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A narrative review of PD-1 and autoimmune diseases PD-1与自身免疫性疾病综述
Pub Date : 2021-01-01 DOI: 10.21037/AOB-20-86
Yanan Deng, Feng Huang, Jie Wang
Autoimmune diseases comprise a collection of disorders that are characterized by tissue injury resulting from abnormal immune responses to self-autoantigens (1-3). Although the etiology and pathogenesis have not yet been completely elucidated, genetic and environmental factors are generally considered to significantly contribute to the pathogenesis of these autoimmune disorders (2,3). Although autoimmune diseases have been historically considered rare, through rigorous epidemiological studies, they have Review Article
自身免疫性疾病包括一系列病症,其特征在于由对自身自身抗原的异常免疫反应引起的组织损伤(1-3)。尽管病因和发病机制尚未完全阐明,但遗传和环境因素通常被认为对这些自身免疫性疾病的发病机制有重要影响(2,3)。尽管自身免疫性疾病在历史上被认为是罕见的,但通过严格的流行病学研究,他们有评论文章
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引用次数: 1
Patient blood management—it is about transfusing blood appropriately 患者血液管理——这是关于适当输血
Pub Date : 2021-01-01 DOI: 10.21037/aob-21-70
R. Gammon, Emily Coberly, R. Dubey, Aikaj Jindal, Shaughn Nalezinski, Jessica Varisco
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引用次数: 6
A narrative review on progress and development of anti-CD36 antibody detection 综述了抗cd36抗体检测的研究进展
Pub Date : 2021-01-01 DOI: 10.21037/aob-21-48
Xiuzhang Xu, S. Santoso
Immune-mediated thrombocytopenia occurs due to alloantibodies against platelet antigens, such as the ABO blood group antigens, HLA class I, and human platelet antigens (HPA). In recent years, more than 30 HPA have been identified (https://www.versiti.org/medicalprofessionals/precision-medicine-expertise/plateletantigen-database/hpa-gene-database). Among them, alloantibodies against the HPA-1a formed by point mutation (Leu33Pro) on platelet glycoprotein (GP) IIIa (known as β3 integrin) are responsible for most cases of alloimmune thrombocytopenia in Caucasians (1). However, foetal and neonatal alloimmune thrombocytopenia (FNAIT) caused by anti-HPA-1a antibodies has not been well recognized in other populations. Interestingly, accumulating evidence indicates that immune-mediated thrombocytopenia caused Review Article
免疫介导的血小板减少症的发生是由于针对血小板抗原的同种抗体,如ABO血型抗原、HLA I类和人血小板抗原(HPA)。近年来,已经发现了30多种HPA (https://www.versiti.org/medicalprofessionals/precision-medicine-expertise/plateletantigen-database/hpa-gene-database)。其中,针对血小板糖蛋白(GP) IIIa(即β3整合素)上由点突变(Leu33Pro)形成的HPA-1a的同种异体抗体是导致高加索人中大多数同种异体免疫性血小板减少症的原因(1)。然而,在其他人群中,由抗HPA-1a抗体引起的胎儿和新生儿同种异体免疫性血小板减少症(FNAIT)尚未得到很好的认识。有趣的是,越来越多的证据表明免疫介导的血小板减少引起的
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引用次数: 0
Transfusion therapy in sickle cell disease 镰状细胞病的输血治疗
Pub Date : 2021-01-01 DOI: 10.21037/aob-21-67
Y. Tanhehco, P. Shi, J. Schwartz
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引用次数: 1
Molecular genetics of the Rh blood group system: alleles and antibodies—a narrative review Rh血型系统的分子遗传学:等位基因和抗体——叙述性综述
Pub Date : 2021-01-01 DOI: 10.21037/aob-20-84
A. Floch
Objective: This work proposes a review of the antibodies which have been associated with variant RHD and RHCE alleles, except null alleles. Background: The data on this topic is dispersed in the literature. Methods: A review of the articles referenced in PubMed and of abstract books from major conferences was performed. Most antibodies have been published in full-length articles, and several more have been reported in conference abstracts. The anti-D antibodies reported in carriers of D variants and the antibodies to CE antigens reported in carriers of CE variants were listed, including antibodies to low prevalence antigens. The RHCE alleles for which the RH10 (V) and RH20 (VS) phenotypes have been reported were also