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Erratum: RNA editing enzyme ADAR1 is required for early T cell development. RNA编辑酶ADAR1是早期T细胞发育所必需的
IF 1.5 Q3 HEMATOLOGY Pub Date : 2022-03-08 eCollection Date: 2021-07-01 DOI: 10.1097/BS9.0000000000000082

[This corrects the article DOI: 10.1097/BS9.0000000000000039.].

[这更正了文章DOI: 10.1097/BS9.0000000000000039.]。
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引用次数: 0
Higher efficacy of oral etoposide for mobilization of peripheral blood stem cells in patients with multiple myeloma 口服依托泊苷对多发性骨髓瘤患者外周血干细胞动员的更高疗效
Q3 Medicine Pub Date : 2022-02-23 DOI: 10.1097/BS9.0000000000000104
W. Qiang, Hua Jiang, Pei Guo, Jing Lu, Jin Liu, Lu Li, Haiyan He, Xiao Hu, W. Fu, J. Du
Abstract This study compares the efficacy, toxicity, hematopoietic recovery, and cost of stem-cell mobilization using intermediate-dose cyclophosphamide (IDCy) plus granulocyte colony-stimulating factor (G-CSF) compared with etoposide (VP-16) plus pegylated granulocyte colony-stimulating factor (PEG-rhG-CSF) in multiple myeloma (MM) patients. Two hundred forty-four consecutive patients undergoing mobilization with IDCy (3-3.5 g/m2) plus G-CSF (n = 155) were compared with patients receiving VP-16 plus PEG-rhG-CSF (n = 89), including oral etoposide (n = 65) and intravenous etoposide (n = 24). Compared with IDCy, VP-16 use was associated with significantly higher median peak peripheral blood CD34 + cell count (8.20 [range: 1.84-84] × 106/kg vs 4.58 [range: 0.1-27.9] × 106/kg, P = .000), and ideal CD34 + cell yield of more than 6 × 106/kg (56.8% vs 35.1%, P = .001), notably with a higher efficacy in oral VP-16 use compared with IDCy use (CD 34 + cell counts: median peak peripheral blood 5.87 vs 4.58 × 106/kg and ≥6 × 106/kg [48.4% vs 35.1%]). The median number of apheresis courses was reduced from two in the IDCy group to one in the VP-16 group (P = .000). IDCy use was associated with significantly more frequent episodes of neutropenia (70.2% vs 35.2%; P = .000), intravenous antibiotic use (13.2% vs 11.4%; P = .672), and hospitalization (P = .000). The recoveries of neutrophils and platelets after autologous stem-cell transplantation were significantly faster in the VP-16 group compared with the IDCy group (P = .000). Our data indicate robust stem-cell mobilization in MM patients with VP-16 delivered either orally or intravenously. When compared with intravenous VP-16, oral VP-16 mobilization was associated with significantly more convenient, lower average total costs, and especially decreased the risk of hospital visits and exposure.
