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1.
Int J Mol Sci ; 24(13)2023 Jun 27.
Article in English | MEDLINE | ID: mdl-37445905

ABSTRACT

F-type ATP synthases play a key role in oxidative and photophosphorylation processes generating adenosine triphosphate (ATP) for most biochemical reactions in living organisms. In contrast to the mitochondrial FOF1-ATP synthases, those of chloroplasts are known to be mostly monomers with approx. 15% fraction of oligomers interacting presumably non-specifically in a thylakoid membrane. To shed light on the nature of this difference we studied interactions of the chloroplast ATP synthases using small-angle X-ray scattering (SAXS) method. Here, we report evidence of I-shaped dimerization of solubilized FOF1-ATP synthases from spinach chloroplasts at different ionic strengths. The structural data were obtained by SAXS and demonstrated dimerization in response to ionic strength. The best model describing SAXS data was two ATP-synthases connected through F1/F1' parts, presumably via their δ-subunits, forming "I" shape dimers. Such I-shaped dimers might possibly connect the neighboring lamellae in thylakoid stacks assuming that the FOF1 monomers comprising such dimers are embedded in parallel opposing stacked thylakoid membrane areas. If this type of dimerization exists in nature, it might be one of the pathways of inhibition of chloroplast FOF1-ATP synthase for preventing ATP hydrolysis in the dark, when ionic strength in plant chloroplasts is rising. Together with a redox switch inserted into a γ-subunit of chloroplast FOF1 and lateral oligomerization, an I-shaped dimerization might comprise a subtle regulatory process of ATP synthesis and stabilize the structure of thylakoid stacks in chloroplasts.


Subject(s)
Adenosine Triphosphate , Proton-Translocating ATPases , Proton-Translocating ATPases/metabolism , Adenosine Triphosphate/metabolism , Scattering, Small Angle , X-Ray Diffraction , Chloroplasts/metabolism , Nitric Oxide Synthase/metabolism , Polymers/metabolism
2.
Membranes (Basel) ; 13(6)2023 May 23.
Article in English | MEDLINE | ID: mdl-37367748

ABSTRACT

Membrane gas-liquid contactors have great potential to meet the challenges of amine CO2 capture. In this case, the most effective approach is the use of composite membranes. However, to obtain these, it is necessary to take into account the chemical and morphological resistance of membrane supports to long-term exposure to amine absorbents and their oxidative degradation products. In this work, we studied the chemical and morphological stability of a number of commercial porous polymeric membranes exposed to various types of alkanolamines with the addition of heat-stable salt anions as a model of real industrial CO2 amine solvents. The results of the physicochemical analysis of the chemical and morphological stability of porous polymer membranes after exposure to alkanolamines, their oxidative degradation products, and oxygen scavengers were presented. According to the results of studies by FTIR spectroscopy and AFM, a significant destruction of porous membranes based on polypropylene (PP), polyvinylidenefluoride (PVDF), polyethersulfone (PES) and polyamide (nylon, PA) was revealed. At the same time, the polytetrafluoroethylene (PTFE) membranes had relatively high stability. On the basis of these results, composite membranes with porous supports that are stable in amine solvents can be successfully obtained to create liquid-liquid and gas-liquid membrane contactors for membrane deoxygenation.

3.
Membranes (Basel) ; 13(5)2023 May 01.
Article in English | MEDLINE | ID: mdl-37233552

ABSTRACT

The thermal-oxidative degradation of aqueous solutions of carbonized monoethanolamine (MEA, 30% wt., 0.25 mol MEA/mol CO2) was studied for 336 h at 120 °C. Based on the change in the color of the solution and the formation of a precipitate, the occurrence of thermal-oxidative degradation of the MEA solution with the formation of destruction products, including insoluble ones, was confirmed. The electrokinetic activity of the resulting degradation products, including insoluble ones, was studied during the electrodialysis purification of an aged MEA solution. To understand the influence of degradation products on the ion-exchange membrane properties, a package of samples of MK-40 and MA-41 ion-exchange membranes was exposed to a degraded MEA solution for 6 months. A comparison of the efficiency of the electrodialysis treatment of a model absorption solution of MEA before and after long-time contact with degraded MEA showed that the depth of desalination was reduced by 34%, while the magnitude of the current in the ED apparatus was reduced by 25%. For the first time, the regeneration of ion-exchange membranes from MEA degradation products was carried out, which made it possible to restore the depth of desalting in the ED process by 90%.

