International Journal of Hematology-Oncology and Stem Cell Research最新文献

筛选
英文 中文
Assessment the Effect of Human Umbilical Cord Wharton's Jelly Stem Cells on the Expression of Homing Genes; CXCR4 and VLA-4 in Cell Line of Breast Cancer. 人脐带沃顿果冻干细胞对归巢基因表达影响的研究CXCR4和VLA-4在乳腺癌细胞系中的表达。
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-04-01 DOI: 10.18502/ijhoscr.v16i2.9204
Vida Vahdanikia, Masoud Maleki, Roya Asl Irani Fam, Adel Abdi
{"title":"Assessment the Effect of Human Umbilical Cord Wharton's Jelly Stem Cells on the Expression of Homing Genes; CXCR4 and VLA-4 in Cell Line of Breast Cancer.","authors":"Vida Vahdanikia,&nbsp;Masoud Maleki,&nbsp;Roya Asl Irani Fam,&nbsp;Adel Abdi","doi":"10.18502/ijhoscr.v16i2.9204","DOIUrl":"https://doi.org/10.18502/ijhoscr.v16i2.9204","url":null,"abstract":"<p><p><b>Background:</b> Breast cancer is the most common cancer in women<b>.</b>  The prevalence of breast cancer in Western women is one in eight<b>.</b>  Although the prevalence of breast cancer in Iran is lower than in Western countries (one in every 10-12 women), the incidence of breast cancer in it is 5-10 years earlier than in Western countries<b>.</b> Breast cancer is the second leading cause of cancer death among women after lung cancer<b>.</b> Therefore, finding new therapeutic methods could potentially help to reduce breast cancer mortality and increase the survival rate<b>.</b> Wharton jelly stem cells with mesenchymal morphology play an important role in inhibiting the progression of ovarian, osteosarcoma, and breast cancer by inducing apoptosis and reducing metastasis. Several environmental and genetic factors are involved in the occurrence of breast cancer. CXCR4 and VLA-4 genes are important genetic factors in breast cancer that play a role in cell survival, migration, proliferation, and metastasis of several types of cancer, especially breast cancer<b>.</b> Therefore, inhibition of these two genes by Wharton's Jelly Stem Cells could be a novel and effective therapeutic target in breast cancer<b>.</b>  The aim of this study was to investigate the effect of Wharton jelly stem cells secretion on the expression of CXCR4 and VLA-4 genes in cancer cells<b>.</b> <b>Materials and Methods:</b> These cells were exposed to Wharton's Jelly Stem Cells after culturing breast cancer cells. RNA was extracted from treated cells. The expression of CXCR4 and VLA-4 genes was evaluated by real-time PCR<b>.</b> <b>Results:</b> The results of the MTT and Scratching tests showed a significant difference compared to the control group. Also, the results of Real-time PCR showed a significant decrease in the expression of CXCR4 and VLA-4 genes compared to the control group<b>.</b> <b>Conclusion:</b> The results of this study showed that different concentrations of Wharton Jelly Stem Cells reduce cancer cell growth and expression of CXCR4 and VLA-4 homing genes in MDA-MB-231 breast cancer cells. Therefore, Wharton Jelly Stem Cells can be considered as an effective treatment for breast cancer.</p>","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"16 2","pages":"110-116"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/84/IJHOSCR-16-110.PMC9547777.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40653277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Diagnostic Value of Ultrasound-Guided Cervical Core Needle Biopsy in Diagnosis of Lymphoma in Suspected Patients. 超声引导下颈椎芯针活检对疑似淋巴瘤的诊断价值。
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-04-01 DOI: 10.18502/ijhoscr.v16i2.9200
Mohammad Ali Kazemi, Farzad Yazdani, Hashem Sharifian, Keyvan Aghazadeh, Behnaz Moradi, Hengameh Behravan, Mohsen Mikelani
