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1.
Sensors (Basel) ; 21(4)2021 Feb 10.
Article in English | MEDLINE | ID: mdl-33578700

ABSTRACT

In complex scenes, it is a huge challenge to accurately detect motion-blurred, tiny, and dense objects in the thermal infrared images. To solve this problem, robust thermal infrared vehicle and pedestrian detection method is proposed in this paper. An important weight parameter ß is first proposed to reconstruct the loss function of the feature selective anchor-free (FSAF) module in its online feature selection process, and the FSAF module is optimized to enhance the detection performance of motion-blurred objects. The proposal of parameter ß provides an effective solution to the challenge of motion-blurred object detection. Then, the optimized anchor-free branches of the FSAF module are plugged into the YOLOv3 single-shot detector and work jointly with the anchor-based branches of the YOLOv3 detector in both training and inference, which efficiently improves the detection precision of the detector for tiny and dense objects. Experimental results show that the method proposed is superior to other typical thermal infrared vehicle and pedestrian detection algorithms due to 72.2% mean average precision (mAP).

2.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-827197

ABSTRACT

OBJECTIVE@#To analyze the clinical and pathological characteristics of primary gastrointestinal non-Hodgkin's lymphoma (PGI-NHL) patients, and to explore the factors affecting the patients' survival and prognosis.@*METHODS@#The clinical data of 219 patients with PGI-NHL diagnosed in our hospital from March 2009 to April 2016 was collected and retrospectively analyzed. Survival analysis was performed by using the Kaplan-Meier method. Log-rank test was used for comparison among the groups, and Cox regression was used for multivariate analysis.@*RESULTS@#Among the 219 patients with PGI-NHL, 126 patients were males and 93 patients were females. 182 patients were IPI 0 to 2 and 37 patients were IPI 3 to 5. There were 205 cases (93.6%) of B cell phenotype and 14 cases (6.4%) of T cell phenotype. 140 patients (63.9%) were patients with primary gastric NHL, including 85 DLBCL and 19 MALT. 79 cases (36.1%) were patients with primary intestinal NHL, including 46 DLBCL, 4 MALT, 7 FL, 3 MCL and 4 Burkitt lymphoma. 23 cases were HP positive and received anti-HP therapy. 57 cases and 32 cases received surgery and chemotherapy respectively. 84 cases received combination treatment of surgery and chemotherapy and 11 cases received combination treatment of radiotherapy and chemotherapy. Overall survival (OS) of indolent B-cell non-Hodgkin's lymphoma was longer than that of invasive B-cell non-Hodgkin's lymphoma, which shows better prognose. Kaplan-Meier analysis showed that there was no difference between progression-free survival (PFS) and OS in the patients with different origin sites, age and sex. There was no significant difference in PFS between B-cell and T-cell-derived patients, whereas OS of B-cell-derived PGI-NHL patients was longer than that of T-cell-derived PGI-NHL patients. The OS and PFS of patients with IPI 0-2 were longer than those of patients with IPI 3-5. According to Lugano and Ann Arbor staging systems, there was no difference in prognosis of patients between phase I/II and III/IV. The prognosis of patients treated with surgery alone was worse than that of patients treated with combination therapy, and the prognosis of patients with surgery combined with chemotherapy was not significantly different from that of patients with chemotherapy alone.@*CONCLUSION@#B-cell phenotype, indolent and low IPI score lymphoma indicate better prognosis, while that of different origin site, sex and age shows no different in prognosis. Surgery is used only for emergency case or pathological materials, and these patients should be treated with chemotherapy-based combined treatment.


Subject(s)
Female , Humans , Male , Antineoplastic Combined Chemotherapy Protocols , Disease-Free Survival , Gastrointestinal Neoplasms , Lymphoma, Non-Hodgkin , Neoplasm Staging , Prognosis , Retrospective Studies , Survival Analysis
3.
Journal of Experimental Hematology ; (6): 1831-1836, 2020.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-879979

ABSTRACT

OBJECTIVE@#To investigate the consistency between FCM and PCR on the detecting of MRD in TCF3-PBX1@*METHODS@#55 cases of paediatric TCF3-PBX1@*RESULTS@#Among the 55 children with TCF3-PBX1@*CONCLUSION@#The detection result of MRD in TCF3-PBX1 detect by FCM and PCR shows better consistency. MRD positivity detected by FCM at the end of induction therapy (day 33) predicts a high risk of relapse in TCF3-PBX1 ALL patients.


Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Bone Marrow , Neoplasm, Residual , Oncogene Proteins, Fusion/genetics , Precursor Cell Lymphoblastic Leukemia-Lymphoma , Prognosis , Recurrence
4.
Sensors (Basel) ; 18(11)2018 Oct 30.
Article in English | MEDLINE | ID: mdl-30380759

ABSTRACT

As a special type of coherent collocated Multiple-Input Multiple-Output (MIMO) radar, a circulating space-time coding array (CSTCA) transmits an identical waveform with a tiny time shift. It provides a simple way to achieve a full angular coverage with a stable gain and a low sidelobe level (SLL) in the range domain. In this paper, we address the problem of direction-of-arrival (DOA) estimation in CSTCA. Firstly, we design a novel two-dimensional space-time matched filter on receiver. It jointly performs equivalent transmit beamforming in the angle domain and waveform matching in the fast time domain. Multi-beams can be formed to acquire controllable transmit freedoms. Then, we propose a beamspace multiple signal classification (MUSIC) algorithm applicable in case of small training samples. Next, since targets at the same range cell show characteristics of coherence, we devise a transformation matrix to restore the rotational invariance property (RIP) of the receive array. Afterwards, we perform spatial smoothing in element domain based on the transformation. In addition, the closed-form expression of Cramer-Rao lower bound (CRLB) for angle estimation is derived. Theoretical performance analysis and numerical simulations are presented to demonstrate the effectiveness of proposed approaches.

5.
Sensors (Basel) ; 18(9)2018 Aug 26.
Article in English | MEDLINE | ID: mdl-30149683

ABSTRACT

The inverse synthetic aperture radar (ISAR) imaging for targets with complex motions has always been a challenging task due to the time-varying Doppler parameter, especially at the low signal-to-noise ratio (SNR) condition. In this paper, an efficient ISAR imaging algorithm for maneuvering targets based on a noise-resistance bilinear coherent integration is developed without the parameter estimation. First, the received signals of the ISAR in a range bin are modelled as a multicomponent quadratic frequency-modulated (QFM) signal after the translational motion compensation. Second, a novel quasi-time-frequency representation noise-resistance bilinear Radon-cubic phase function (CPF)-Fourier transform (RCFT) is proposed, which is based on the coherent integration of the energy of auto-terms along the slope line trajectory. In doing so, the RCFT also effectively suppresses the cross-terms and spurious peaks interference at no expense of the time-frequency resolution loss. Third, the cross-range positions of target's scatters in ISAR image are obtained via a simple maximization projection from the RCFT result to the Doppler centroid axis, and the final high-resolution ISAR image is thus produced by regrouping all the range-Doppler frequency centroids. Compared with the existing time-frequency analysis-based and parameter estimation-based ISAR imaging algorithms, the proposed method presents the following features: (1) Better cross-term interference suppression at no time-frequency resolution loss; (2) computationally efficient without estimating the parameters of each scatters; (3) higher signal processing gain because of 2-D coherent integration realization and its bilinear function feature. The simulation results are provided to demonstrate the performance of the proposed method.

6.
Article in English | WPRIM (Western Pacific) | ID: wpr-772992

ABSTRACT

As a dioxygenase, Ten-Eleven Translocation 2 (TET2) catalyzes subsequent steps of 5-methylcytosine (5mC) oxidation. TET2 plays a critical role in the self-renewal, proliferation, and differentiation of hematopoietic stem cells, but its impact on mature hematopoietic cells is not well-characterized. Here we show that Tet2 plays an essential role in osteoclastogenesis. Deletion of Tet2 impairs the differentiation of osteoclast precursor cells (macrophages) and their maturation into bone-resorbing osteoclasts in vitro. Furthermore, Tet2 mice exhibit mild osteopetrosis, accompanied by decreased number of osteoclasts in vivo. Tet2 loss in macrophages results in the altered expression of a set of genes implicated in osteoclast differentiation, such as Cebpa, Mafb, and Nfkbiz. Tet2 deletion also leads to a genome-wide alteration in the level of 5-hydroxymethylcytosine (5hmC) and altered expression of a specific subset of macrophage genes associated with osteoclast differentiation. Furthermore, Tet2 interacts with Runx1 and negatively modulates its transcriptional activity. Our studies demonstrate a novel molecular mechanism controlling osteoclast differentiation and function by Tet2, that is, through interactions with Runx1 and the maintenance of genomic 5hmC. Targeting Tet2 and its pathway could be a potential therapeutic strategy for the prevention and treatment of abnormal bone mass caused by the deregulation of osteoclast activities.


