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The impact of pathogen reduction on ABO isoagglutinin titers in apheresis platelets 病原减少对单采血小板ABO异凝集素滴度的影响
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-23 DOI: 10.1016/j.htct.2025.103840
Mikayel Yeghiazaryan , Yembur Ahmad , Jessie Singer , Vaanush Nazaryan , Craig Fletcher , Yamac Akgun
{"title":"The impact of pathogen reduction on ABO isoagglutinin titers in apheresis platelets","authors":"Mikayel Yeghiazaryan ,&nbsp;Yembur Ahmad ,&nbsp;Jessie Singer ,&nbsp;Vaanush Nazaryan ,&nbsp;Craig Fletcher ,&nbsp;Yamac Akgun","doi":"10.1016/j.htct.2025.103840","DOIUrl":"10.1016/j.htct.2025.103840","url":null,"abstract":"<div><h3>Background</h3><div>Platelet transfusions are a cornerstone of modern medical care, used across various clinical contexts. Ensuring the compatibility of blood products, especially regarding ABO isoagglutinins, is critical to minimize adverse reactions. Pathogen reduction technologies have been widely adopted to enhance the safety of blood products, however, the impact of such treatments on ABO isoagglutinin titers in platelet products remains unclear.</div></div><div><h3>Methods</h3><div>This study analyzed 60 apheresis platelet donations, including type O, A, and B donors, using the INTERCEPT® Blood System for pathogen reduction. Samples were collected both from donor whole blood at the time of apheresis (Retention) and from the final pathogen-reduced platelet product after it had passed through the compound adsorption device (Post-CAD). ABO isoagglutinin titers, including both IgM and IgG classes, were measured using solid-phase technology on the NEO Iris platform.</div></div><div><h3>Results</h3><div>This study found a significant reduction in IgM isoagglutinin titers in Post-CAD samples, with 99 % of Retention titers being greater than or equal to their Post-CAD counterparts. IgG titers exhibited more variability, with 9 % of Post-CAD samples displaying higher titers than Retention samples. Statistical analysis confirmed differences between Retention and Post-CAD samples for both IgM and IgG titers, with p-values &lt;0.05 in most comparisons.</div></div><div><h3>Conclusion</h3><div>Pathogen reduction using the INTERCEPT® Blood System effectively reduces ABO isoagglutinin titers in apheresis platelets, potentially lowering the risk of hemolytic transfusion reactions. This reduction is beneficial for safer out-of-group platelet transfusions, especially in vulnerable populations such as pediatric patients. These findings support the continued use of pathogen-reduced platelets in transfusion medicine to enhance both safety and availability of blood products.</div></div>","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103840"},"PeriodicalIF":1.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cutaneous T-cell lymphomas may require an exception to the ABHH consensus regarding empiric vancomycin use in febrile neutropenia 皮肤t细胞淋巴瘤可能需要ABHH共识的例外,关于万古霉素在发热性中性粒细胞减少症中的经验使用
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-17 DOI: 10.1016/j.htct.2025.103844
Yung Gonzaga , Jose A. Sanches
{"title":"Cutaneous T-cell lymphomas may require an exception to the ABHH consensus regarding empiric vancomycin use in febrile neutropenia","authors":"Yung Gonzaga ,&nbsp;Jose A. Sanches","doi":"10.1016/j.htct.2025.103844","DOIUrl":"10.1016/j.htct.2025.103844","url":null,"abstract":"","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103844"},"PeriodicalIF":1.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hematological ratios and cytokine profiles in heterozygous beta-thalassemia 杂合子-地中海贫血的血液学比率和细胞因子谱
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-13 DOI: 10.1016/j.htct.2025.103845
Ana Carolina Marques Ciceri , Laura Eduarda de Oliveira , Ana Luísa Richter , José Antonio Mainardi de Carvalho , Maylla Rodrigues Lucena , Guilherme Wataru Gomes , Maria Stella Figueiredo , Magnun Nueldo Nunes dos Santos , Vera Lúcia Nascimento Blaia-D'Avila , Rodolfo Delfini Cançado , Elvira Maria Guerra-Shinohara , Clóvis Paniz