{"title":"The Diagnostic Value of Ultrasound-Guided Cervical Core Needle Biopsy in Diagnosis of Lymphoma in Suspected Patients.","authors":"Mohammad Ali Kazemi,&nbsp;Farzad Yazdani,&nbsp;Hashem Sharifian,&nbsp;Keyvan Aghazadeh,&nbsp;Behnaz Moradi,&nbsp;Hengameh Behravan,&nbsp;Mohsen Mikelani","doi":"10.18502/ijhoscr.v16i2.9200","DOIUrl":"https://doi.org/10.18502/ijhoscr.v16i2.9200","url":null,"abstract":"<p><p><b>Background:</b> Core needle biopsy (CNB) guided by imaging modalities seems to be an acceptable modality for diagnosis of lymphoma due to its safety, good applicability, availability as well as diagnostic accuracy, however; Studies have not reached a consensus on its diagnostic accuracy and factors affecting its performance. The present study aimed to assess the value of ultrasound-guided cervical CNB in the diagnosis of lymphoma in suspected patients. <b>Materials and Methods:</b> This cross-sectional study was performed on 46 consecutive patients (20 to 82 years) with cervical mass or lymphadenopathy suspected of lymphoma and were candidates for diagnostic evaluation. Ultrasound-guided core needle biopsies (UGCNB) were done by a single radiologist under guided ultrasonography. The diagnostic value of UGCNB in the diagnosis and determination of specific lymphoma subtypes was assessed. <b>Results:</b> Using UGCNB led to the diagnosis of lymphoma in 34.8% and non-lymphoma lesions in 43.5%, while the diagnosis remained unclear in other 21.7% with a total UGCNB-based identification rate of 78.3%. No patient with lymphoma was missed. All patients were followed up over a 6-month period. In none of the cases, clinical diagnosis and treatment response were found contrary to the initial pathologic diagnosis. No significant complication such as hematoma or infection was reported. <b>Conclusion:</b> UGCNB has a high diagnostic value for determining the nature of the cervical lesions suspected of lymphoma.</p>","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"16 2","pages":"81-85"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/85/IJHOSCR-16-81.PMC9547778.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40653739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hematopoietic Adverse Events Associated with BNT162b2 mRNA Covid-19 Vaccine 与BNT162b2 mRNA Covid-19疫苗相关的造血不良事件
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-03-30 DOI: 10.4999/uhod.226097
B. Erdogdu
{"title":"Hematopoietic Adverse Events Associated with BNT162b2 mRNA Covid-19 Vaccine","authors":"B. Erdogdu","doi":"10.4999/uhod.226097","DOIUrl":"https://doi.org/10.4999/uhod.226097","url":null,"abstract":"Our second case is a 49-year-old female patient, two days after receiving BNT162b2 mRNA COVID-19 vaccine, petechiae was started in arms and then in lower extremities. The complaints of weakness and fatigue continued to increase within days. The patient, who was admitted to the hospital ten days later with these complaints, was found to have bi-cytopenia. Bone marrow aspiration and biopsy reported that 20-30% stained with cd19 diffuse positive Terminal deoxynucleotidyl transferase (TdT) in blastic cells. HyperCVAD chemotherapy was started with the diagnosis of b-acute lymphoOur third case is a 57-year-old male patient, difficulty in swallowing, and oral ulceration after vaccination of BNT162b2 mRNA COVID-19 vac","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74853435","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: 7
225730Comparison of Treatment Results and Prognostic Factors of Elderly and Young Patients Receiving Neoadjuvant Chemoradiotherapy in Rectal CancerBerrin 225730老年与青年直肠癌新辅助放化疗患者治疗效果及预后因素比较[j]
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-03-30 DOI: 10.4999/uhod.225730
Berrin Inanc
{"title":"225730Comparison of Treatment Results and Prognostic Factors of Elderly and Young Patients Receiving Neoadjuvant Chemoradiotherapy in Rectal CancerBerrin","authors":"Berrin Inanc","doi":"10.4999/uhod.225730","DOIUrl":"https://doi.org/10.4999/uhod.225730","url":null,"abstract":"","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85389205","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