Subject(s)
Animals , Mice , 5-Methylcytosine , Chemistry , Metabolism , Cell Differentiation , Cells, Cultured , Core Binding Factor Alpha 2 Subunit , Genetics , Metabolism , DNA-Binding Proteins , Physiology , Genome , Genomics , Mice, Knockout , Osteoclasts , Cell Biology , Metabolism , Proto-Oncogene Proteins , Physiology
7.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-512566

ABSTRACT

A 54-year-old man diagnosed with chronic lymphocytic leukemia (CLL) was admitted in our department in June 2014. After one cycle of FC chemotherapy, a bone marrow examination revealed normalized lymphocyte count and another acute myeloid leuke-mia (AML)-M5 clone. The patient refused sequential treatment and only received follow-up examination. He had continuous hemato-logically stable disease and died of pulmonary infection on July 2015. After a multidisciplinary team discussion, we confirmed the si-multaneous diagnosis of CLL and AML-M5. Through this discussion,tumor second hit model,tumor evolution model,andtumor heterogeneitywere further defined.

8.
Front Biosci (Landmark Ed) ; 21(6): 1194-210, 2016 06 01.
Article in English | MEDLINE | ID: mdl-27100500

ABSTRACT

Heart failure (HF) is one of the main causes for cardiovascular morbidity and mortality. This study was designed to examine the effect of PDE-5 inhibition on cardiac geometry, function and apoptosis in post-infarct HF. Our data revealed that treatment of the PDE-5 inhibitor sildenafil, beginning 3 days after left anterior descending coronary artery ligation, attenuated LV remodeling, cardiac dysfunction, cardiomyocyte apoptosis and mitochondrial anomalies including ATP production, mitochondrial respiratory defects, decline of mitochondrial membrane potential (MMP) and compromised mitochondrial ultrastructure. Sildenafil partially ameliorated the downregulation of Sirt3 protein and acetylation of PGC-1alpha in peri-infarct myocardial regions. In cultured neonatal mouse ventricular myocytes subjected to hypoxia for 24 hrs, sildenafil suppressed apoptosis, promoted ATP production and elevated MMP, along with the increased Sirt3 protein expression and decreased PGC-1alpha acetylation. Interestingly, knock down of Sirt3 attenuated or nullified sildenafil-offered beneficial effects. Our findings demonstrated that sildenafil exerts its cardioprotective effect against post-infarction injury by improving mitochondrial ultrastructure and function via the Sirt3/PGC-1alpha pathway. This observation should shed some lights towards application of sildenafil in energy-related cardiovascular diseases.


Subject(s)
Heart Failure/prevention & control , Myocardial Infarction/complications , Myocardial Infarction/drug therapy , Phosphodiesterase 5 Inhibitors/pharmacology , Sildenafil Citrate/pharmacology , Animals , Apoptosis/drug effects , Cardiotonic Agents/pharmacology , Cell Hypoxia/drug effects , Heart Failure/etiology , Heart Failure/physiopathology , Male , Mice , Mice, Inbred C57BL , Mitochondria, Heart/drug effects , Mitochondria, Heart/physiology , Mitochondria, Heart/ultrastructure , Myocardial Infarction/physiopathology , Myocytes, Cardiac/drug effects , Myocytes, Cardiac/pathology , Myocytes, Cardiac/physiology , Oxygen Consumption/drug effects , Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/metabolism , Signal Transduction/drug effects , Sirtuin 1/metabolism , Sirtuin 3/metabolism , Ventricular Remodeling/drug effects , Ventricular Remodeling/physiology
9.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-815104

ABSTRACT

The NLRP3 inflammasome, a protein complex belonging to the family of nucleotide-binding and oligomerization domain like receptors (NLRs), plays a vital role in the innate immune system. It promotes pro-caspase 1 cleavage into active caspase-1, which contributes to maturation and releases of IL-1β and IL-18 in response to the harmful signals and participates in the host immune response and sterile inflammation. Recently a large number of studies have shown that NLRP3 inflammasome closely relates to the pathogenesis of the vascular diseases. NLRP3 inflammasome, which involves in the sterile inflammation of the vascular wall, plays an important role in the pathogenesis of main, middle and small arteries.


