中国实验血液学杂志最新文献

{"title":"[Clinical Analysis of Epstein-Barr Virus Infection after Allogeneic Hematopoietic Stem Cell Transplantation].","authors":"Lan-Xiang Liu, Jing Wang, Li Wang, Lin Liu, Xin Wang, Hong-Bin Zhang, Xiao-Qiong Tang, Yi-Ying Xiong","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.038","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.038","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the risk factors of Epstein-Barr virus (EBV) infection after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and its impact on survival.</p><p><strong>Methods: </strong>The clinical data of 347 patients who underwent their first allo-HSCT in our hospital from January 2014 to June 2021 were retrospectively analyzed. Patients were divided into EBV (<i>n</i> =114) and Non-EBV (<i>n</i> =233) groups according to whether they were infected with EBV. The incidence of EBV infection after allo-HSCT was calculated, and the risk factors of EBV infection were analyzed.</p><p><strong>Results: </strong>A total of 114(32.8%) patients presented EBV infection (all peripheral blood EBV-DNA were positive). EBV infection occurred in 88 patients within 100 days after transplantation, which accounted for 77.2% of all patients with EBV infection. 5 cases (1.44%) were confirmed as post-transplant lymphoproliferative disorder (PTLD). The median onset time of patients was 57(7-486) days after transplantation. Multivariate analysis showed that the use of ATG/ATG-F, occurrence of CMV viremia, and grade III-IV aGVHD were risk factors for EBV infection. Furthermore, compared to BUCY, the use of intensified preconditioning regimens containing FA/CA was significantly increased the risk of EBV infection.</p><p><strong>Conclusion: </strong>EBV infection is a common complication after allo-HSCT. Intensified preconditioning regimens, use of ATG/ATG-F, CMV viremia and grade III to IV aGVHD increase the risk of EBV infection after allo-HSCT.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081938","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}

{"title":"[Clinical Characteristics and Prognostic Relevance of Co-Mutated Genes in Acute Myeloid Leukemia Patients with <i>FLT3</i> Mutations].","authors":"Yang Chen, Yan-Yan Xie, Yu Fang, Ming Hong, Wen-Jie Liu, Xuan Zhou, Wei Zhang, Jin-Ning Shi, Si-Xuan Qian","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.009","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.009","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical characteristics and influence of co-mutated gene on acute myeloid leukemia patients (AML) with FMS-like tyrosine kinase-3 (<i>FLT3</i>) mutations.</p><p><strong>Methods: </strong>A total of 273 <i>FLT3</i>⁺ AML patients were enrolled, and the co-mutation gene data of the patients were collected to further analyze the prognosis of the patients. <i>FLT3</i> and other common mutations were quantified by PCR amplification products direct sequencing and second-generation sequencing (NGS).</p><p><strong>Results: </strong>When patients were divided into <i>FLT3</i>- <i>ITD</i> ⁺, <i>FLT3</i>- <i>TKD</i> ⁺, <i>FLT3</i>- <i>ITD</i> ⁺+<i>TKD</i> ⁺ and <i>FLT3</i>- <i>ITD</i> ^-+<i>TKD</i> ^- group according to the type of <i>FLT3</i> mutations, it was found that the frequencies of <i>TET2</i>, <i>GATA2, NRAS</i> and <i>ASXL1</i> mutation were significantly different among the 4 groups (all <i>P</i> < 0.05). When patients were divided into allelic ratio (AR) ≥0.5 and <0.5 group, it was found that the frequencies of <i>FLT3</i>- <i>ITD</i> ⁺, <i>FLT3</i> -<i>ITD</i> ^- +<i>TKD</i> ^-, <i>NPM1, NRAS</i> and <i>C-kit</i> were significantly different between the two groups (all <i>P</i> < 0.05). When patients were divided into normal and abnormal karyotype group, it was found that the frequencies of <i>FLT3</i>- <i>ITD</i> ⁺, <i>FLT3</i>- <i>TKD</i> ⁺, <i>NPM1, GATA2</i> and <i>C-kit</i> were significantly different between the two groups (all <i>P</i> < 0.05). The median overall survival (OS) of AML patients with <i>FLT3</i> -<i>TKD</i> ⁺ (including <i>FLT3</i>- <i>ITD</i> ⁺+<i>TKD</i> ⁺) was longer than that of patients with <i>FLT3</i>- <i>ITD</i> ⁺ alone (<i>P</i> < 0.05). The OS and relapse-free survival (RFS) of AML patients with <i>FLT3</i>⁺+<i>TET2</i>⁺ were both shorter than those of patients with <i>FLT3</i>⁺+<i>TET2</i>^- (both <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The mutation frequencies of co-mutated genes are correlated with subtypes of <i>FLT3</i>, karyotype and AR. AML patients with <i>FLT3</i> -<i>TKD</i> ⁺ have longer OS than patients with <i>FLT3</i>- <i>ITD</i> ⁺ alone, and patients with co-mutation of <i>TET2</i> have shorter median OS and RFS.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081943","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}

