ABSTRACT
OBJECTIVE@#To explore the effect of Qinghuang Powder (QHP,()combined with Bupi Yishen Decoction (BPYS, ) on myelodysplastic syndromes (MDS) patients with refractory cytopenia with multilineage dysplasia (RCMD) and determine the change of DNA methylation in MDS-RCMD patients after the treatment of Chinese medicine formula.@*METHODS@#All 308 MDS-RCMD patients were treated with QHP combined with BPYS for 2 months at least, absolute neutrophil count (ANC), hemoglobin (Hb), platelets (PLT), primitive bone marrow cells and chromosome karyotype were chosen as the main evaluation indexes to analyze the treatment effect according to criteria from the MDS International Working Group. Then 43 bone marrow samples from 15 MDS-RCMD patients and 28 healthy donors were obtained for the examination of DNA methylation. Gene Ontology (GO) and Pathway analysis were applied to analyze the methylation data.@*RESULTS@#The overall MDS response rate to QHP was 61.68% (190/360) including hematologic improvement-neutrophil (HI-N) or hematologic improvement-erythroid (HI-E) or hematologic improvement-platelet (HI-P). Patients with anemia had a better response rate than patients with neutropenia or thrombocypenia (55.88% vs 31.54% or 55.88% vs. 36.9%). The DNA methylation microarray analysis disclosed that 4,257 hypermethylated genes were demethylated upon the treatment with QHP and BPYS. GO analysis and Pathway analysis showed that these demethylated genes were involved in a lot of tumor-related pathways and functions.@*CONCLUSIONS@#QHP combined with BPYS could effectively treat MDS-RCMD patients through hematologic improvement (HI-N, HI-P or HI-E) and PLT and RBC transfusion independence due to the demethylation, thereby providing another choice for the treatment of patients with MDS-RCMD.
Subject(s)
Female , Humans , Male , Middle Aged , Arsenicals , Pharmacology , Therapeutic Uses , Cell Lineage , DNA Methylation , Demethylation , Drugs, Chinese Herbal , Pharmacology , Therapeutic Uses , Gene Ontology , Leukocyte Disorders , Drug Therapy , Genetics , Powders , Treatment OutcomeABSTRACT
Hyperleukocytosis (HL), defined by a peripheral white blood cell (WBC) count exceeding 100,000/mm³, is occasionally observed in childhood acute leukemia. The increased viscosity in the micro-circulation by HL and the interaction between the leukemic blasts and endometrium of blood vessels sometimes result in leukostasis. Leukostasis can incur life-threatening manifestations, such as respiratory distress, brain infarction and hemorrhage, and renal failure, needing an emergency care. Although early stage of leukostasis is difficult to detect due to nonspecific manifestations, an emergency care is mandatory because leukostasis can proceed to a fatal course. Initial management includes an aggressive fluid therapy that can reduce WBC count, and prevent other metabolic complications implicated by HL. Packed red blood cells should be judiciously transfused because it increases blood viscosity. Conversely, transfusion of platelet concentrates or fresh frozen plasma, which does not affect blood viscosity, is recommended for prevention of hemorrhage. To reduce tumor burden, leukapheresis or exchange transfusion is commonly performed. However, the efficacy is still controversial, and technical problems are present. Leukapheresis or exchange transfusion is recommended if WBC count is 200,000–300,000/mm³ or more, especially in acute myelocytic leukemia, or manifestations of leukostasis are present. In addition, early chemotherapy is the definite treatment of leukostasis.
Subject(s)
Female , Blood Platelets , Blood Vessels , Blood Viscosity , Brain Infarction , Disease Management , Drug Therapy , Emergencies , Emergency Medical Services , Emergency Service, Hospital , Endometrium , Erythrocytes , Fluid Therapy , Hemorrhage , Leukapheresis , Leukemia , Leukemia, Myeloid, Acute , Leukocyte Disorders , Leukocytes , Leukocytosis , Leukostasis , Plasma , Renal Insufficiency , Tumor Burden , ViscosityABSTRACT
No abstract available.
Subject(s)
Adult , Humans , Male , Middle Aged , Bone Marrow/pathology , DNA Mutational Analysis , Leukemia, Myelomonocytic, Chronic/diagnosis , Leukemia, Neutrophilic, Chronic/diagnosis , Leukocyte Disorders/diagnosis , Mutation , Prognosis , Receptors, Colony-Stimulating Factor/genetics , Recurrence , Stem Cell Transplantation , Transplantation, HomologousABSTRACT
Sweet's syndrome (SS), or acute febrile neutrophilic dermatosis, is marked by fever, leukocytosis, and painful erythematous papules/plaques resulting from neutrophil migration and accumulation in the dermis. This condition has been associated with underlying hematologic as well as solid malignancies. We describe a unique case of SS in a patient with metastatic papillary follicular thyroid carcinoma and group A streptococcal pharyngitis. The distribution of the patient's SS rash was similar to the rash of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands.