Diagnostic Performance of the CUT Score in Assessing the Malignancy Risk of Thyroid Nodules CUT评分在评估甲状腺结节恶性风险中的诊断价值
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-03-30 DOI: 10.4999/uhod.225701
Ş. Akın
{"title":"Diagnostic Performance of the CUT Score in Assessing the Malignancy Risk of Thyroid Nodules","authors":"Ş. Akın","doi":"10.4999/uhod.225701","DOIUrl":"https://doi.org/10.4999/uhod.225701","url":null,"abstract":"Various scoring systems in order to predict the malignancy risk in thyroid nodules (TNs) have been developed. CUT is one of the novel scoring systems. In this study, we aimed to evaluate its performance in predicting the malignancy risk in TNs and validity in the presence of Hashimoto’s thyroiditis (HT). We retrospectively evaluated a total of 252 TNs with a fine needle aspiration biopsy. The CUT scores (Clinical, Ultrasonographic, and Thyroid Cytological scoring system) of the nodules were compared with ATA, ACR-TIRADS and KWAK-TIRADS scores and the histopathology of the nodules. Patients with HT were also compared with m-TIRADS classification. The CUT scores of nodules with malignant histopathology were significantly higher than the benign nodules (3.59 vs. 4.63, p< 0.001). The area values under the ROC curve of ACR-TIRADS, KWAK-TIRADS, ATA and CUT scoring systems were similar and significantly higher than the reference line [ACR-TIRADS, AUC was 0.762 (95% CI: 0.702-0.822, p< 0.001); KWAK-TIRADS, AUC was 0.759 (95% CI: 0.699-0.819, p< 0.001); CUT score, AUC was 0.759 (95% CI: 0.700-0.819, p< 0.001); ATA, AUC was 0.748 (95% CI: 0.687-0.810, p< 0.001)]. The areas under the ROC curve were similar when the efficiency of the CUT score was compared with m-TIRADS [CUT score, AUC was 0.772 (95% CI: 0.669-0.876, p< 0.001); m-TIRADS, AUC was 0.770 (95% CI: 0.667-0.874; p< 0.001)] in patients with HT. Our study showed that CUT scoring system was as effective as other scoring systems in predicting the risk of malignancy in thyroid nodules. Furthermore, CUT score is also effective in the presence of HT.","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90996231","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: 1
New Perspectives on the Recurrent BRCA Mutations and Clinical Variability 复发性BRCA突变和临床变异性的新观点
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-03-30 DOI: 10.4999/uhod.225476
I. Sahin
{"title":"New Perspectives on the Recurrent BRCA Mutations and Clinical Variability","authors":"I. Sahin","doi":"10.4999/uhod.225476","DOIUrl":"https://doi.org/10.4999/uhod.225476","url":null,"abstract":"","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86159587","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
Improving Survival Besides the High Early Mortality Rate in Acute Promyelocytic Leukemia 提高急性早幼粒细胞白血病的生存率及高早期死亡率
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-03-30 DOI: 10.4999/uhod.225992
Umit Yavuz Malkan
{"title":"Improving Survival Besides the High Early Mortality Rate in Acute Promyelocytic Leukemia","authors":"Umit Yavuz Malkan","doi":"10.4999/uhod.225992","DOIUrl":"https://doi.org/10.4999/uhod.225992","url":null,"abstract":"","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84317826","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
Evolution of the Solid Human Tumor Cells Properties in Various Experimental Systems in Vitro 实体人肿瘤细胞特性在不同体外实验系统中的演化
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-01-19 DOI: 10.14302/issn.2372-6601.jhor-22-4061
A. Danilova, N. Efremova, T. Nekhaeva, I. Baldueva, Mykhail A. Maydin, A. A. Murashkina, E. Artemyeva, Anna S. Artemyev