{"title":"[Quantitative Detection and Integrality Analysis of Plasma Circulating Cell-Free DNA in Multiple Myeloma].","authors":"Lan-Xin Zhang, Yi-Zhi Jiang, Li-Jun Qiu, Dong-Ping Huang","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.020","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.020","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the role of plasma circulating cell-free DNA (cf-DNA) in the screening and diagnosis of patients with newly diagnosed multiple myeloma (MM) and explore the changes of cf-DNA in terms of content and integrality in the assessment of disease in patients treated with chemotherapy.</p><p><strong>Methods: </strong>Peripheral blood specimens were collected from 35 newly diagnosed MM patients and 18 healthy volunteers, and 13 of the 35 patients who had finished 3 courses of standard induction chemotherapy were selected as follow-up group. The ALU247 and ALU115 fragments were used as the target genes, and the cf-DNA content in the plasma of patients and healthy controls was measured by quantitative polymerase chain reaction (qPCR). The integrality of cf-DNA was calculated by the ratio of ALU247 to ALU115.</p><p><strong>Results: </strong>Both the concentration of ALU247 and ALU115 fragments and the integrality of cf-DNA in patients were significantly higher than those in healthy controls (all <i>P</i> < 0.05). Patients who had underwent 3 courses of induction chemotherapy had significantly decreased concentration of ALU247 and ALU115 fragments and integrality of cf-DNA after treatment (all <i>P</i> < 0.05), and strong positive correlations were manifested between cf-DNA integrality and serum M protein content, as well as proportion of abnormal plasma cells in bone marrow before and after treatment (<i>r</i> =0.703, 0.705).</p><p><strong>Conclusions: </strong>Cf-DNA has certain positive significance for the screening and diagnosis of MM. Furthermore, cf-DNA may be a synergism or alternative to serum M-protein content and proportion of abnormal plasma cells in bone marrow in assessing the condition, curative effect and prognosis of patients.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082011","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}

{"title":"[Clinical Significance of the Levels of Peripheral Blood Tregs and Cytokines IL-35, TGF-β and IL-10 in Hemophilia A Patients with FⅧ Inhibitor].","authors":"Hong-Xia He, Yan-Yan Xie, Qing-Yun Sun, Lin-Hong Wang, Yi-Wen Zhu, Jie Li, Xin Wang, Zhao-Ling Deng, Mei-Rong Yang, Zhen-Yu Yan","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.034","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.034","url":null,"abstract":"<p><strong>Objective: </strong>To explore the levels of regulatory T cells (Tregs) and cytokines IL-35, TGF-β and IL-10 in peripheral blood of hemophilia A(HA) patients with FⅧ inhibitor and their clinical significance.</p><p><strong>Methods: </strong>43 HA patients admitted to the Hematology Department of the Affiliated Hospital of North China University of Science and Technology from October 2019 to December 2020 were selected, including 6 cases with FⅧ inhibitor and 37 cases without FⅧ inhibitor. In addition, 20 healthy males who underwent physical examinations were selected as healthy controls. Flow cytometry was used to detect the levels of CD4 ⁺ CD25 ⁺ CD127 ^- Tregs in peripheral blood of the HA patients and healthy controls, and ELISA assay was used to detect the expression levels of IL-35, TGF-β and IL-10 in serum, and their differences between different groups were compared.</p><p><strong>Results: </strong>Compared with the healthy control group, the level of Tregs in HA patients was decreased, and the level of Tregs in the FⅧ inhibitor positive group was the lowest, the difference was statistically significant (<i>P</i> <0.05). There was no significant difference in the expression level of Tregs in HA patients of different severity levels. The serum IL-35, TGF-β, and IL-10 levels in both FⅧ inhibitor negative and positive groups were significantly lower than those in healthy control group, and those in FⅧ inhibitor positive group were significantly lower than those in FⅧ inhibitor negative group (all <i>P</i> <0.05).</p><p><strong>Conclusion: </strong>The decrease of Tregs, IL-35, TGF-β, and IL-10 levels in HA patients may be related to the formation of FⅧ inhibitors.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081945","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}