本研究比较了中剂量环磷酰胺(IDCy)联合粒细胞集落刺激因子(G-CSF)与依托泊苷(VP-16)联合聚乙二醇化粒细胞集落刺激因子(PEG-rhG-CSF)在多发性骨髓瘤(MM)患者中干细胞动员的疗效、毒性、造血恢复和成本。连续224例患者接受IDCy (3-3.5 g/m2) + g - csf (n = 155)与接受VP-16 + PEG-rhG-CSF (n = 89)的患者进行比较,包括口服依托泊苷(n = 65)和静脉注射依托泊苷(n = 24)。与IDCy相比,明显高于VP-16使用平均峰值外周血CD34 +细胞计数(8.20[1.84范围:-84]×106 /公斤与4.58(范围:0.1 - -27.9)×106 /公斤,P =组织),和理想的CD34 +细胞产量超过6×106 /公斤(56.8%比35.1%,P =措施),特别是口头VP-16功效更高使用与IDCy使用(CD + 34细胞计数:峰值外周血中值5.87 vs 4.58×106 /公斤,≥6×106 /公斤(48.4% vs 35.1%))。血浆分离疗程的中位数从IDCy组的2个减少到VP-16组的1个(P = 0.000)。使用IDCy与中性粒细胞减少症发作的频率显著增加相关(70.2% vs 35.2%;P = 0.000),静脉使用抗生素(13.2% vs 11.4%;P = .672),住院率(P = .000)。自体干细胞移植后,VP-16组中性粒细胞和血小板恢复明显快于IDCy组(P = 0.000)。我们的数据表明,口服或静脉注射VP-16的MM患者具有强大的干细胞动员。与静脉注射VP-16相比,口服VP-16动员明显更方便,平均总成本更低,特别是降低了医院就诊和暴露的风险。
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引用次数: 0
Erratum: Ultrastructural alterations of megakaryocytes in thrombocytopenia: A review of 43 cases. 勘误:血小板减少症中巨核细胞的超微结构改变:43 例病例回顾。
IF 1.5 Q3 HEMATOLOGY Pub Date : 2022-02-15 eCollection Date: 2022-01-01 DOI: 10.1097/BS9.0000000000000096

[This corrects the article DOI: 10.1097/BS9.0000000000000093.].

[此处更正了文章 DOI:10.1097/BS9.0000000000000093]。
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引用次数: 0
Integrated genomic analyses identify high-risk factors and actionable targets in T-cell acute lymphoblastic leukemia. 综合基因组分析确定T细胞急性淋巴细胞白血病的高危因素和可操作的靶点
IF 1.5 Q3 HEMATOLOGY Pub Date : 2022-02-04 eCollection Date: 2022-01-01 DOI: 10.1097/BS9.0000000000000102
Haichuan Zhu, Bingjie Dong, Yingchi Zhang, Mei Wang, Jianan Rao, Bowen Cui, Yu Liu, Qian Jiang, Weitao Wang, Lu Yang, Anqi Yu, Zongru Li, Chao Liu, Leping Zhang, Xiaojun Huang, Xiaofan Zhu, Hong Wu

T cell acute lymphoblastic leukemia (T-ALL) is an aggressive hematologic malignancy often associated with poor outcomes. To identify high-risk factors and potential actionable targets for T-ALL, we perform integrated genomic and transcriptomic analyses on samples from 165 Chinese pediatric and adult T-ALL patients, of whom 85% have outcome information. The genomic mutation landscape of this Chinese cohort is very similar to the Western cohort published previously, except that the rate of NOTCH1 mutations is significant lower in the Chinese T-ALL patients. Among 47 recurrently mutated genes in 7 functional categories, we identify RAS pathway and PTEN mutations as poor survival factors for non-TAL and TAL subtypes, respectively. Mutations in the PI3K pathway are mutually exclusive with mutations in the RAS and NOTCH1 pathways as well as transcription factors. Further analysis demonstrates that approximately 43% of the high-risk patients harbor at least one potential actionable alteration identified in this study, and T-ALLs with RAS pathway mutations are hypersensitive to MEKi in vitro and in vivo. Thus, our integrated genomic analyses not only systematically identify high-risk factors but suggest that these high-risk factors are promising targets for T-ALL therapies.