4.
Polymers (Basel) ; 15(3)2023 Jan 31.
Article in English | MEDLINE | ID: mdl-36772023

ABSTRACT

Membrane development for specific separation tasks is a current and important topic. In this work, the influence of OH-groups introduced in polydecylmethylsiloxane (PDecMS) was shown on the separation of CO2 from air and aldehydes from hydroformylation reaction media. OH-groups were introduced to PDecMS during hydrosilylation reaction by adding 1-decene with undecenol-1 to polymethylhydrosiloxane, and further cross-linking. Flat sheet composite membranes were developed based on these polymers. For obtained membranes, transport and separation properties were studied for individual gases (CO2, N2, O2) and liquids (1-hexene, 1-heptene, 1-octene, 1-nonene, heptanal and decanal). Sorption measurements were carried out for an explanation of difference in transport properties. The general trend was a decrease in membrane permeability with the introduction of OH groups. The presence of OH groups in the siloxane led to a significant increase in the selectivity of permeability with respect to acidic components. For example, on comparing PDecMS and OH-PDecMS (~7% OH-groups to decyl), it was shown that selectivity heptanal/1-hexene increased eight times.

5.
Molecules ; 28(1)2023 Jan 03.
Article in English | MEDLINE | ID: mdl-36615597

ABSTRACT

In this work, we studied aqueous solutions of monoethanolamine (MEA), which are widely used to remove CO2 from flue and oil gases. This study combined experimental and theoretical methods of vibrational spectroscopy, using high-temperature infrared spectroscopy, quantum-chemical calculations of theoretical vibrational spectra, and structural electronic and energy characteristics of model structures. MEA has a propensity to form associations between various compositions and structures with water molecules, as well as those composed solely of water molecules. The structural and energy characteristics of such associates were analyzed in terms of their ability to interact and retain carbon dioxide. The influence of elevated temperatures and concentration of aqueous MEA solution on change in the structure of associates has also been investigated. An analysis of theoretical and experimental vibrational spectra allowed us to examine the IR spectra of MEA solutions, and identify the bands responsible for the formation of associates that would sorb CO2 well, but would delay its desorption from the solution.

6.
Int J Biol Macromol ; 224: 319-343, 2023 Jan 01.
Article in English | MEDLINE | ID: mdl-36280176

ABSTRACT

Ferritin is a vital protein complex responsible for storing iron in almost all living organisms. It plays a crucial role in various metabolic pathways, inflammation processes, stress response, and pathogenesis of cancer and neurodegenerative diseases. In this review we discuss the role of ferritin in diseases, cellular iron regulation, its structural features, and its role in biotechnology. We also show that molecular mechanisms of ferritin self-assembly are key for a number of biotechnological and pharmaceutical applications. The assembly pathways strongly depend on the interface context of ferritin monomers and the stability of its different intermediate oligomers. To date, several schemes of self-assembly kinetics have been proposed. Here, we compare different self-assembly mechanisms and discuss the possibility of self-assembly control by switching between deadlock intermediate states.


Subject(s)
Ferritins , Iron , Ferritins/chemistry , Iron/chemistry
7.
ACS Appl Mater Interfaces ; 14(16): 18866-18876, 2022 Apr 27.
Article in English | MEDLINE | ID: mdl-35418224

