment Results in Decreased Proliferation and Differentiation of Human Megakaryocytes but Does Not Inhibit Mature Platelet Function. 吉妥珠单抗Ozogamicin治疗导致人巨核细胞增殖和分化减少,但不抑制成熟血小板功能。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 DOI: 10.1177/01926233221129202
Allison Vitsky, Aida Sacaan, Wenyue Hu, Martin Finkelstein, William Reagan

Mylotarg (Gemtuzumab ozogamicin [GO]), an antibody drug conjugate comprising a CD33-directed antibody linked to calicheamicin, is approved for use in certain acute myeloid leukemia patients. Following reports of prolonged thrombocytopenia and hemorrhagic events in a subset of patients, a detailed series of in vitro and ex vivo studies was performed at the request of regulators, both to look at the effects of GO on platelet production and to determine whether treatment with GO was likely to affect platelet aggregation under a variety of conditions. Treatment with GO resulted in cellular cytotoxicity and/or decreased differentiation during human megakaryocyte development. However, GO did not impair platelet aggregation under the experimental conditions evaluated. Ultimately, the effect of GO on megakaryocyte development observed in our studies was determined to have no impact on the risk-benefit assessment in the intended patient population, as thrombocytopenia is a known side effect of GO, and monitoring of platelet counts in patients is already strongly recommended.

Mylotarg (Gemtuzumab ozogamicin [GO])是一种抗体药物偶联物,包含与calicheamicin连接的cd33定向抗体,已被批准用于某些急性髓系白血病患者。在一组患者中出现了延长的血小板减少和出血事件的报道后,应监管机构的要求,进行了一系列详细的体外和离体研究,以观察氧化石墨烯对血小板产生的影响,并确定氧化石墨烯治疗是否可能影响各种条件下的血小板聚集。氧化石墨烯治疗导致人类巨核细胞发育过程中的细胞毒性和/或分化减少。然而,在评估的实验条件下,氧化石墨烯并没有损害血小板聚集。最终,在我们的研究中观察到氧化石墨烯对巨核细胞发育的影响,确定对预期患者群体的风险-收益评估没有影响,因为血小板减少是氧化石墨烯的已知副作用,并且已经强烈建议监测患者的血小板计数。
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引用次数: 0
Proceedings of the 2022 National Toxicology Program Satellite Symposium. 2022 年国家毒理学计划卫星研讨会论文集》。
IF 1.4 4区 医学 Q3 PATHOLOGY Pub Date : 2022-10-01 Epub Date: 2022-09-27 DOI: 10.1177/01926233221124825
Erin M Quist, Shambhunath Choudhary, Richard Lang, Debra A Tokarz, Mark Hoenerhoff, Jonathan Nagel, Jeffrey I Everitt

The 2022 annual National Toxicology Program Satellite Symposium, entitled "Pathology Potpourri," was held in Austin, Texas at the Society of Toxicologic Pathology's 40th annual meeting during a half-day session on Sunday, June 19. The goal of this symposium was to present and discuss challenging diagnostic pathology and/or nomenclature issues. This article presents summaries of the speakers' talks along with select images that were used by the audience for voting and discussion. Various lesions and topics covered during the symposium included induced and spontaneous neoplastic and nonneoplastic lesions in the mouse lung, spontaneous lesions in the reproductive tract of a female cynomolgus macaque, induced vascular lesions in a mouse asthma model and interesting case studies in a rhesus macaque, dog and genetically engineered mouse model.

6 月 19 日(星期日),为期半天的第 40 届毒理病理学学会年会在得克萨斯州奥斯汀举行,2022 年度国家毒理计划卫星研讨会的主题是 "病理学锅碗瓢盆"。此次研讨会的目的是介绍和讨论具有挑战性的病理诊断和/或命名问题。本文介绍了演讲者的演讲摘要以及听众投票和讨论时使用的精选图片。研讨会涉及的各种病变和主题包括小鼠肺部诱发和自发的肿瘤性和非肿瘤性病变、雌性猕猴生殖道的自发性病变、小鼠哮喘模型的诱发血管病变以及猕猴、狗和基因工程小鼠模型的有趣病例研究。
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引用次数: 0
Inhalation of Silver Silicate Nanoparticles Leads to Transient and Differential Microglial Activation in the Rodent Olfactory Bulb. 吸入硅酸银纳米颗粒导致啮齿动物嗅球中瞬时和差异的小胶质细胞激活。
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-08-01 DOI: 10.1177/01926233221107607
Huong Huynh, Priya Upadhyay, Cora H Lopez, Malia K Miyashiro, Laura S Van Winkle, Sara M Thomasy, Kent E Pinkerton