Subject(s)
Humans , Adenocarcinoma, Follicular , Dermis , Exanthema , Fever , Hand , Immune System Diseases , Leukocyte Disorders , Leukocytosis , Neutrophils , Pharyngitis , Skin Diseases , Sweet Syndrome , Thyroid GlandABSTRACT
Sweet's syndrome (SS), or acute febrile neutrophilic dermatosis, is marked by fever, leukocytosis, and painful erythematous papules/plaques resulting from neutrophil migration and accumulation in the dermis. This condition has been associated with underlying hematologic as well as solid malignancies. We describe a unique case of SS in a patient with metastatic papillary follicular thyroid carcinoma and group A streptococcal pharyngitis. The distribution of the patient's SS rash was similar to the rash of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands.
Subject(s)
Humans , Adenocarcinoma, Follicular , Dermis , Exanthema , Fever , Hand , Immune System Diseases , Leukocyte Disorders , Leukocytosis , Neutrophils , Pharyngitis , Skin Diseases , Sweet Syndrome , Thyroid GlandABSTRACT
BACKGROUND: Vascular endothelial growth factor (VEGF) plays an essential role in promoting angiogenesis during tumor development. In addition, VEGF can mediate the inflammatory response in tumors. VEGF increases the level of neutrophil migration by upregulating interleukin-8 (IL-8) in endothelial cells in vitro. However, it is unclear if VEGF can mediate IL-8 production in vivo. METHODS: To address this issue, this study examined the effect of VEGF on IL-8 production in vivo using an adenovirus transduction and mouse ear assay. RESULTS: Adenovirus-encoded VEGF (VEGF-Ad) increased the level of IL-8 production in endothelial cells in vitro compared to the control-adenovirus (CTL-Ad). The mouse ear assay showed that VEGF-Ad increased the level of IL-8 production in the endothelium. Immunohistochemistry showed that the IL-8 proteins were expressed in the vasculature within a human glioblastoma, which is known to strongly express VEGF. CONCLUSION: These results suggest that VEGF can mediate the inflammatory response in endothelial cells in vivo via the up-regulation of IL-8.
Subject(s)
Animals , Humans , Mice , Adenoviridae , Ear , Endothelial Cells , Endothelium , Glioblastoma , Immune System Diseases , Immunohistochemistry , Inflammation , Interleukin-8 , Leukocyte Disorders , Neutrophils , Proteins , Up-Regulation , Vascular Endothelial Growth Factor AABSTRACT
Avaliou-se, por citometria de fluxo, a fagocitose de Staphylococcus aureus conjugados com iodeto de propídio (IP), por leucócitos circulantes obtidos de cinco fêmeas bovinas negativas no sorodiagnóstico para a Leucose Enzoótica Bovina (LEB); de cinco fêmeas infectadas, manifestando linfocitose persistente (LP); e de cinco fêmeas infectadas, porém alinfocitóticas. Observou-se que, entre as amostras dos animais soronegativos, a porcentagem média de células realizando fagocitose (12,90%) não diferiu da observada entre as células dos animais alinfocitóticos (14,70%). Contudo, ambas foram maiores (p=0,047) que aquela verificada entre as células obtidas de animais manifestando LP (7,20%). Além disso, a intensidade média de fagocitose (caracterizada pela intensidade de fluorescência do IP, em valores arbitrários), verificada em leucócitos de animais manifestando LP (17,43) foi menor (p<0,001) que a observada em leucócitos de animais alinfocitóticos (29,50), e que a observada em leucócitos de animais soronegativos (25,18), que não diferiram entre si. Assim, os resultados permitem-nos alvitrar que há alteração na função fagocítica de leucócitos circulantes em animais infectados pelo vírus da LEB, manifestando LP.
This study evaluated the phagocytosis of propidium iodide-labeled Staphylococcus aureus (PI-Sa) by circulating leukocytes obtained from five Enzootic Bovine Leukosis (EBL)-negative cows, five naturally EBL-infected, non-lymphocytotic cows, and five EBL-positive cows with persistent lymphocytosis (PL), analyzed by flow cytometry. Among cells obtained from EBL-infected cows, presenting PL, the percentage of leukocytes carrying out phagocytosis (7.20%), was smaller (p=0.047) than that verified among cells obtained from non-infected (12.90%), and from BLV-infected, non-lymphocytotic cows (14.70%). Furthermore, leukocytes obtained from EBL-infected cows, presenting PL, showed smaller phagocytosis intensity (characterized by the intensity of propidium iodide fluorescence) than leukocytes obtained from non-infected and from EBL-infected, non-lymphocytotic, cows (p<0.001). Therefore, results show a decreased phagocytic function among circulating leukocytes obtained from BLV-infected, lymphocytotic cows.