ABSTRACT

Stretchable and flexible electronics has attracted broad attention over the last years. Nanocomposites based on elastomers and carbon nanotubes are a promising material for soft electronic applications. Despite the fact that single-walled carbon nanotube (SWCNT) based nanocomposites often demonstrate superior properties, the vast majority of the studies were devoted to those based on multiwalled carbon nanotubes (MWCNTs) mainly because of their higher availability and easier processing procedures. Moreover, high weight concentrations of MWCNTs are often required for high performance of the nanocomposites in electronic applications. Inspired by the recent drop in the SWCNT price, we have focused on fabrication of elastic nanocomposites with very low concentrations of SWCNTs to reduce the cost of nanocomposites further. In this work, we use a fast method of coagulation (antisolvent) precipitation to fabricate elastic composites based on thermoplastic polyurethane (TPU) and SWCNTs with a homogeneous distribution of SWCNTs in bulk TPU. Applicability of the approach is confirmed by extra low percolation threshold of 0.006 wt % and, as a consequence, by the state-of-the-art performance of fabricated elastic nanocomposites at very low SWCNT concentrations for strain sensing (gauge factor of 82 at 0.05 wt %) and EMI shielding (efficiency of 30 dB mm-1 at 0.01 wt %).

8.
Cell Mol Life Sci ; 79(3): 179, 2022 Mar 06.
Article in English | MEDLINE | ID: mdl-35253091

ABSTRACT

ATP synthases are unique rotatory molecular machines that supply biochemical reactions with adenosine triphosphate (ATP)-the universal "currency", which cells use for synthesis of vital molecules and sustaining life. ATP synthases of F-type (FOF1) are found embedded in bacterial cellular membrane, in thylakoid membranes of chloroplasts, and in mitochondrial inner membranes in eukaryotes. The main functions of ATP synthases are control of the ATP synthesis and transmembrane potential. Although the key subunits of the enzyme remain highly conserved, subunit composition and structural organization of ATP synthases and their assemblies are significantly different. In addition, there are hypotheses that the enzyme might be involved in the formation of the mitochondrial permeability transition pore and play a role in regulation of the cell death processes. Dysfunctions of this enzyme lead to numerous severe disorders with high fatality levels. In our review, we focus on FOF1-structure-based approach towards development of new therapies by using FOF1 structural features inherited by the representatives of this enzyme family from different taxonomy groups. We analyzed and systematized the most relevant information about the structural organization of FOF1 to discuss how this approach might help in the development of new therapies targeting ATP synthases and design tools for cellular bioenergetics control.


Subject(s)
Drug Design , Proton-Translocating ATPases/metabolism , Adenosine Triphosphate/metabolism , Bacteria/metabolism , Bacterial Proteins/antagonists & inhibitors , Bacterial Proteins/classification , Bacterial Proteins/metabolism , Chloroplasts/metabolism , Eukaryota/metabolism , Phylogeny , Protein Subunits/metabolism , Proton-Translocating ATPases/antagonists & inhibitors , Proton-Translocating ATPases/classification , Small Molecule Libraries/chemistry , Small Molecule Libraries/metabolism
9.
Membranes (Basel) ; 13(1)2022 Dec 23.
Article in English | MEDLINE | ID: mdl-36676828

ABSTRACT

This work was focused on the mitigation of physical aging in thin-film composite (TFC) membranes (selective layer ~1 µm) based on polymer intrinsic microporosity (PTMSP) by the introduction of both soft, branched polyethyleneimine (PEI), and rigid, porous aromatic framework PAF-11, polymer additives. Self-standing mixed-matrix membranes of thicknesses in the range of 20-30 µm were also prepared with the same polymer and fillers. Based on 450 days of monitoring, it was observed that the neat PTMSP composite membrane underwent a severe decline of its gas transport properties, and the resultant CO2 permeance was 14% (5.2 m3 (STP)/(m2·h·bar)) from the initial value measured for the freshly cast sample (75 m3 (STP)/(m2·h·bar)). The introduction of branched polyethyleneimine followed by its cross-linking allowed to us to improve the TFC performance maintaining CO2 permeance at the level of 30% comparing with day zero. However, the best results were achieved by the combination of porous, rigid and soft, branched polymeric additives that enabled us to preserve the transport characteristics of TFC membrane as 43% (47 m3 (STP)/(m2·h·bar) after 450 days) from its initial values (110 m3 (STP)/(m2·h·bar)). Experimental data were fitted using the Kohlrausch-Williams-Watts function, and the limiting (equilibrium) values of the CO2 and N2 permeances of the TFC membranes were estimated. The limit value of CO2 permeance for neat PTMSP TFC membrane was found to be 5.2 m3 (STP)/(m2·h·bar), while the value of 34 m3(STP)/(m2·h·bar) or 12,600 GPU was achieved for TFC membrane containing 4 wt% cross-linked PEI, and 30 wt% PAF-11. Based on the N2 adsorption isotherms data, it was calculated that the reduction of the free volume was 1.5-3 times higher in neat PTMSP compared to the modified one. Bearing in mind the pronounced mitigation of physical aging by the introduction of both types of fillers, the developed high-performance membranes have great potential as support for the coating of an ultrathin, selective layer for gas separation.