Subject(s)
Humans , Caspase 1 , Allergy and Immunology , Metabolism , Gene Expression Regulation , Genetics , Allergy and Immunology , Inflammasomes , Allergy and Immunology , Inflammation , Genetics , Interleukin-18 , Genetics , Allergy and Immunology , Interleukin-1beta , Genetics , Allergy and Immunology , NLR Family, Pyrin Domain-Containing 3 Protein , Allergy and Immunology , Signal Transduction , Genetics , Allergy and Immunology , Vascular Diseases , Genetics , Allergy and Immunology
10.
Chinese Journal of Hematology ; (12): 902-905, 2015.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-296122

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the accuracy and consistency of the detection of BCR-ABL tyrosine kinase domain point mutation among different laboratories.</p><p><b>METHODS</b>Every one of 6 laboratories prepared 10 cDNA samples from tyrosine kinase inhibitors resistant BCR-ABL (P210 or P190) positive patients'bone marrow or peripheral blood. Each cDNA sample was divided into 6 aliquots and delivered to the laboratories. All 6 laboratories tested BCR-ABL point mutations of 60 samples according to their own protocols. Peking University People's Hospital analyzed the comparison results based on both the reports and sequencing chromatogram from all laboratories.</p><p><b>RESULTS</b>All laboratories reported the same nucleotide and corresponding amino acid mutations in 37 samples (61.7%). Of 60 samples, 53 had confirmed mutation types, and a total of 23 types were included; 1 had no mutation; mutation types of 6 samples could not be determined because of the big differences among chromatograms from different laboratories. Low percentages of mutants were significantly related to results inconsistency (P=0.008). Inconsistent result of one sample was caused by the unique chromatogram of the mutant L248V, and one by the non-coverage amplification of PCR product from different laboratories. Amplification was failed in 3 samples. Testing or sequencing mistakes occurred in 7 samples. The differences in the mutant percentages among laboratories were less than 20% in the 80.6% of samples with confirmed results. Low internal control gene copies (ABL<10 000) were significantly related to both failed amplification and big differences among chromatograms from different laboratories (P=0.005 and <0.001, respectively).</p><p><b>CONCLUSION</b>Problems in the clinical routine detection of BCR-ABL point mutation could be exposed and improvement could be achieved by sample exchange and comparison. Low percentage of mutant is the main reason which causes the discrepancy of BCR-ABL point mutation results among different laboratories.</p>


Subject(s)
Humans , Bone Marrow , DNA Mutational Analysis , Fusion Proteins, bcr-abl , Genetics , Leukemia, Myelogenous, Chronic, BCR-ABL Positive , Point Mutation , Polymerase Chain Reaction
11.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-259595

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the incidence of karyotypes and gene mutations for elder acute myeloid leukemia and to explore the relationship between each other.</p><p><b>METHODS</b>Clinical data and bone marrow samples of elder AML patients were collected. Karyotype and gene mutation (FLT3, NPM1, C-Kit, CEBPα, DNMT3A) test were performed, characteristics of karyotypes and gene mutations were analysed.</p><p><b>RESULTS</b>The incidence of better risk karyotype was 16.6%, in which the incidences of t(15;17), t(8;21) and inv (16)/t(16;16) were 3.90%, 10.73%, and 1.95% respectively; the incidence of intermediate risk karyotype was 72.2%, in which the incidence of normal karyotype was 57.86%; the incidence of poor risk karyotype was 11.20%, in which the incidence of of MLL/11q23, complex karyotype and monosomal karyotype were 1.95%, 6.34%, 5.85% respectively; the incidences of FLT3, NPM1, C-Kit, CEBPα, DNMT3A mutation were 12.57%, 22.06%, 2.16%, 14.71%, 15.71% respectively. Compared with patients older than 60 years, patients with age of 55-60 years were with less complex karyotype (1.09% vs 10.62%)(P=0.003) and monosomal karyotype (2.17% vs 8.85%)(P=0.032), and more t(8;21)(17.39% vs 5.31%)(P=0.008) and inv (16)/t(16;16)(4.35% vs 0.00%)(P=0.045).</p><p><b>CONCLUSION</b>For older AML patients, great difference in the distribution of karyotyes was found between the patients older than 60 years and patients with age of 55-60 years, while no such characteristics was found for gene mutations. Good elucidation of karyotypes and gene mutations are key for the treatment of older acute myeloid leukemia patients.</p>