collected. The reports of antibody formation were compared to the prevalence evaluated by the Erythrogene database in the 1000 Genomes dataset. Conclusions: It is noted in this review that studies reporting anti-D or antibodies to CE antigens associated with Rh variants only rarely include detailed serological descriptions of the findings. This review lists several alleles which are not exceptional, and for which no carrier has been reported to form the antibody to the expressed antigen(s) (e.g., no allo-anti-D has been reported so far in carriers of RHD *01EL.01 , c.1227A). Considering the antibody reports in carriers or absence thereof and the prevalence for each RH allele, it may become possible to propose case-by-case recommendations for more RH alleles in the near future. 20 (RH49)
目的:对除无效等位基因外,与变异RHD和RHCE等位基因相关的抗体进行综述。背景:关于这个主题的数据分散在文献中。方法:对PubMed上引用的文章和主要会议的摘要书籍进行综述。大多数抗体都发表在全长文章中,还有几篇在会议摘要中报道。列出了D变体携带者中报道的抗D抗体和CE变体携带者中报告的CE抗原抗体,包括低流行率抗原抗体。还收集了RH10(V)和RH20(VS)表型已报道的RHCE等位基因。抗体形成的报告与1000基因组数据集中红细胞基因数据库评估的流行率进行了比较。结论:在这篇综述中注意到,报告与Rh变体相关的抗D或CE抗原抗体的研究很少包括对研究结果的详细血清学描述。这篇综述列出了几个等位基因,这些等位基因并不例外,并且没有载体形成表达抗原的抗体的报告(例如,到目前为止,在RHD*01EL.01,c.1227A的载体中还没有异基因-D的报告)。考虑到载体中的抗体报告或没有抗体报告,以及每个RH等位基因的流行率,在不久的将来,可能会提出更多RH等位基因的个案建议。20(RH49)
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引用次数: 4
Blood banking in solid organ transplantation 实体器官移植中的血库
Pub Date : 2021-01-01 DOI: 10.21037/aob-21-72
G. Ramsey
Over 150,000 organ transplants are performed annually worldwide, and transfusion medicine support is crucial for each patient. Liver transplants have posed the greatest challenge for transfusion support, including 4-9% rates of preoperative red blood cell (RBC) alloimmunization, and higher-end blood use is associated with adverse outcomes. However, with effective patient blood management, means/medians of 4-9 allogeneic RBC units per case and 75th percentiles of 7-12 units or lower are reported. Heart or lung transplant RBC transfusions averaged around 3 units, but COVID-19 lung transplants needed a median 8 units (75th percentile 15) due to dense adhesions. Passenger lymphocyte syndrome due to donor anti-A/B induce hemolysis after 6% of ABO-unmatched kidneys, 19% of livers and 29% of intestinal transplants. ABO-incompatible transplants are achieved by desensitization, A subgroup organs, or tolerance in infants. However, interlaboratory reproducibility of anti-A/B titers in these patients remains problematic. ABH structures are predominantly type 2 in RBCs and hearts, type 4 in kidneys and secretor-dependent type 1 in liver bile ducts and arteries. These anatomic differences suggest that anti-A/B assessments and therapeutic adsorptions might be improved by using organ-tailored ABH glycans. Therapeutic plasma exchange (TPE) and extracorporeal photopheresis (ECP) are widely employed for antibody removal and rejection treatment. As organ transplantation expands globally, transfusion medicine will continue to be integral to patient care. © 2022 AME Publishing Company. All Rights Reserved.
全球每年进行的器官移植超过150000例,输血药物支持对每位患者至关重要。肝移植对输血支持构成了最大的挑战,包括术前红细胞(RBC)同种异体免疫的发生率为4-9%,高端血液使用与不良结果相关。然而,在有效的患者血液管理下,每例病例的平均数/中位数为4-9个同种异体红细胞单位,第75个百分位数为7-12个单位或更低。心脏或肺移植的RBC输注平均约为3个单位,但由于密集粘连,新冠肺炎肺移植平均需要8个单位(第75百分位15)。在6%的ABO血型不匹配的肾脏、19%的肝脏和29%的肠道移植后,由供体抗A/B引起的乘客淋巴细胞综合征会引起溶血。ABO血型不合的移植是通过对婴儿进行脱敏、A亚组器官或耐受来实现的。然而,这些患者的抗A/B滴度的实验室间再现性仍然存在问题。ABH结构在红细胞和心脏中主要为2型,在肾脏中主要为4型,在肝胆管和动脉中主要为分泌依赖型1型。这些解剖学差异表明,使用器官定制的ABH聚糖可以改善抗A/B评估和治疗性吸收。治疗性血浆置换(TPE)和体外光分离(ECP)被广泛用于抗体去除和排斥反应治疗。随着器官移植在全球范围内的扩张,输血医学将继续成为患者护理的组成部分。©2022 AME出版公司。保留所有权利。
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引用次数: 1
Bacterial culture of platelets with the large volume delayed sampling approach: a narrative review 血小板细菌培养与大容量延迟采样方法:叙述性回顾