10.
J Pharm Biomed Anal ; 195: 113843, 2021 Feb 20.
Article in English | MEDLINE | ID: mdl-33358620

ABSTRACT

A new approach to the quantitative analysis of parabens (PBs) in cosmetics, based on microextraction by packed sorbent (MEPS) followed by HPLC-UV detection is proposed. The development of optimal conditions for the sample preparation step was carried out in two stages. The potentially important factors that could influence the extraction were screened using the Plackett-Burman design approach, as a result of which, three statistically significant factors were selected from the nine studied. Thereafter, the selected variables were optimized by response surface methodology using a Central Composite Design. Under optimal conditions, the linear ranges for PBs analysis in cosmetic samples were 0.05-4 µg/mL with excellent precision. Limits of detection (LOD) of PBs in cosmetic samples were 2-5 ng/mL, and the extraction recovery ranged from 89 to 105 %. By comparing the chromatograms of the diluted shampoo sample before and after MEPS, the benefits of developed approach were shown. Then it was applied to the analysis of PBs in commercial hair cosmetic products: parabens were determined in all samples in which they were indicated on the package and in 1 of 12 samples labeled "paraben-free". Finally, the proposed method was compared with other analytical HPLC-UV methods with various sample pretreatment techniques for PBs analysis in cosmetics described in recent articles. Its sensitivity turned out to be one of the highest, while it is express, automated, meets the principles of green chemistry.


Subject(s)
Cosmetics , Parabens , Chromatography, High Pressure Liquid , Limit of Detection , Parabens/analysis , Solid Phase Microextraction
11.
Chemosphere ; 217: 95-99, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30414547

ABSTRACT

Unsymmetrical dimethylhydrazine (UDMH) is a rocket propellant for carrier rockets and missiles. UDMH is environmentally hostile compound, which easily forms a variety of toxic products of oxidative transformation. The liquidation of unused UDMH from retired launch sites is performed by the complete burning of UDMH-containing wastes. Due cyclicity of the burning equipment the UDMH-containing wastes are subject of prolonged storage in contact with atmospheric oxygen and thus contains a complicated mixture of UDMH degradation products. High performance liquid chromatography (HPLC), high resolution mass spectrometry (HRMS) and NMR were used for the isolation on characterization of new highly polar and potentially toxic UDMH transformation products in the mixture. Two series of unreported isomers with high ionization cross section in electrospray ionization were isolated by repeated preparative HPLC. The structures of the isomers were established by tandem HRMS and NMR. The cytotoxicity of the isolated compounds has been preliminarily studied and found to be similar to UDMH or higher.


Subject(s)
Dimethylhydrazines/chemistry , Triazoles/chemistry , Chromatography, High Pressure Liquid , Dimethylhydrazines/toxicity , Isomerism , Mass Spectrometry , Oxidation-Reduction , Oxygen/chemistry
12.
Curr Health Sci J ; 44(1): 55-60, 2018.
Article in English | MEDLINE | ID: mdl-30622756

ABSTRACT

Basal cell carcinomas (BCCs) represent one of the most common human neoplasias. The excellent prognosis of the diagnosed early lesions and the low metastasis rate are particularities that required the investigation of the mechanisms of carcinogenesis on these lesions. In this study we analyzed the proliferation rate for 53 cases of BCC in relation to the clinicopathological parameters of the lesions using Ki67, considered a true indicator of cellular proliferation. The results indicated statistically significant differences in Ki67 immunoexpression related to histological type and lesion stage. The highest Ki67 values were observed in the adenoid and morpheaform subtypes, and in advanced tumor stages. This aspects may be useful for stratification of lesions in terms of tumor aggressiveness.