摘要T细胞急性淋巴细胞白血病(T-ALL)是一种侵袭性血液系统恶性肿瘤,通常预后不佳。为了确定T-ALL的高危因素和潜在的可操作靶点,我们对165名中国儿童和成人T-ALL患者的样本进行了综合基因组和转录组分析,其中85%的患者有结果信息。该中国队列的基因组突变情况与之前发表的西方队列非常相似,只是中国T-ALL患者的NOTCH1突变率显著较低。在7个功能类别的47个复发突变基因中,我们确定RAS途径和PTEN突变分别是非TAL和TAL亚型的不良生存因素。PI3K途径的突变与RAS和NOTCH1途径以及转录因子的突变相互排斥。进一步的分析表明,大约43%的高危患者至少有一种在本研究中确定的潜在可操作的改变,并且具有RAS途径突变的T-ALL在体外和体内对MEKi过敏。因此,我们的综合基因组分析不仅系统地确定了高危因素,而且表明这些高危因素是T-ALL治疗的有希望的靶点。
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引用次数: 0
In memory of Hal E. Broxmeyer, a pluripotent scientist, pioneer, and mentor. 纪念全能科学家、先驱和导师Hal E.Broxmeyer
IF 1.5 Q3 HEMATOLOGY Pub Date : 2022-01-25 eCollection Date: 2022-01-01 DOI: 10.1097/BS9.0000000000000100
Linzhao Cheng, Bin Guo, Xinxin Huang, Tao Cheng
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引用次数: 0
China's top 10 hematological advances in 2021 lists the key developments in hematology in China for that year. 2021年中国血液学十大进展列出了当年中国血液学的关键进展
IF 1.5 Q3 HEMATOLOGY Pub Date : 2022-01-25 eCollection Date: 2022-01-01 DOI: 10.1097/BS9.0000000000000103
Xiaochen Wang

The China's top 10 hematological advances in 2021 was announced at the 2nd Annual Meeting of Chinese Alliance for Societies of Hematology on January 16, 2022.

2022年1月16日,中国血液学学会联合会第二届年会上公布了2021年中国血液学十大进展。
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引用次数: 0
Mature plasmacytoid dendritic cells associated with acute myeloid leukemia show similar genetic mutations and expression profiles to leukemia cells 与急性髓系白血病相关的成熟浆细胞样树突状细胞表现出与白血病细胞相似的基因突变和表达谱
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.1097/BS9.0000000000000097
X. Gong, Chunhong Li, Ying Wang, Q. Rao, Y. Mi, Min Wang, H. Wei, Jianxiang Wang
Introduction: Mature plasmacytoid dendritic cells (pDCs) proliferation associated with myeloid neoplasms (MPDMN) are recognized as a neoplasm related to fully differentiated pDCs. Although it has been reported for many years, the genomic landscape of MPDMN is poorly understood. Methods: We reported two patients who developed acute myeloid leukemia (French-American-British M5 subtype) coexisted with immunophenotypically mature pDCs proliferation, which fit the diagnosis of MPDMN. We sorted pDCs from myeloid blasts by flow cytometry and performed whole-exome sequencing and RNA sequencing of the two cell populations, respectively. Results: The immunophenotypes of pDCs in both patients were positive for CD123bri, HLA-DR, CD4, CD303, CD304, and negative for CD56, CD34, CD117, and TdT. The variant allele frequency of gene mutations in myeloid blasts and pDCs were similar. The expression data showed myeloid blasts clustered tightly with hematopoietic stem cells, and pDCs from patients clustered tightly with granulocyte-monocyte progenitors/common myeloid progenitor, rather than with pDCs from the GEO platform. Conclusion: Our study suggested that pDCs derived from the leukemic clone, evidenced by a shared mutation profile and similar transcriptional signatures between pDCs and concurrent myeloid blasts.