Pub Date : 2021-01-01 DOI: 10.21037/AOB-21-4
G. Delage
Bacterial contamination of platelets leading to post-transfusion sepsis (PTS) represents a significant risk to patients, even in the era of bacterial culture using a sample obtained 24 hours postcollection and inoculated into a single blood culture bottle. Various approaches are available for mitigation of this risk, one of which is large volume delayed sampling (LVDS) culture. LVDS aims to increase detection of contaminated platelets compared to 24-hour, single aerobic bottle culture by increasing the sample volume in order to inoculate two or more blood culture bottles, and increasing the delay before sampling, thus allowing additional time for bacteria present in a contaminated platelet product to multiply before sampling. Three establishments have implemented LVDS as their strategy for enhancing safety of platelets. Their collective experience points to a reduction in the residual risk of PTS following transfusion of contaminated platelets when compared to historical data. LVDS as a strategy to enhance platelet safety has the advantage of simplicity when compared to various two-step approaches that involve an early culture followed by either re-culture or rapid testing. With a seven-day shelf-life, LVDS leads to decreased platelet outdates when compared to 24-hour single bottle culture with a five-day shelf-life, and an increased age of platelets at
血小板的细菌污染导致输血后败血症(PTS)对患者来说是一个重大风险,即使在使用采集后24小时获得的样本并接种到单个血液培养瓶中进行细菌培养的时代也是如此。有多种方法可用于缓解这种风险,其中之一是大容量延迟采样(LVDS)培养。LVDS旨在通过增加样本量以接种两个或多个血液培养瓶,并增加采样前的延迟,从而使受污染血小板产品中存在的细菌在采样前有更多的繁殖时间,从而与24小时单瓶有氧培养相比,增加受污染血小板的检测。三家机构已将LVDS作为提高血小板安全性的策略。他们的集体经验表明,与历史数据相比,输注受污染的血小板后PTS的残余风险降低了。LVDS作为一种提高血小板安全性的策略,与早期培养后再培养或快速检测的各种两步方法相比,具有简单的优点。与具有五天保质期的24小时单瓶培养相比,LVDS具有七天保质期,可降低血小板的过期时间
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引用次数: 10
Correlation analyses between age and indices in routine blood laboratory tests suggest potential aging biomarkers 年龄与常规血液实验室检测指标之间的相关性分析提示潜在的衰老生物标志物
Pub Date : 2021-01-01 DOI: 10.21037/aob-20-79
Menghan Sun, Xinpeng He, Lipeng Mao, Tengyu Ma, Jieping Deng, L. Gao, Pengcheng Wang, Guobing Chen
Background: Aging, especially its related immune senescence, is an important risk factor for many diseases, including neurodegenerative diseases, cardiovascular diseases and tumors. One major hurdle to study aging is the lack of a comprehensive set of biomarkers to evaluate and predict the progress of aging. The biomarkers for immune senescence are crucial for effective vaccination and optimal immunotherapy. Methods: In this study, to identify potential biomarkers linked to aging from routine blood laboratory tests, we analyzed the correlations between aging and indices in peripheral blood cell population, cytokines, Complete Blood Count and Blood Chemistry panel. Furthermore, we analyzed the differences of immune cells and inflammatory cytokines among different age groups. In addition, differential gene expression was evaluated by using whole transcriptome data of 258 samples, which was subsequently used for pathway analysis. Results: Our results showed significant correlations between some of the indices with aging, and some were also associated with genders and ethnics. Transitional B Cells were negatively correlated with aging, and several cytokines, including CCL22, CXCL9, IL21, IL23A and IL31, were related to aging as well. In addition, we found several genes associated with aging, including SERPINA1 , ORM2 , MS4A1 , ETS1 , CD27 and IL7R . Conclusions: Our study demonstrated that changes of a couple of indices from routine blood laboratory tests and gene expression had correlation to aging, and these could potentially be used as biomarkers of aging.