13.
Curr Health Sci J ; 44(2): 166-171, 2018.
Article in English | MEDLINE | ID: mdl-30746165

ABSTRACT

Basal cell carcinomas (BCCs) are malignant tumors with particular biological prognosis and behavior, and the biomolecular investigation of these lesions can provide important therapeutic targets for epithelial neoplasia. In this study we analyzed the immunoexpression of transforming growth factor beta 3 (TGFß3) and its receptor type III (TGFßRIII) for 53 cases of BCC in relation to the main histopathological prognostic parameters. The results indicated statistically significant differences of TGFß3 and TGFßRIII expression related to histological type and lesion stage, the both proteins being higher expressed in adenoid and morpheaform advanced stage tumors. In this study, TGFß3 and TGFßRIII immunoexpression analysis indicated their utility for identifying aggressive BCCs with potential for tumor progression.

14.
Curr Health Sci J ; 44(4): 362-367, 2018.
Article in English | MEDLINE | ID: mdl-31123613

ABSTRACT

Iron deficiency anemia can result in an abnormal immune response and an increased incidence of the respiratory tract infections. In this study we analyzed statistically the association of acute lower respiratory tract infections with anemic status and associated risk factors for a number of 166 toddlers (1-3 years), using a control group of 26 cases without infectious status. The statistical analysis indicated the significant association of the infectious status with the anemic status of the patients as well as with the rural living areas, non-natural nutrition, prematurity and respiratory history. At the same time, we found a statistically significant association of anemic status with rural living areas and non-natural diet. The results obtained can be used to stratify patients for standardized treatment to regulate the iron metabolism and implicitly to combat the infectious disease.

15.
Curr Health Sci J ; 41(3): 219-226, 2015.
Article in English | MEDLINE | ID: mdl-30534426

ABSTRACT

PURPOSE: Epithelial mesenchymal transition consists in the acquisition of neoplastic epithelial cells of a mesenchymal phenotype the process being involved in cancers invasion and metastasis. In this study were analyzed the expression of N-cadherin, Twist and Vimentin in bladder urothelial carcinomas according to the main prognostic parameters. MATERIAL/METHODS: The study included 20 bladder urothelial carcinomas which were analyzed histopathological, immunohistochemical and statistical. RESULTS: N-cadherin was identified in 45% of cases, which belonged to high-grade carcinomas with deep invasion and lymph node metastases. Twist immunoreaction was identified in all cases and was significantly increased in advanced stages carcinomas. Vimentin was present only in the advancing edge in 25% of cases, which belonged to highly invasive carcinomas. Urothelial carcinoma metastases were N-cadherin and Twist and Vimentin negative. We found a linear positive distribution of N-cadherin and Twist values. CONCLUSION: the used markers are useful for identifying aggressive urothelial carcinomas in the context of reciprocal stimulation mechanisms inside of urothelial epithelial-mesenchymal transition process.

16.
Bone Marrow Transplant ; 30(5): 279-85, 2002 Sep.
Article in English | MEDLINE | ID: mdl-12209349

ABSTRACT

AL amyloidosis is a plasma cell disorder in which tissue deposition of immunoglobulin light chains leads to organ dysfunction. Recent reports of high-dose therapy with autologous stem cell transplantation for amyloidosis suggest higher response rates and extended survival compared to those seen with conventional chemotherapy. However, substantial treatment-related toxicity has been observed. This case series describes our institutional experience with autologous transplantation in four patients with amyloidosis with an emphasis on unique gastrointestinal toxicities, including toxic megacolon.