{"title":"[Thiotert Induces Myelodysplastic Syndromes Cells Apoptosis by Activating Oxidative Stress].","authors":"Qiang-An Jing, Chao-Ting Zhou, Yun-Yi Wu, Xia Ke, Xiang-Min Tong","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.031","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.031","url":null,"abstract":"<p><strong>Objective: </strong>To explore whether thiotert treatment can inhibit proliferation and induce apoptosis in myelodysplastic syndromes (MDS) cells.</p><p><strong>Methods: </strong>CCK-8 assay was used for determining the cytotoxicity of thiotert to MDS cell line SKM-1 and the reversal effect of GSH, NAC, and Z-VAD-FMK on thiotert-induced inhibition of cell viability. EdU assay was deployed to detect the cell proliferation ability. Intracellular reactive oxygen species (ROS) was measured by flow cytometry after DCFH-DA staining. The expression of DNA damage- and apoptosis-related proteins was detected by Western blot.</p><p><strong>Results: </strong>Thiotert treatment significantly suppressed the cell viability and proliferation ability in SKM-1 cells. A large amount of ROS generation and markedly elevated C-PARP, C-Caspase 3, and γ-H2AX were observed after thiotert administration, while BCL-2 was significantly decreased. In addition, GSH, NAC, and Z-VAD-FMK were able to mitigate the cytotoxicity of thiotert on SKM-1 cells.</p><p><strong>Conclusion: </strong>Thiotert can promote MDS cell apoptosis by mediating ROS production and pro-apoptotic proteins expression.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082048","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}

{"title":"[Effect of Collagen Peptides on Function of Mouse T Lymphocytes under Simulated Microgravity].","authors":"Shao-Yan Si, Ya-Ya Qin, Ying-Ying Wu, Xiao-Yu Ma, Ying Shang, Shu-Jun Song, Yan-Chuan Guo","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.043","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.043","url":null,"abstract":"<p><strong>Objective: </strong>To understand the effect of collagen peptides on the function of mouse lymphocytes under simulated microgravity.</p><p><strong>Methods: </strong>The splenocytes of mice were isolated, and the rotary cell culture system was used to simulate the microgravity. The T lymphocytes were stimulated with mitotic agents, concanavalin A (ConA), and the cells were treated with different concentrations of collagen peptides. The proliferation of lymphocytes and the levels of cytokines in the supernatant were detected.</p><p><strong>Results: </strong>Simulated microgravity could inhibit the proliferation of spleen T lymphocytes and decrease the level of cytokines in the supernatant. Collagen peptides could promote the lymphocyte proliferation and cytokine production in cells cultured under simulated microgravity.</p><p><strong>Conclusion: </strong>Collagen peptides may attenuate the inhibitory effect of simulated microgravity on T lymphocytes by regulating the cell proliferation and the secretion of cytokines.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081973","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}

{"title":"[Research Progress in Diagnosis and Treatment of Acute Leukemia Complicated with Pulmonary Infection--Review].","authors":"Hao Ji, Xiao-Sui Ling, Zeng-Zheng Li, Tong-Hua Yang","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.047","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.047","url":null,"abstract":"<p><p>Acute leukaemia is a group of aggressive malignancies with a high mortality rate. The reduction in functional immune cells due to the disease itself and radiotherapy/chemotherapy makes the patients susceptible to co-infections, of which pulmonary infection is a major cause of death. Early accurate diagnosis and appropriate treatment may prevent the spread of infection in patients with acute leukaemia complicated with pulmonary infection, thus reduce serious complications such as sepsis, respiratory failure and multi-organ failure. However, there are still clinical difficulties in the diagnosis and treatment of pulmonary infections in acute leukemia patients. Therefore, the current research advances in the diagnosis and treatment of bacterial, fungal and viral infections in the lungs of patients with acute leukemia were briefly summarized in this review.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082041","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}