{"title":"Hematological ratios and cytokine profiles in heterozygous beta-thalassemia","authors":"Ana Carolina Marques Ciceri ,&nbsp;Laura Eduarda de Oliveira ,&nbsp;Ana Luísa Richter ,&nbsp;José Antonio Mainardi de Carvalho ,&nbsp;Maylla Rodrigues Lucena ,&nbsp;Guilherme Wataru Gomes ,&nbsp;Maria Stella Figueiredo ,&nbsp;Magnun Nueldo Nunes dos Santos ,&nbsp;Vera Lúcia Nascimento Blaia-D'Avila ,&nbsp;Rodolfo Delfini Cançado ,&nbsp;Elvira Maria Guerra-Shinohara ,&nbsp;Clóvis Paniz","doi":"10.1016/j.htct.2025.103845","DOIUrl":"10.1016/j.htct.2025.103845","url":null,"abstract":"<div><h3>Introduction</h3><div>β-Thalassemia is defined by a reduced or complete absence of β-globin chain synthesis in hemoglobin, leading to hemolytic anemia. Heterozygous β-thalassemia, also known as β-thalassemia trait (hBTh), the mildest form of this anemia, typically does not cause symptoms in carriers. However, it may lead to changes in the immune system, including an increase in total leukocyte, neutrophil, and lymphocyte counts.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate various immune and inflammation markers, including neutrophil/lymphocyte, derived neutrophil/lymphocyte, lymphocyte/monocyte, platelet/lymphocyte, neutrophil/platelet ratios, systemic immune-inflammation index, systemic inflammation response index, neutrophil/natural killer cell ratio (NNKR), and inflammatory cytokines in β-thalassemia trait carriers.</div></div><div><h3>Method</h3><div>A retrospective observational study was conducted, including 50 β-thalassemia trait individuals and 100 healthy controls.</div></div><div><h3>Results</h3><div>Leukocyte, neutrophil and reticulocyte counts, and interleukin 6 levels were higher in carriers compared to controls. Notably, the β-thalassemia trait group had increased neutrophil/platelet, neutrophil/lymphocyte and derived neutrophil/lymphocyte ratios, and the systemic immune-inflammation and systemic inflammation response indexes were higher compared to the controls.</div></div><div><h3>Conclusions</h3><div>β-thalassemia trait shows a more pronounced inflammatory profile as indicated by hematological ratios. These ratios, therefore are potentially cost-effective and easily applicable markers for monitoring patients with the β-thalassemia trait.</div></div>","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103845"},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blood storage effect of G6PD on RBC quality G6PD对红细胞质量的影响
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-13 DOI: 10.1016/j.htct.2025.103733
Andrew Evans Cobbinah , Benedict Sackey , Mina Ofosu , Herbert Ekoe Dankluvi , Stephen Opoku , Ampa Davis Frank
{"title":"Blood storage effect of G6PD on RBC quality","authors":"Andrew Evans Cobbinah ,&nbsp;Benedict Sackey ,&nbsp;Mina Ofosu ,&nbsp;Herbert Ekoe Dankluvi ,&nbsp;Stephen Opoku ,&nbsp;Ampa Davis Frank","doi":"10.1016/j.htct.2025.103733","DOIUrl":"10.1016/j.htct.2025.103733","url":null,"abstract":"<div><h3>Background</h3><div>The most prevalent metabolic condition of red blood cells, glucose-6-phosphate dehydrogenase (G6PD) deficiency, affects around 35 million people globally. The highest prevalence is seen in tropical and subtropical areas of the eastern hemisphere, where it can affect up to 35 % of the population. G6PD deficiency, the most prevalent enzyme deficit, is not currently tested for in blood products. G6PD deficiency is a genetic factor that influences the quality of stored red blood cells impacting their ability to respond to oxidative stress. This hospital-based cross-sectional study aimed at assessing the prevalence of G6PD deficiency in donor blood and the impact of the enzyme deficiency on red cell indices during storage.</div></div><div><h3>Method</h3><div>A total of 57 blood bags were screened for G6PD deficiency. Red cell indices and blood film comments were investigated on Day 0, Day 7 and Day 14 of storage.