Subject(s)
Amyloidosis/complications , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Hematopoietic Stem Cell Transplantation/adverse effects , Megacolon, Toxic/etiology , Amyloidosis/pathology , Amyloidosis/therapy , Humans , Immunoglobulin Light Chains , Male , Megacolon, Toxic/pathology , Middle Aged , Multiple Myeloma/complications , Transplantation Conditioning/adverse effects , Transplantation, Autologous/adverse effects , Treatment Outcome
17.
Biol Blood Marrow Transplant ; 4(1): 27-37, 1998.
Article in English | MEDLINE | ID: mdl-9701389

ABSTRACT

Extracorporeal photochemotherapy (EP) is a therapeutic approach to the treatment of drug-resistant graft-vs.-host disease (GVHD) that uses the known immunosuppressive and immunomodulatory effects of ultraviolet light. In 1990, we initiated a pilot study to evaluate the efficacy and safety of EP in patients with refractory GVHD. Between 1991 and 1996, six patients with acute grade IV liver GVHD, 12 patients with chronic following acute GVHD, and six patients with de novo chronic GVHD were treated with EP. All patients had failed to respond to conventional GVHD immunosuppressive drug therapy of cyclosporine and prednisone. The six patients with acute liver GVHD had also received antithymocyte globulin (ATG); therapy for chronic GVHD included thalidomide in eight patients, psoralen plus ultraviolet A in five patients, and ATG in two patients. All patients with acute liver GVHD had progressive liver failure with short survival despite frequent EP. The response rate with EP treatment was 3 of 6 for patients with de novo chronic GVHD and 3 of 12 for patients with chronic following acute GVHD. Three patients with bronchiolitis obliterans had either no response or no documented disease progression while undergoing EP. Side effects of EP were minor and included gastrointestinal upset frequently, catheter-related sepsis in four patients, increased red blood cell and platelet transfusion requirements in one patient, and leukopenia in two patients. EP was discontinued in three patients because of side effects, including GI upset in one patient and bone marrow suppression in two patients. Side effects were reversible with the discontinuation of EP. We were unable to correlate response to EP with the level of methoxypsoralen, number of lymphocytes treated, or pattern of pre- and posttreatment CD4/CD8 ratio. We concluded that EP has some efficacy in the treatment of drug-resistant chronic GVHD, with minor overall toxicity.


Subject(s)
Bone Marrow Transplantation/adverse effects , Graft vs Host Disease/therapy , PUVA Therapy , Adolescent , Adult , Child , Drug Resistance , Female , Ficusin/therapeutic use , Graft vs Host Disease/etiology , Humans , Immunosuppressive Agents/pharmacology , Immunosuppressive Agents/therapeutic use , Male , Middle Aged , Photosensitizing Agents/therapeutic use , Transplantation, Homologous , Treatment Outcome
18.
Medicine (Baltimore) ; 75(5): 279-85, 1996 Sep.
Article in English | MEDLINE | ID: mdl-8862349

ABSTRACT

A syndrome indistinguishable from idiopathic polymyositis occurred in 11 patients as a manifestation of chronic GVHD. All patients had elevation of creatine phosphokinase (CPK). Immunohistology demonstrated the effector cells in the muscle infiltrates as cytotoxic T cells, a finding similar to idiopathic polymyositis. Polymyositis is a rarely reported complication of chronic graft-versus-host disease (GVHD) with only 8 cases described in the literature. We encountered this syndrome in a small but significant percentage of our patients with chronic GVHD. Polymyositis associated with chronic GVHD does not affect the overall prognosis for the patient. Moreover, polymyositis can be the only manifestation of chronic GVHD. Awareness of this complication is important because it can be confused with other causes of muscle weakness after bone marrow transplantation. Finally, prompt initiation of corticosteroid therapy results in a rapid improvement of the associated symptoms.


Subject(s)
Bone Marrow Transplantation/adverse effects , Graft vs Host Disease/diagnosis , Polymyositis/diagnosis , Adolescent , Adult , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/therapeutic use , Antibodies, Monoclonal , Child , Child, Preschool , Chronic Disease , Diagnosis, Differential , Female , Graft vs Host Disease/drug therapy , Graft vs Host Disease/etiology , Humans , Infant , Male , Middle Aged , Prednisone/administration & dosage , Prednisone/therapeutic use , Retrospective Studies
19.
J Clin Oncol ; 14(8): 2206-16, 1996 Aug.
Article in English | MEDLINE | ID: mdl-8708709