{"title":"[Primary Extranodal Diffuse Large B-Cell Lymphoma in the Rituximab Era: a Single-Center Retrospective Analysis].","authors":"Lan Yang, Li-Xia Cao, Hui-Juan Ren, Yan-Qiu Han","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.023","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.023","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical features and prognostic factors of patients with primary extranodal diffuse large B-cell lymphoma (DLBCL) in the rituximab era.</p><p><strong>Methods: </strong>The continuous data of newly diagnosed DLBCL patients with complete case data and first-line treated with rituximab, cyclophosphamide, epirubicin, vincristine, prednisone (R-CHOP) or R-CHOP treatment admitted to the Affiliated Hospital of Inner Mongolia Medical University from January 2013 to November 2023 were retrospectively analyzed. The clinical and molecular immunological features and prognosis of extranodal DLBCL were analyzed, Logistics regression model was used to analyzed the influencing factors of patients prognosis.</p><p><strong>Results: </strong>A total of 237 patients were enrolled, of which 54.4% (129 cases) were primary extranodal sources of DLBCL, and the most common extranodal sites were as follows: stomach (19.4%), colon (14.7%), tonsils (12.4%), skin/muscle (9.3%), central (7.7%), nasal/nasopharynx (6.2%), bone marrow (5.4%), testes (4.7%). The 3-year PFS and OS of DLBCL patients with extranodal involvement of bone marrow, central, liver, gastrointestinal or pulmonary origin were significantly lower than those of other patients with extranodal DLBCL of non-special site origin, and the difference was statistically significant (PFS: 65.2% <i>vs</i> 76.7%, <i>P</i> =0.008; OS: 82.6% <i>vs</i> 88.3%, <i>P</i> =0.04). Multivariate analysis showed that the prognostic factors affecting OS included NCCN-IPI score >3 (<i>OR</i> : 0.142, 95%<i>CI</i> : 0.041-0.495, <i>P</i> =0.002), non-germinal center source (<i>OR</i> : 2.675，95%<i>CI</i> :1.069-6.694，<i>P</i> =0.036), and DEL patients (<i>OR</i> : 0.327, 95%<i>CI</i> : 0.129-0.830, <i>P</i> =0.019). An NCCN-IPI score >3 was the only independent adverse prognostic factor for PFS (<i>OR</i> : 0.235, 95%<i>CI</i> : 0.116-0.474, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Patients with primary extranodal source DLBCL are more common in gastrointestinal involvement, and the overall prognosis is worse than that of patients with lymph node origin. NCCN-IPI score is an important independent adverse prognostic factor for predicting overall survival and progression-free survival in patients with primary extranodal diffuse large B-cell lymphoma.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082008","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}

{"title":"[Clinical Characteristics Analysis of EBV-associated Hemophagocytic Lymphohistiocytosis Patients with Acute Kidney Injury].","authors":"Meng-Ya Zhao, Yu Qiu, Jing-Feng Liu, Dong-Chen Guo, Jin Lin","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.042","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.042","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the clinical characteristics of patients with Epstein-Barr virus(EBV)-associated hemophagocytic lymphohistiocytosis(HLH) with acute kidney injury(AKI).</p><p><strong>Methods: </strong>EBV-HLH patients who were hospitalized in our hospital from January 2014 to December 2020 were collected, and their clinical characteristics, treatment, concurrent acute kidney injury and prognosis were retrospectively analyzed.</p><p><strong>Results: </strong>In this study, the incidence of AKI complicated by EBV-HLH was 65.5%, and the 28-day mortality rate was 15.3%. Compared with non-AKI group, patients in the AKI group had higher levels of bilirubin, lactate dehydrogenase, creatinine, urea nitrogen, and β₂-microglobulin（β₂-MG）, poorer coagulation, and lower soluble IL-2 receptor （sCD25）. Patients in the AKI group had a higher proportion of chemotherapy, transplantation, mechanical ventilation, and the application of vasoactive medications, and were hospitalized for longer periods of time, with higher in-hospital mortality rates and 28-day mortality rates. Patients in the AKI group were analyzed in subgroups according to the Kidney Disease Improving Global Outcomes （KDIGO）classification, and the levels of leukocytes, bilirubin, albumin, creatinine, urea nitrogen, β₂-MG, activated partial thromboplastin time （APTT）, and prothrombin time activity （PTA）were more responsive to the severity of the patient's condition. KDIGO grade 2 and 3 had higher proportions of receiving transplants, diuretics, organ support (mechanical ventilation, application of vasoactive medications, and renal replacement therapy), and admissions to the intensive care unit （ICU）, and with higher in-hospital mortality rates and 28-day mortality rates. Regression analysis found that creatinine, β₂-MG, APTT, transplantation, and chemotherapy were independent risk factors for the development of AKI; the application of vasoactive drugs was both an independent risk factor for the development of AKI and for death at 28 days; and chemotherapy, length of hospitalization, and HGB and fibrinogen levels were protective factors for death at 28 days.</p><p><strong>Conclusion: </strong>AKI in EBV-HLH has high incidence and high rate of progression to severe disease and death, early attention should be given and strengthened in order to carry out early treatment and improve the prognosis of patients.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081940","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}

