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2.
Haematologica ; 98(5): 722-8, 2013 May.
Article in English | MEDLINE | ID: mdl-23300178

ABSTRACT

The risk profile and prognosis of patients with myelofibrosis is well described by the Dynamic International Prognostic Scoring System risk categorization. Allogeneic stem cell transplantation is considered for intermediate-2/high risk disease. However, indicators of prognosis after transplantation are still lacking. Seventy simultaneously collected pairs of trephine and blood samples were quantified for JAK2 p.V617F allele burden to compare test sensitivity. The course of 30 patients with JAK2 p.V617F-positive myeloproliferative neoplasia was correlated with allele burden after transplantation. Monitoring can be performed on full blood samples as well as trephine biopsies, provided that techniques with ample sensitivity (0.01% to 0.001%) are available. Measurement of allele burden on day 28 after transplantation discriminates two prognostic groups: patients with a JAK2 p.V617F allele burden >1% have a significantly higher risk of relapse of JAK2 p.V617F positive neoplasia (P=0.04) and a poorer overall survival (P<0.01). In conclusion, measurement of JAK2 p.V617F allele burden early after transplantation is an important predictive parameter in monitoring patients following this treatment. As this might provide an important tool in early management of imminent early relapse it will be important to define consensus guidelines for optimal monitoring.


Subject(s)
Alleles , Janus Kinase 2/genetics , Mutation , Myeloproliferative Disorders/genetics , Aged , Female , Hematopoietic Stem Cell Transplantation , Humans , Male , Middle Aged , Myeloproliferative Disorders/mortality , Myeloproliferative Disorders/therapy , Prognosis , Recurrence , Transplantation, Homologous , Treatment Outcome
3.
J Am Chem Soc ; 133(5): 1257-9, 2011 Feb 09.
Article in English | MEDLINE | ID: mdl-21214176

ABSTRACT

The use of the superbulky cyclooctatetraenide dianion ligand [C(8)H(6)(SiPh(3))(2)](2-) (= COT(BIG)) in organo-f-element chemistry leads to unprecedented effects such as the formation of a significantly bent anionic Ce(III) sandwich complex, a novel cerocene formed by sterically induced SiPh(3) group migration, as well as the first example of a bent uranocene.

4.
Acta Crystallogr Sect E Struct Rep Online ; 66(Pt 12): m1675-6, 2010 Nov 27.
Article in English | MEDLINE | ID: mdl-21589333

ABSTRACT

The title compound, [Sm(C(25)H(35)N(2))(C(14)H(24)Si(2))(C(4)H(8)O)]·C(7)H(8), was prepared by treatment of anhydrous samarium trichloride with a 1:1 mixture of in situ-prepared Li(DippForm) [DippFormH = N,N'-bis-(2,6-diisopropyl-phen-yl)methanimidamide] and Li(2)(COT'') [COT'' = 1,4-bis-(trimethyl-sil-yl)cyclo-octa-tetra-enyl] in tetra-hydro-furan (THF). Despite the presence of two very bulky ligands (COT'' and DippForm), the mol-ecule still contains one coordinated THF ligand. The overall coordination geometry around the Sm(III) atom resembles a three-legged piano-stool with the COT'' ligand being η(8)-coordinated and the DippForm(-) anion acting as an N,N'-chelating ligand [Sm-N = 2.5555 (15) and 2.4699 (15) Å]. The asymmetric unit also contains a disordered mol-ecule of toluene, the refined ratio of the two components being 0.80 (4):0.20 (4).

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