背景:衰老,尤其是与其相关的免疫衰老,是许多疾病的重要危险因素,包括神经退行性疾病、心血管疾病和肿瘤。研究衰老的一个主要障碍是缺乏一套全面的生物标志物来评估和预测衰老的进展。免疫衰老的生物标志物对于有效的疫苗接种和最佳的免疫治疗至关重要。方法:在本研究中,为了从常规血液实验室测试中识别与衰老相关的潜在生物标志物,我们分析了衰老与外周血细胞群、细胞因子、全血细胞计数和血液化学小组指标之间的相关性。此外,我们还分析了不同年龄组免疫细胞和炎性细胞因子的差异。此外,通过使用258个样本的全转录组数据来评估差异基因表达,随后将其用于通路分析。结果:我们的研究结果显示,一些指标与衰老之间存在显著相关性,有些指标还与性别和种族有关。过渡期B细胞与衰老呈负相关,包括CCL22、CXCL9、IL21、IL23A和IL31在内的几种细胞因子也与衰老有关。此外,我们发现了几个与衰老相关的基因,包括SERPINA1、ORM2、MS4A1、ETS1、CD27和IL7R。结论:我们的研究表明,血常规实验室检测的一些指标和基因表达的变化与衰老有关,这些指标可能被用作衰老的生物标志物。
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引用次数: 0
Molecular genetics and genomics of the ABO blood group system ABO血型系统的分子遗传学和基因组学
Pub Date : 2021-01-01 DOI: 10.21037/AOB-20-71
F. Yamamoto
The A and B oligosaccharide antigens of the ABO blood group system are produced from the common precursor, H substance, by enzymatic reactions catalyzed by A and B glycosyltransferases (AT and BT) encoded by functional A and B alleles at the ABO genetic locus, respectively. In 1990, my research team cloned human A, B, and O allelic cDNAs. We then demonstrated this central dogma of ABO and opened a new era of molecular genetics. We identified four amino acid substitutions between AT and BT and inactivating mutations in the O alleles, clarifying the allelic basis of ABO. We became the first to achieve successful ABO genotyping, discriminating between AA and AO genotypes and between BB and BO, which was impossible using immunohematological/serological methods. We also identified mutations in several subgroup alleles and also in the cis-AB and B(A) alleles that specify the expression of the A and B antigens by single alleles. Later, other scientists interested in the ABO system characterized many additional ABO alleles. However, the situation has changed drastically in the last decade, due to rapid advances in next-generation sequencing (NGS) technology, which has allowed the sequencing of several thousand genes and even the entire genome in individual experiments. Genome sequencing has revealed not only the exome but also transcription/translation regulatory elements. RNA sequencing determines which genes and spliced transcripts are expressed. Because more than 500,000 human genomes have been sequenced and deposited in sequence databases, bioinformaticians can retrieve and analyze this data without generating it. Now, in this era of genomics, we can harness the vast sequence information to unravel the molecular mechanisms responsible for important biological phenomena associated with the ABO polymorphism. Two examples are presented in this review: the delineation of the ABO gene evolution in a variety of species and the association of single nucleotide variant (SNV) sites in the ABO gene with diseases and biological parameters through genome-wide association studies (GWAS).Copyright © Annals of Blood. All rights reserved.
ABO血型系统的A和B寡糖抗原由常见的前体H物质通过酶促反应产生,酶促反应由ABO基因座上功能性A和B等位基因分别编码的A和B糖基转移酶(AT和BT)催化。1990年,我的研究团队克隆了人类A、B和O等位基因cDNA。然后,我们展示了ABO的核心教条,并开启了分子遗传学的新时代。我们鉴定了AT和BT之间的四个氨基酸取代以及O等位基因的失活突变,阐明了ABO的等位基因基础。我们成为第一个成功进行ABO基因分型的人,区分AA和AO基因型以及BB和BO基因型,这是使用免疫血液学/血清学方法无法实现的。我们还鉴定了几个亚组等位基因以及顺式AB和B(A)等位基因的突变,这些突变通过单个等位基因指定了A和B抗原的表达。后来,其他对ABO系统感兴趣的科学家对许多额外的ABO等位基因进行了表征。然而,在过去十年中,由于下一代测序(NGS)技术的快速发展,情况发生了巨大变化,该技术允许在单个实验中对数千个基因甚至整个基因组进行测序。基因组测序不仅揭示了外显子组,还揭示了转录/翻译调控元件。RNA测序确定哪些基因和剪接转录物被表达。由于超过500000个人类基因组已被测序并存储在序列数据库中,生物信息学家可以在不生成数据的情况下检索和分析这些数据。现在,在这个基因组学时代,我们可以利用大量的序列信息来解开与ABO多态性相关的重要生物现象的分子机制。这篇综述中介绍了两个例子:通过全基因组关联研究(GWAS)描述各种物种的ABO基因进化,以及ABO基因中单核苷酸变异(SNV)位点与疾病和生物学参数的关联。版权所有©血液年鉴。保留所有权利。
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引用次数: 5
A narrative review on platelet rich plasma: hope or hype? 关于富含血小板血浆的叙述性综述:希望还是炒作?
Pub Date : 2021-01-01 DOI: 10.21037/aob-21-57
Reena Yaman, T. Kinard
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引用次数: 4
期刊
Annals of blood
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