{"title":"[Correlation between Morphological Typing and Monoclonality of Bone Marrow Plasma Cells and Its Diagnostic Value for High-Risk Smoldering Multiple Myeloma].","authors":"Hui-Jian Xiao, Qiu-Ju Wang, Shuang Wu, Xu-Bo Dai, Yue-Peng Zhuang","doi":"10.19746/j.cnki.issn.1009-2137.2024.04.026","DOIUrl":"https://doi.org/10.19746/j.cnki.issn.1009-2137.2024.04.026","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the correlation between morphological typing and monoclonality of bone marrow plasma cells, and explore the diagnostic value of plasma cell morphological typing for high-risk smoldering multiple myeloma(HR-SMM).</p><p><strong>Methods: </strong>The correlation between the morphological characteristics and the monoclonality of bone marrow plasma cells was analyzed in 84 patients with HR-SMM who treated in our hospital. The consistency of morphologically abnormal bone marrow plasma cells with serum free light chain (sFLC) ratio, next-generation sequencing (NGS) detection results, and its correlation with monoclonal plasma cells detected by flow cytometry (FCM) were further verified. The immunoglobulin types and levels of non-involved immunoglobulins in serum of the patients were detected, and the distribution of plasma cell clusters in patients with different disease was observed.</p><p><strong>Results: </strong>The mean percentage of mature plasma cells were decreased successively in the order of reactive plasmacytosis (RP) group, monoclonal gammopathy of undetermined significance (MGUS) group, smoldering multiple myeloma (SMM) group, HR-SMM group and multiple myeloma (MM) group; while the mean percentage of immature, primitive, reticular and flaming plasma cells were increased successively in the order of RP group, MGUS group, SMM group, and HR-SMM group, and the difference between any two groups was statistically significant (<i>P</i> < 0.05).The average proportion of abnormal plasma cells in the bone marrow of HR-SMM patients was 96.2% of the total plasma cells. The proportion of abnormal plasma cells were in good agreement with the sFLC ratio and the results of NGS detection in HR-SMM patients (kappa=0.879 and kappa=0.891, both >0.75)，and showed good correlation with the monoclonal plasma cells with immunophenotype of CD45^-/CD38⁺/CD138⁺/CD56⁺/CD19^-( <i>γ</i>=0.825). The levels of non-involved immunoglobulin in IgG, IgA and IgM type HR-SMM patients were all decreased by more than 25% compared with the normal reference range, and the differences were statistically significant (<i>P</i> < 0.05). There was no significant difference in the distribution ratio of plasma cell clusters among different disease groups (<i>P</i> >0.05).</p><p><strong>Conclusion: </strong>In HR-SMM patients, the immature, primitive, reticular and flaming plasma cells in bone marrow are considered as abnormal plasma cells, and they are correlated with monoclonal plasma cells. The proportion of abnormal plasma cells in total plasma cells of bone marrow and the reduction extent of non-involved immunoglobulin level in patients have certain reference value for the diagnosis of HR-SMM.</p>","PeriodicalId":35777,"journal":{"name":"中国实验血液学杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081969","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}