</div></div><div><h3>Results</h3><div>Eight out of 57 (14 %) had the G6PD full defect and 86 % (49/57) had no defect. Over the course of 14 days storage, the hemoglobin and red blood cell count significantly decreased in G6PD-deficient blood units with a corresponding significant increase in mean corpuscular volume and red cell distribution width-standard deviation compared to baseline and normal G6PD activity. The blood film comment showed 85.7 % normocytic normochromic, 2.0 % microcytic hypochromic and 12.2 % macrocytic hyperchromic from G6PD-non-deficient donors whereas G6PD-deficient donors had 75 % normocytic normochromic with 12.5 % microcytic hypochromic and 12.5 % macrocytic hypochromic after 2 wk in storage.</div></div><div><h3>Conclusion</h3><div>Red blood cell count and hemoglobin reduce significantly in G6PD-deficient donor units during storage with an associated increased mean corpuscular volume indicating progressive loss of the cellular membrane homeostatic mechanism that could potentially result in further hemolysis during long term storage.</div></div>","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103733"},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term follow-up results of ruxolitinib as salvage therapy for chronic graft-versus-host disease 鲁索利替尼作为慢性移植物抗宿主病补救性治疗的长期随访结果
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-11 DOI: 10.1016/j.htct.2025.103835
Neslihan Mandaci Sanli , Esen Karakuş
{"title":"Long-term follow-up results of ruxolitinib as salvage therapy for chronic graft-versus-host disease","authors":"Neslihan Mandaci Sanli ,&nbsp;Esen Karakuş","doi":"10.1016/j.htct.2025.103835","DOIUrl":"10.1016/j.htct.2025.103835","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic graft-versus-host disease poses a significant challenge after allogeneic hematopoietic stem cell transplantation with initial treatment often relying on high-dose steroids. However, managing steroid-refractory disease remains daunting. Recent insights into the mechanisms have unveiled new treatment targets, with ruxolitinib, a selective JAK1/2 inhibitor, emerging as a promising and safe therapy for chronic graft-versus-host disease patients.</div></div><div><h3>Methods</h3><div>This retrospective study describes the long-term outcomes of 23 chronic graft-versus-host disease patients treated with ruxolitinib.</div></div><div><h3>Results</h3><div>Most patients presented with severe chronic graft-versus-host disease (15/23; 65.2%). The overall response rate was 78.3% (18/23) after a median treatment duration of four weeks, with 55.6% (10/18) achieving complete response. At follow-up, 13 of the 18 responders (72.2%) sustained complete remission. Patients had a median of two previous lines of therapy, with a median follow-up of 14 months (range: 2–46 months) after starting ruxolitinib. Of the patients who were responsive to ruxolitinib, median follow-up extended to 26.5 months. Notably, for the patients who were responsive to ruxolitinib, the 1-year, 2-year, and 3-year overall survival was 83.3% (95% CI: 64.2%-102%), 56.1% (95% CI: 30.1%-80.9%), and 33.3% (95% CI: 9.2%-57.4%), respectively. Malignancy relapse occurred in 17.4% (4/23) of patients, with 34.7% (8/23) experiencing cytopenias, albeit mostly mild. Reactivation rates for cytomegalovirus were nil.</div></div><div><h3>Conclusion</h3><div>The long-term follow-up in this study supports ruxolitinib as an effective salvage therapy for chronic graft-versus-host disease with a 78.3% overall response rate and 55.6% complete remission rate. However, large prospective studies are warranted to validate these findings</div></div>","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103835"},"PeriodicalIF":1.8,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in diagnosing thrombotic thrombocytopenic purpura 诊断血栓性血小板减少性紫癜的挑战
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-10 DOI: 10.1016/j.htct.2025.103842
Jeremy W. Jacobs , Garrett S. Booth , Brian D. Adkins
{"title":"Challenges in diagnosing thrombotic thrombocytopenic purpura","authors":"Jeremy W. Jacobs ,&nbsp;Garrett S. Booth ,&nbsp;Brian D. Adkins","doi":"10.1016/j.htct.2025.103842","DOIUrl":"10.1016/j.htct.2025.103842","url":null,"abstract":"","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103842"},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influenza A-triggered Bickerstaff brainstem encephalitis successfully treated with therapeutic plasma exchange: A case report 血浆交换治疗成功治疗甲型流感引发的比克斯塔夫脑干脑炎1例