Engineered silver nanoparticles (AgNPs), including silver silicate nanoparticles (Ag-SiO2 NPs), are used in a wide variety of medical and consumer applications. Inhaled AgNPs have been found to translocate to the olfactory bulb (OB) after inhalation and intranasal instillation. However, the biological effects of Ag-SiO2 NPs and their potential nose-to-brain transport have not been evaluated. The present study assessed whether inhaled Ag-SiO2 NPs can elicit microglial activation in the OB. Adult Sprague-Dawley rats inhaled aerosolized Ag-SiO2 NPs at a concentration of 1 mg/ml for 6 hours. On day 0, 1, 7, and 21 post-exposure, rats were necropsied and OB were harvested. Immunohistochemistry on OB tissues were performed with anti-ionized calcium-binding adapter molecule 1 and heme oxygenase-1 as markers of microglial activation and oxidative stress, respectively. Aerosol characterization indicated Ag-SiO2 NPs were sufficiently aerosolized with moderate agglomeration and high-efficiency deposition in the nasal cavity and olfactory epithelium. Findings suggested that acute inhalation of Ag-SiO2 NPs elicited transient and differential microglial activation in the OB without significant microglial recruitment or oxidative stress. The delayed and differential pattern of microglial activation in the OB implied that inhaled Ag-SiO2 may have translocated to the central nervous system via intra-neuronal pathways.

工程银纳米颗粒(AgNPs),包括硅酸银纳米颗粒(Ag-SiO2 NPs),广泛用于各种医疗和消费应用。已发现吸入AgNPs在吸入和鼻内滴入后会转移到嗅球(OB)。然而,Ag-SiO2 NPs的生物学效应及其潜在的鼻到脑运输尚未得到评估。本研究评估了吸入Ag-SiO2 NPs是否能引起OB小胶质细胞活化。成年Sprague-Dawley大鼠吸入浓度为1 mg/ml的雾化Ag-SiO2 NPs 6小时。暴露后第0、1、7、21天,解剖大鼠,收获OB。用抗离子钙结合适配器分子1和血红素加氧酶-1分别作为小胶质细胞激活和氧化应激的标志物,对OB组织进行免疫组化。气溶胶表征表明Ag-SiO2纳米颗粒雾化充分,在鼻腔和嗅上皮中形成适度的团聚和高效沉积。研究结果表明,急性吸入Ag-SiO2 NPs会引起OB中短暂的和差异的小胶质细胞激活,而没有明显的小胶质细胞募集或氧化应激。OB小胶质细胞激活的延迟和差异模式表明,吸入的Ag-SiO2可能通过神经元内通路转运到中枢神经系统。
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引用次数: 1
Society of Toxicologic Pathology Neuropathology Interest Group Article: Neuropathologic Findings in Nonhuman Primates Associated With Administration of Biomolecule-Based Test Articles 毒物病理学学会神经病理学兴趣小组文章:非人类灵长类动物的神经病理学发现与基于生物分子的试验品的管理有关
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-06-13 DOI: 10.1177/01926233221101314
D. Bangari, L. Lanigan, F. Goulet, S. Sisó, B. Bolon
The increasing specificity of novel druggable targets coupled with the complexity of emerging therapeutic modalities for treating human diseases has created a growing need for nonhuman primates (NHPs) as models for translational drug discovery and nonclinical safety assessment. In particular, NHPs are critical for investigating potential unexpected/undesired on-target and off-target liabilities associated with administration of candidate biotherapeutics (nucleic acids, proteins, viral gene therapy vectors, etc.) to treat nervous system disorders. Nervous system findings unique to or overrepresented in NHPs administered biomolecule-based (“biologic”) test articles include mononuclear cell infiltration in most neural tissues for all biomolecule classes as well as neuronal necrosis with glial cell proliferation in sensory ganglia for certain viral vectors. Such test article-related findings in NHPs often must be differentiated from procedural effects (e.g., local parenchymal or meningeal reactions associated with an injection site or implanted catheter to administer a test article directly into the central nervous system) or spontaneous background findings (e.g., neuronal autophagy in sensory ganglia).
新的可药物靶点的特异性不断增加,加上治疗人类疾病的新兴治疗模式的复杂性,使得人们越来越需要非人类灵长类动物(NHPs)作为转化药物发现和非临床安全性评估的模型。特别是,NHPs对于研究与候选生物治疗药物(核酸、蛋白质、病毒基因治疗载体等)治疗神经系统疾病相关的潜在意外/不希望的靶标和脱靶缺陷至关重要。神经系统的发现在NHPs管理的基于生物分子(“生物”)的测试品中是独特的或被过度代表的,包括所有生物分子类别的大多数神经组织中的单个核细胞浸润,以及某些病毒载体的感觉神经节中神经坏死伴胶质细胞增殖。在NHPs中,这种与试验品相关的发现通常必须与程序性影响(例如,与注射部位或植入导管直接将试验品注入中枢神经系统相关的局部实质或脑膜反应)或自发背景发现(例如,感觉神经节的神经元自噬)区分开来。
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引用次数: 2
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