Subject(s)
Humans , Middle Aged , Incidence , Karyotype , Karyotyping , Mutation , Proto-Oncogene Proteins c-kit
12.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-259578

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the efficacy and safety of MAC regimen in the treatment of acute myeloid leukemia(AML) patients older than 55 years.</p><p><b>METHODS</b>A total of 33 relapsed or non-remission AML patients older than 55 years were enrolled in this research. MAC regimen was given as the salvage treatment. Complete remission rate(CR), partial remission rate(PR), overall survival(OS), relapse-free survival(RFS) and adverse effect were analysed.</p><p><b>RESULTS</b>CR rate after the salvage therapy with MAC was 51.1%, partial remission (PR) rate was 6.1%, the overall response rate (ORR) was 57.6%, the median OS was 8 months (1.0-66.0 months), the median relapse-free survival (RFS) was 10.1 months (2.3-40.4 months). Mortality related with salvage treatment in 30 days was 9.1%. Low incidence of severe organ damage were found.</p><p><b>CONCLUSION</b>MAC can be used as a relative effective and safe regimen for the salvage treatment of the older AML patients.</p>


Subject(s)
Humans , Middle Aged , Antineoplastic Combined Chemotherapy Protocols , Chlorambucil , Cytarabine , Dactinomycin , Leukemia, Myeloid, Acute , Methotrexate , Recurrence , Remission Induction , Salvage Therapy
13.
Med Oncol ; 30(1): 383, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23307243

ABSTRACT

Expression of astrocyte-elevated gene-1 (AEG-1), a novel oncoprotein, has been shown to promote cell growth and inhibit apoptosis, but the underlying molecular mechanisms and its functional significance in non-small cell lung cancer (NSCLC) remain to be elucidated. In the present study, statistical analysis displayed a significant correlation of AEG-1 expression with clinical staging (P = 0.048), differentiation (P = 0.019) and lymph node metastasis (P = 0.032). Simultaneously, the overall survival time in patients with higher AEG-1 expression was obviously shorter than that in patients with lower expression of AEG-1 (P < 0.001). Furthermore, we found that AEG-1 could inhibit apoptotic cell death in L-78 cells, as assessed by MTT, TUNEL and flow cytometry assay. After treating L-78 cells with AEG-1 siRNA, caspase-3 protein was significantly up-regulated and Bcl-2 protein was markedly decreased in L-78 cells, which was verified by the immunohistochemistry results about AEG-1, caspase-3 and Bcl-2. Furthermore, PI3K p110 protein and phosphorylated Akt were also largely attenuated by the treatment of AEG-1 siRNA. In conclusion, our results indicated that AEG-1 played a crucial role in the carcinogenesis of NSCLC and could inhibit apoptosis via activating cell survival signaling (enhancing the level of anti-apoptotic protein Bcl-2 and the activation of PI3K/Akt pathway).


Subject(s)
Apoptosis/physiology , Carcinoma, Non-Small-Cell Lung/metabolism , Cell Adhesion Molecules/biosynthesis , Lung Neoplasms/metabolism , Adult , Aged , Blotting, Western , Carcinoma, Non-Small-Cell Lung/mortality , Carcinoma, Non-Small-Cell Lung/pathology , Cell Line, Tumor , Female , Flow Cytometry , Humans , Immunohistochemistry , In Situ Nick-End Labeling , Kaplan-Meier Estimate , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Male , Membrane Proteins , Middle Aged , Neoplasm Staging , RNA-Binding Proteins , Real-Time Polymerase Chain Reaction , Reverse Transcriptase Polymerase Chain Reaction , Signal Transduction/physiology , Up-Regulation
14.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-325222

ABSTRACT

This study was aimed to investigate the expression of RHBDD1 gene in patients with chronic myeloid leukemia (CML) and explore its clinical significance. The relative expression levels of RHBDD1 in bone marrow mononuclear cells of healthy controls and CML patients were detected by using real time PCR. The results showed that the expression level of RHBDD1 in CML patients was significantly higher than that in healthy controls. The expression level of RHBDD1 in CML patients with negative BCR/ABL p210 was remarkably higher than that in patients with positive BCR/ABL p210. In patients ≥ 50 years old RHBDD1 expression was lower than the patients < 50 years old. There were no significant relation of RHBDD1 expression with sex of patients. It is concluded that RHBDD1 gene may be involved in the pathogenesis and progression of CML, particularly reflects in the pathogenesis of the patients with negative BCR/ABL p210.