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-10 DOI: 10.1016/j.htct.2025.103843
Piotr F. Czempik , Małgorzata Pięta , Tomasz Jaworski , Piotr Liberski
{"title":"Influenza A-triggered Bickerstaff brainstem encephalitis successfully treated with therapeutic plasma exchange: A case report","authors":"Piotr F. Czempik ,&nbsp;Małgorzata Pięta ,&nbsp;Tomasz Jaworski ,&nbsp;Piotr Liberski","doi":"10.1016/j.htct.2025.103843","DOIUrl":"10.1016/j.htct.2025.103843","url":null,"abstract":"","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103843"},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical characteristics and outcomes of non-tuberculous mycobacterial pulmonary infections after hematopoietic stem cell transplantation: A retrospective cohort study 造血干细胞移植后非结核性分枝杆菌肺部感染的临床特征和预后:一项回顾性队列研究
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-05-09 DOI: 10.1016/j.htct.2025.103841
Zahia Esber, Hamza Salam, Shefali Godara, Ayman Soubani
{"title":"Clinical characteristics and outcomes of non-tuberculous mycobacterial pulmonary infections after hematopoietic stem cell transplantation: A retrospective cohort study","authors":"Zahia Esber,&nbsp;Hamza Salam,&nbsp;Shefali Godara,&nbsp;Ayman Soubani","doi":"10.1016/j.htct.2025.103841","DOIUrl":"10.1016/j.htct.2025.103841","url":null,"abstract":"<div><h3>Introduction</h3><div>Non-tuberculous mycobacterial infections are rising as complications of bone marrow transplantation with lung disease being the most common clinical presentation. The identification and management of these infections in hematopoietic stem cell transplantation patients remains underrecognized. This study aims to investigate the clinical characteristics and outcomes in patients with post-transplant pulmonary infections.</div></div><div><h3>Methods</h3><div>The charts of 3,000 adult patients who received transplants over 11 years at the Karmanos Cancer Institute, a tertiary-care cancer center in Detroit, were reviewed. The diagnoses of post-transplant pulmonary non-tuberculous mycobacterial infections of 51 patients were defined as definite, probable or possible based on the American Thoracic Society (ATS) and Centers for Disease Control and Prevention guidelines. The identified organisms were further characterized as rapid- or slow-growing mycobacteria. Clinical characteristics, risk factors, microbiologic data, therapy and outcomes of the patients were collected and analyzed.</div></div><div><h3>Results</h3><div>About half (<em>n</em> = 26; 51%) of the patients were identified with definite pulmonary infection. There was a trend of cardiovascular and pulmonary comorbidities in these patients. The majority (<em>n</em> = 44; 86.3%) were on steroid and immunosuppressive therapy in the setting of graft-versus-host disease. The most common presenting symptoms were a combination of change in cough and worsening shortness of breath. The most common radiologic pattern was nodular infiltrates in 15 (29.4%) patients. <em>Mycobacterium avium complex</em> was identified in 38 (74.5%) patients. The majority of patients with these infections (76.5%) did not receive antimycobacterial therapy. Survival was reported in 42 (82.4%) patients.</div></div><div><h3>Conclusion</h3><div>Outcomes vary significantly among non-tuberculous mycobacterial pulmonary infections based on mycobacterial species, rate of colonization and degree of immunosuppression. The prognosis is overall good due to slow growing mycobacteria. Prospective multicenter studies are required to further guide the management of these patients.</div></div>","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 3","pages":"Article 103841"},"PeriodicalIF":1.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TERAPIAS ALVO PARA O CÂNCER DE MAMA TRIPLO NEGATIVO: POTENCIAL DA TRODELVY® (SACITUZUMABE GOVITECANO) 三阴性乳腺癌靶向治疗:TRODELVY®(SACITUZUMABE GOVITECANO)的潜力
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-04-15 DOI: 10.1016/j.htct.2025.103818