引言:与髓系肿瘤(MPDMN)相关的成熟浆细胞样树突状细胞(pDCs)增殖被认为是与完全分化的pDCs相关的肿瘤。尽管它已经被报道了很多年,但人们对MPDMN的基因组景观知之甚少。方法:我们报道了两例急性髓系白血病(法裔美国人-英国人M5亚型)患者,他们同时存在免疫表型成熟的pDCs增殖,符合MPDMN的诊断。我们通过流式细胞术从骨髓母细胞中分选pDC,并分别对两个细胞群进行全外显子组测序和RNA测序。结果:两例患者的pDC免疫表型均为CD123bri、HLA-DR、CD4、CD303、CD304阳性,CD56、CD34、CD117和TdT阴性。骨髓母细胞和pDC基因突变的变异等位基因频率相似。表达数据显示,髓系母细胞与造血干细胞紧密聚集,来自患者的pDC与粒细胞-单核细胞祖细胞/普通髓系祖细胞紧紧聚集,而不是与来自GEO平台的pDC紧密聚集。结论:我们的研究表明pDCs来源于白血病克隆,pDCs和并发髓系母细胞之间具有共同的突变谱和相似的转录特征。
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引用次数: 4
The impact of venetoclax based regimens in the preemptive of measurable residual disease in acute myeloid leukemia venetoclax为基础的方案在急性髓性白血病可测量残余疾病预防中的影响
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.1097/BS9.0000000000000101
Q. Fang, X. Gong, Yan Li, B. Gong, Yuntao Liu, Kaiqi Liu, Guangji Zhang, Shu-ning Wei, D. Lin, Bing-cheng Liu, Ying Wang, H. Wei, Y. Mi, Jianxiang Wang
To The Editor: The role of measurable residual disease (MRD) in prognosis and treatment in acute myeloid leukemia (AML) is evolving. Studies have demonstrated the correlation between MRD and risks of relapse in adult AML: persistently positive MRD after induction is associated with a high risk of relapse, and these patients should consider allogeneic transplantation (allo-Hematopoietic StemCell Transplantation (HSCT)) and clinical trial, even in favorable-risk groups. However, because of the financial issue or lack of suitable transplant donors, many of the patients could not receive allo-HSCT, so how to prolong the relapse-free survival of these patients remains a challenge. Platzbecker et al treated MRD-positive patients with azacytidine (AZA), and found pre-emptive therapy with AZA can prevent or substantially delay hematological relapse in MRD-positive patients with MDS (myelodysplastic syndrome) or AML who are at a high risk of relapse. What’s more, the application of venetoclax has markedly altered the treatment landscape in AML and provided new opportunities, and preclinical studies have indicated that venetoclax could enhance the activity of anti-leukemic drugs such as HMA (hypomethylating agents), cytarabine, and idarubicin. Moreover, venetoclax with AZA has superior efficacy compared to AZA alone in the treatment of elderly unfit AML patients. Moreover, MRD negative rate after the induction therapy of venetoclax with HMA is much higher (54%–81%) than traditional chemotherapies. Hence, we consider that venetoclax-based regimens could be an efficacious pre-emptive option in patients with persistent MRD positive after induction
编者按:可测量残留疾病(MRD)在急性髓系白血病(AML)预后和治疗中的作用正在演变。研究表明,成人AML的MRD与复发风险之间存在相关性:诱导后MRD持续阳性与复发风险高相关,这些患者应考虑异基因移植(异基因造血干细胞移植(HSCT))和临床试验,即使在有利的风险组中也是如此。然而,由于经济问题或缺乏合适的移植供体,许多患者无法接受同种异体造血干细胞移植,因此如何延长这些患者的无复发生存期仍然是一个挑战。Platzbecker等人用氮杂胞苷(AZA)治疗MRD阳性患者,并发现AZA的先发制人治疗可以预防或显著延迟复发风险高的MDS(骨髓增生异常综合征)或AML MRD阳性病人的血液学复发。此外,venetoclax的应用显著改变了AML的治疗前景,并提供了新的机会。临床前研究表明,venetoclax可以增强抗白血病药物的活性,如HMA(低甲基化剂)、阿糖胞苷和伊达比星。此外,与单独使用AZA相比,venetoclax联合AZA在治疗老年不适合AML患者方面具有更高的疗效。此外,HMA诱导治疗venetoclax后的MRD阴性率远高于传统化疗(54%-81%)。因此,我们认为,对于诱导后持续MRD阳性的患者,基于venetoclax的方案可能是一种有效的先发制人的选择
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引用次数: 1
Advances in measuring DNA methylation DNA甲基化检测进展
Q3 Medicine Pub Date : 2021-12-06 DOI: 10.1097/BS9.0000000000000098
Ruixia Sun, Ping Zhu
Abstract DNA methylation is one of the most important components of epigenetics, which plays essential roles in maintaining genome stability and regulating gene expression. In recent years, DNA methylation measuring methods have been continuously optimized. Combined with next generation sequencing technologies, these approaches have enabled the detection of genome-wide cytosine methylation at single-base resolution. In this paper, we review the development of 5-methylcytosine and its oxidized derivatives measuring methods, and recent advancement of single-cell epigenome sequencing technologies, offering more referable information for the selection and optimization of DNA methylation sequencing technologies and related research.