Subject(s)
Animals , Cattle , Flow Cytometry/methods , Enzootic Bovine Leukosis/diagnosis , Phagocytosis , Staphylococcus aureus/isolation & purification , Leukocyte Disorders/metabolismABSTRACT
Lymphocytic hypophysitis commonly occurs in females in peripartum period but several unusual presentations have been reported. Here we report a rare case of recurrent lymphocytic hypophysitis in a woman who had subtotal adrenalectomy for hypercortisolism 27 years back. Polyglandular autoimmune endocrinopathy with an uncommon combination of Cushing's syndrome and recurrent hypophysitis is a strong possibility in this case. Treatment with steroids has been found to have beneficial effect.
Subject(s)
Adrenalectomy , Cushing Syndrome/complications , Female , Humans , Inflammation/diagnosis , Leukocyte Disorders/diagnosis , Middle Aged , Pituitary Diseases/diagnosis , RecurrenceSubject(s)
Humans , Female , Syndrome , Vacuoles , Lipids , Leukocyte Disorders , Nephrotic SyndromeABSTRACT
Administration of G-CSF may not always respond in rise of neutrophil counts in different patient population. In order to understand a possible inter-relationship between the G-CSF and GM-CSF induced leukocyte responses and expression levels of receptors for G-CSF (G-CSFr) and GM-CSF (GM-CSFr), the levels of each receptor and CSF were measured in patients with basophilia (8), eosinophilia (14) and bacterial infection showing neutrophilia (12) in comparison with normal healthy adults (12) and children (14). G-CSFr was expressed in neutrophils in the largest amount followed by monocytes, but GM-CSFr was expressed more in monocytes than neutrophils. Lymphocytes and basophils did not express G-CSFr or GM-CSFr. The amount of GM-CSFr in neutrophils was present less in patients with infection than normal control (P = 0.031). The neutrophils expressed more G-CSFr than GM-CSFr. The quantity of G-CSFr in eosinophil showed marked interval change, higher in acute stage. The plasma concentrations of G-CSF in patients with infection were much higher than normal adults or children (117.95 +/- 181.16 pg/ml, P < 0.05). Binding assay with excess amount of CSFs could discriminate the patient who did not show any response to G-CSF or GM-CSF administration. After incubation with excess CSFs, more receptors were blocked in children than in adults (G-CSF P = 0.024, GM-CSF P = 0.006). These results indicate that the amount of CSFr in leukocyte varies in different types of leukocyte, and changes according to the patients' condition even in the same type of leukocyte, and the CSFrs of children bind to CSFs more than those of adults.
Subject(s)
Adult , Child , Humans , Bacterial Infections , Basophils/chemistry , Breast Neoplasms , Colony-Stimulating Factors/blood , Eosinophilia , Leukemia, Myelogenous, Chronic, BCR-ABL Positive , Leukocyte Disorders , Monocytes/chemistry , Neoplasms , Neutrophils/chemistry , Receptors, Colony-Stimulating Factor/analysis , Receptors, Granulocyte Colony-Stimulating Factor/analysis , Receptors, Granulocyte-Macrophage Colony-Stimulating Factor/analysisABSTRACT
Presenta un estudio sobre las alteraciones hematológicas detectadas en los procesos infecciosos que pueden ser causa o efecto de los mismos y se hallan relacionadas a disfunciones de los leucocitos. Explica el desarrollo de las patologías, la estructura de los virus y la acción-reacción de los leucitos ante determinados estímulos...
Subject(s)
Bacterial Infections , Chronic Disease , DNA Virus Infections , Eosinophils/physiology , Eosinophils/pathology , Hemic and Lymphatic Diseases , Leukocyte Disorders , Neutrophils/physiology , Neutrophils/pathology , HematologyABSTRACT
La infección con el virus de la fiebre porcina clásica (FPC) provoca la disminución de todas las subpoblaciones de leucocitos circulantes y una inmunosupresión marcada en los cerdos que se enferman y mueren. Sin embargo, no se ha informado del efecto del virus sobre los leucocitos circulantes en cerdos que sobreviven a la infección. Con objeto de conocer este efecto se estudiaron 6 cerdos que, después de ser desafiados experimentalmente con el virus de la FPC, desarrollaron la enfermedad, pero posteriormente se recuperaron. Los parámetros evaluados en estos cerdos fueron los signos clínicos, la temperatura rectal, la biometría hemática y las subpoblaciones del linfocitos determinadas por rosetas de eritrocitos. Los resultados mostraron que hubo un incremento en la temperatura rectal desde el día siete haste el día doce posinoculación, asociada a anorexia, decaimiento y diarrea ligera. En los primeros siete días hubo una disminución marcada de la concentración de leucocitos totales, linfocitos, leucocitos polimorfonucleares segmentados y en banda, monocitos, linfocitos T totales (TE), T de alta afinidad (Taa). B con receptor fc (Bfc) y Null. Al mismo tiempo se observó un incremento de T autólogos (Taut), que son células inmaduras, y no hubo alteración de los linfocitos B con receptor de complemento (Bc). Sin embargo, a partir del séptimo día se incrementaron los valores de la mayoría de las células y disminuyeron los Taut. Estos resultados indican que la recuperación de los animales estuvo asociada al incremento de los leucocitos circulantes