Subject(s)
Female , Humans , Male , Middle Aged , Bone Marrow Cells , Metabolism , Pathology , Case-Control Studies , Gene Expression , Leukemia, Myelogenous, Chronic, BCR-ABL Positive , Genetics , Metabolism , Pathology , Serine Endopeptidases , Genetics , Metabolism
15.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-679589

ABSTRACT

Objective To evaluate the specificity,sensitivity and clinical significances of direct antiglobulin test of bone marrow monouclear cells (BMMNC-Coombs test) and Flow Cytometry (FACS).Methods Autoantibodies on bone marrow mononuclear cells of 270 patients with immune and 471cases with primary or secondary anaemia and 19 normal controls were measured by BMMNC-Coombs test,and a part of IRP patients with negative BMMNC-Coombs test were retested by FACS.Results In 270 immune hemocytopenia patients,there were 163 (60.37%) with positive BMMNC -Coombs test.The positive rate of patients with immunorelated pancytopenia (IRP) was upmost and accounted for 67.2%.AIHA 63.6%,ITP 57.1%,Evans syndrome 43.2%.Both 471 patients with primary or secondary anaemia and 19 normal persons were all negative.In BMMNC-Coombs positive cases,there were mainly three types including IgG,IgG+C_3,IgG+IgM+IgA+C_3,they accounted for 30.4%,26.4%,20.8%.61 1RP with negative BMMNC-Coombs test were teased again for their BMMNC autoantibodies by FACS.83.6% of them were found to be positive with autoantibodies on BMMNC.The positive rate of autoantibodies on hematopoietic stem cells of IRP patients was 94.1%.it was higher than positive rate on any other types of bone marrow hematopoietic cells.Conclusion the sensitivity and specificity of BMMNC-Coombs test for diagnosis of autoimmune hemocytopenia was high,but the sensi- tivity of FACS assay was higher than that of BMMNC-Coombs test for detecting autoantibodies.Also had IRP,AIHA, ITP and Evans syndrome patients autoantibodies on bone marrow hematopoietic cells,The difference between IRP and other immune hemocytopenias was that IRP patients did have autoantibodies only on BMMNC.

16.
Chinese Journal of Hematology ; (12): 80-82, 2002.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-314657

ABSTRACT

<p><b>OBJECTIVE</b>To study the in vitro effects of low-molecular weight heparin (LMWH) and dexamethasone on the hemolysis of red blood cells from paroxysmal nocturnal hemoglobinuria (PNH) patients.</p><p><b>METHODS</b>By Ham's test and micro-complement lysis sensitive test (mCLST), the changes of hemolysis of red blood cells from 6 PNH patients were tested by adding different doses of LMWH and dexamethasone into the test mixture. The effects of LMWH and dexamethasone on the coagulation of the tested blood samples were also studied by activated partial thromboplastin time (APTT).</p><p><b>RESULTS</b>(1) Either LMWH or dexamethasone could dose-dependently inhibit the hemolysis of PNH red blood cells, and the effects were synergistic when added together. The same dose of LMWH induced a less than 100% prolongation of APTT. (2) Dexamethasone could inhibit the hemolysis in Ham's test and had different effects on the hemolysis by different adding methods in mCLST. LMWH could inhibit the hemolysis in both Ham's test and mCLST.</p><p><b>CONCLUSION</b>Both LMWH and dexamethasone could inhibit the hemolysis of PNH red cells and showed a synergistic effect. The mechanisms of the inhibition of hemolysis were different. Furthermore, a tolerable dose of LMWH induced only a limited prolongation of APTT, which might be useful for controlling acute hemolysis and reducing the dose of dexamethasone.</p>


Subject(s)
Humans , Anti-Inflammatory Agents , Pharmacology , Dexamethasone , Pharmacology , Dose-Response Relationship, Drug , Erythrocytes , Cell Biology , Hemoglobinuria, Paroxysmal , Blood , Hemolysis , Heparin, Low-Molecular-Weight , Pharmacology , Partial Thromboplastin Time
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