DNA甲基化是表观遗传学的重要组成部分之一,在维持基因组稳定性和调控基因表达方面发挥着重要作用。近年来,DNA甲基化测量方法不断得到优化。结合下一代测序技术,这些方法已经能够在单碱基分辨率下检测全基因组胞嘧啶甲基化。本文综述了5-甲基胞嘧啶及其氧化衍生物测定方法的发展,以及单细胞表观基因组测序技术的最新进展,为DNA甲基化测序技术的选择和优化及相关研究提供更多可参考的信息。
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引用次数: 5
The novel SLC40A1 (T419I) variant results in a loss-of-function phenotype and may provide insights into the mechanism of large granular lymphocytic leukemia and pure red cell aplasia 新的SLC40A1(T419I)变体导致功能丧失表型,并可能为大颗粒淋巴细胞白血病和纯红细胞再生障碍的机制提供见解
Q3 Medicine Pub Date : 2021-12-06 DOI: 10.1097/BS9.0000000000000099
Hongfei Wu, Xiang Ren, M. Ge, Peiyuan Dong, Shichong Wang, Hui-ming Yi, Xingxin Li, J. Huo, Xuan Zheng, Mengying Gao, Jin-bo Huang, Jing Zhang, Min Wang, P. Jin, N. Nie, Y. Shao, Yizhou Zheng
Abstract Variants in the solute carrier family 40 member 1 (SLC40A1) gene are the molecular basis of ferroportin disease, which is an autosomal dominant hereditary hemochromatosis. Here, we present a patient with pure red cell aplasia (PRCA) and large granular lymphocytic leukemia (LGLL) associated with an extremely high levels of serum ferritin and iron overload syndrome. Whole exon sequencing revealed a novel heterozygous variant in SLC40A1 (p.T419I), which was found in his daughter as well. A series of functional studies in vitro of the T419I variant in ferroportin were conducted and the results revealed a reduced capacity of iron export from cells without changes in protein localization and its sensitivity to hepcidin. Intracellular iron storage in mutated cells was significantly higher than that of wild-type. These findings suggest that the novel variant p.T419I can cause the classical form of ferroportin disease and an elevated intracellular iron level indicates a potential novel pathogenic mechanism underlying PRCA and LGLL.
摘要溶质携带者家族40成员1(SLC40A1)基因的变异是铁蛋白病的分子基础,铁蛋白病是一种常染色体显性遗传性血色素沉着病。在这里,我们介绍了一名患有纯红细胞再生障碍(PRCA)和大颗粒淋巴细胞白血病(LGLL)的患者,他们的血清铁蛋白和铁过载综合征水平极高。全外显子测序揭示了SLC40A1(p.T419I)中的一种新的杂合变体,在他的女儿身上也发现了这种变体。对ferroportin中的T419I变体进行了一系列体外功能研究,结果显示细胞的铁输出能力降低,而蛋白质定位及其对铁调素的敏感性没有变化。突变细胞中的细胞内铁储存量显著高于野生型。这些发现表明,新的变体p.T419I可以引起经典形式的ferroportin疾病,细胞内铁水平升高表明PRCA和LGLL潜在的新致病机制。
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引用次数: 0
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血液科学(英文)
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