YASMIN RIBEIRO MACHADO, Maria Clara de Lima PIRES, Leandro de Oliveira COSTA
{"title":"TERAPIAS ALVO PARA O CÂNCER DE MAMA TRIPLO NEGATIVO: POTENCIAL DA TRODELVY® (SACITUZUMABE GOVITECANO)","authors":"YASMIN RIBEIRO MACHADO,&nbsp;Maria Clara de Lima PIRES,&nbsp;Leandro de Oliveira COSTA","doi":"10.1016/j.htct.2025.103818","DOIUrl":"10.1016/j.htct.2025.103818","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Sumário&lt;/h3&gt;&lt;div&gt;1. Introdução 2. Desenvolvimento 2.1. Câncer de Mama Triplo-Negativo 2.2. Terapia Alvo com sacituzumabe govitecano 2.3. Efeitos Adversos 3. Conclusão.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resumo&lt;/h3&gt;&lt;div&gt;O câncer de mama triplo-negativo (CMTN) é um subtipo agressivo de câncer de mama, caracterizado pela ausência de receptores hormonais de estrogênio (ER) e progesterona (PR), além da não expressão do receptor HER2. Devido à falta de alvos terapêuticos específicos, o CMTN possui opções limitadas de tratamento, sendo a quimioterapia convencional, a principal abordagem. Neste sentido, tendo em vista a exigência por métodos inovadores, esse estudo visa relatar a eficácia da terapia com sacituzumabe govitecano no tratamento do CMTN, com foco em avaliar os dados disponíveis sobre os resultados clínicos e a eficácia dessa terapêutica. Para isso, foi realizada uma revisão integrativa da literatura em bases indexadas, como o PubMed, Scielo, e Lilacs, selecionando estudos clínicos no período de 2011 a 2025. O CMTN, é conhecido por sua alta taxa de proliferação e metástase precoce, dificultando o tratamento e reduzindo a sobrevida dos pacientes. Diante disso, a ausência de alvos moleculares bem definidos limita as opções terapêuticas, tornando essencial a busca por novas abordagens, como terapias imunológicas e terapias alvo. Sob esse âmbito, tem se destacado a terapia alvo com sacituzumabe govitecano, que é um conjugado de anticorpo monoclonal direcionado ao Trop-2, acoplado a um agente quimioterápico (SN-38). Esse mecanismo permite que o fármaco seja internalizado na célula tumoral, liberando o quimioterápico diretamente no interior da célula cancerígena, reduzindo danos às células saudáveis. Estudos clínicos demonstraram melhoria na sobrevida livre de progressão e sobrevida global quando comparado às terapias convencionais, sendo uma opção promissora para pacientes com CMTN metastático. Apesar dos benefícios, a terapia com sacituzumabe govitecano pode causar efeitos adversos, sendo os mais comuns a neutropenia, que aumenta o risco de infecções, podendo necessitar do uso de fatores estimuladores de colônias de granulócitos (G-CSF) para recuperar a contagem de neutrófilos e a diarreia. Assim, conclui-se que o acompanhamento clínico rigoroso é essencial para minimizar complicações e garantir a segurança do tratamento.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusão&lt;/h3&gt;&lt;div&gt;A terapia com Sacituzumabe Govitecano representa um avanço significativo no tratamento do câncer de mama triplo-negativo, oferecendo uma alternativa eficaz para pacientes refratários às terapias convencionais. Ao agir diretamente nos receptores Trop-2, a medicação melhora os prognósticos e apresenta uma eficácia superior às abordagens tradicionais. No entanto, desafios como os efeitos adversos, especialmente neutropenia e diarreia, devem ser gerenciados adequadamente. Além disso, o alto custo do tratamento restringe seu acesso no Brasil, apesar da aprovação pela ANVISA. Estratégias como o uso de G","PeriodicalId":12958,"journal":{"name":"Hematology, Transfusion and Cell Therapy","volume":"47 ","pages":"Article 103818"},"PeriodicalIF":1.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A BORON COMPLEX DESIGNED FOR FLUORINE-18 LABELING AIMING FOR PET IMAGING APPLICATION 一种用于氟-18 标记的硼复合物,以宠物成像应用为目标
IF 1.8
Hematology, Transfusion and Cell Therapy Pub Date : 2025-04-15 DOI: 10.1016/j.htct.2025.103789
Mariana Almeida Figueira , Joaldo Garcia Arruda , Victor Maia Miranda , Pedro Paulo Corbi , Luiz Antônio Sodré Costa , Fabio Luiz Navarro Marques , Victor Marcelo Deflon
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