ABSTRACT

PURPOSE: To evaluate in a prospective study the efficacy of autologous bone marrow transplantation (BMT) in adult patients with acute myelogenous leukemia (AML) in first remission, using a single course of high-dose Cytarabine (HD Ara-C) consolidation therapy as in vivo purging. PATIENTS AND METHODS: Sixty consecutive adult patients with AML in first complete remission (CR) were treated with HD Ara-C consolidation therapy as a method of in vivo purging before marrow collection. High-dose therapy consisted of fractionated total-body irradiation (FTBI) 12 Gy, intravenous etoposide 60 mg/kg, and cyclophosphamide 75 mg/kg, followed by reinfusion of cryopreserved marrow. RESULTS: Sixty patients underwent consolidation treatment with HD Ara-C with the intent to treat with autologous BMT. Sixteen patients were unable to proceed to autologous BMT (10 patients relapsed, one died of sepsis, one developed cerebellar toxicity, two had inadequate blood counts, and two refused). Forty-four patients underwent autologous BMT and have a median follow-up time of 37 months (range, 14.7 to 68.7) for patients who are alive with no relapse. The cumulative probability of disease-free survival (DFS) at 24 months in the intent-to-treat group is 49% (95% confidence interval [CI], 37% to 62%) and in those who actually underwent autologous BMT is 61% (95% CI, 46% to 74%). The probability of relapse was 44% (95% CI, 31% to 58%) and 33% (95% CI, 20% to 49%) for the intent-to-treat and autologous BMT patients, respectively. CONCLUSION: This approach offers a relatively high DFS rate to adult patients with AML in first CR. The results of this study are similar to those achieved with allogeneic BMT.


Subject(s)
Antimetabolites, Antineoplastic/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Marrow Purging , Bone Marrow Transplantation , Cytarabine/administration & dosage , Leukemia, Myeloid, Acute/therapy , Whole-Body Irradiation , Adolescent , Adult , Antimetabolites, Antineoplastic/therapeutic use , Bone Marrow Purging/methods , Combined Modality Therapy , Cyclophosphamide/administration & dosage , Cytarabine/therapeutic use , Disease-Free Survival , Etoposide/administration & dosage , Female , Humans , Leukemia, Myeloid, Acute/drug therapy , Leukemia, Myeloid, Acute/radiotherapy , Male , Middle Aged , Prospective Studies , Recurrence , Regression Analysis , Remission Induction , Transplantation, Autologous
20.
Blood ; 86(9): 3604-9, 1995 Nov 01.
Article in English | MEDLINE | ID: mdl-7579470

ABSTRACT

Thalidomide has been reported to be an effective agent for treatment of chronic graft-versus-host disease (CGVHD). To determine the efficacy of this agent in patients with refractory CGVHD a total of 80 patients who failed to respond to prednisone (PSE) or PSE and cyclosporine (CSA) were treated with thalidomide. Sixteen patients (20%) had a sustained response, 9 with a complete remission and 7 with a partial response. Twenty-nine patients (36%) had thalidomide discontinued because of side effects, which included sedation, constipation, neuritis, skin rash, and neutropenia. Side effects were reversible with drug discontinuation except for mild residual neuritis in one case. Rashes and neutropenia have not previously been reported as thalidomide side effects when used for CGVHD treatment. We conclude thalidomide is immunosuppressive and active in the treatment of CGVHD. A high incidence of reversible side effects limited dose intensity and reduced the number of patients who could benefit from treatment.


Subject(s)
Bone Marrow Transplantation/adverse effects , Drug Eruptions/etiology , Graft vs Host Disease/drug therapy , Immunosuppressive Agents/therapeutic use , Neutropenia/chemically induced , Salvage Therapy , Thalidomide/therapeutic use , Adolescent , Adult , Bone Marrow Transplantation/mortality , Child , Chronic Disease , Constipation/chemically induced , Cyclosporine/therapeutic use , Female , Graft vs Host Disease/mortality , Hematologic Diseases/therapy , Humans , Infections/mortality , Leukemia/therapy , Male , Middle Aged , Neuritis/chemically induced , Prednisone/therapeutic use , Remission Induction , Survival Rate , Thalidomide/adverse effects , Treatment Outcome
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