{"title":"Evolution of the Solid Human Tumor Cells Properties in Various Experimental Systems in Vitro","authors":"A. Danilova, N. Efremova, T. Nekhaeva, I. Baldueva, Mykhail A. Maydin, A. A. Murashkina, E. Artemyeva, Anna S. Artemyev","doi":"10.14302/issn.2372-6601.jhor-22-4061","DOIUrl":"https://doi.org/10.14302/issn.2372-6601.jhor-22-4061","url":null,"abstract":"Background\u0000Human malignant cell models which reflect the structural and physiological complexity of tumor tissue are of great importance for preclinical research in oncology. Spheroids/tumoroids derived from solid tumors are of great interest as cellular models mimicking the first vascular-free growth phase of a tumor node. The fact of the identity between artificially created tumor multicellular aggregates and the real tumor tissue, however, needs to be specified, described and validated in order to see how closely the spheroids are biologically similar to the malignized tissues in vivo compared to the monolayer cell cultures traditionally used. We present here a comparison study of the characteristics of solid tumor cells of different histogenesis (melanomas, soft tissue sarcomas and bone sarcomas, epithelial tumors) cultured in two dimensions (monolayer culture) and three dimensional space (spheroid), namely: spatial organization, multiplication, metabolic activity.\u0000\u0000Patients and Methods\u0000For the creation of 2 D and 3D cell models the cells isolated from the patient's solid tumor fragments obtained intraoperatively were used. 15 samples of skin melanoma, 20 samples of soft tissue and osteogenic sarcomas (STBS), and 9 samples of epithelial tumors (ET). The tumor cells were all cultivated for at least 10 passages. We used phase contrast, confocal microscopy, and immunohistochemistry to investigate spheroids and monolayer cultures. The supernatants of tumor cells grown in 2D and 3D cultures were studied using ELISA and multiplex analysis for the production of a spectrum of chemokines and cytokines supporting the immunosuppression, invasion and metastasis processes.\u0000\u0000Results\u0000\u0000Tumor specimens received were predominantly of metastatic origin (75%). In 100% of cases 2D cultures were received, in 88.6% of cases (39 out of 44) we succeeded in obtaining spheroids. There was no direct correlation between the efficiency of tumoroid formation and the tumor's histogenetic origin and the stage of the cancer process (primary tumor, recurrence, metastasis). The median size of spheroids by 4-5 days of cultivation with a starting concentration of 10000 cells per well was 657.14 μm for melanoma (min 400 - max 1000 μm), 571.42 μm (min 400 - max 700 μm), 507.14 μm (min 300 - max 600 μm) for soft tissue sarcomas, 650.0 μm (min 400 - max 900 μm) for osteogenic sarcomas. Immunochemical analysis of Ki-67, GLUT1, and Ecadherin markers was carried out for tumor tissue samples, single-layer tumor cultures, and tumoroids of every patient. The distribution of the stained groups in the spheroids was distinct from the monolayer cultures and more in accordance with the distribution of such in the tissue tumor, the number of Ki-67+ cells was increasing in the spheroids. We detected no dependence of Ki-67+ and GLUT1+ cell localization grade on spheroid size. We identified E-cadherin in tumor tissue and tumoroids of breast carcinoma and one melanoma culture. Monolayer cultures did","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86882544","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: 1
Red Blood Cell Immunization and Contributing Factors in 685 Thalassemia Patients. 685例地中海贫血患者红细胞免疫及影响因素分析
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-01-01 DOI: 10.18502/ijhoscr.v16i1.8435
Mojgan Shaiegan, Mostafa Moghaddam, Mahtab Maghsudlu, Azita Azarkeivan, Sima Zolfaghari, Ali-Akbar Pourfatollah, Peyman Soleimanzadeh, Ehsan Shahverdi
{"title":"Red Blood Cell Immunization and Contributing Factors in 685 Thalassemia Patients.","authors":"Mojgan Shaiegan,&nbsp;Mostafa Moghaddam,&nbsp;Mahtab Maghsudlu,&nbsp;Azita Azarkeivan,&nbsp;Sima Zolfaghari,&nbsp;Ali-Akbar Pourfatollah,&nbsp;Peyman Soleimanzadeh,&nbsp;Ehsan Shahverdi","doi":"10.18502/ijhoscr.v16i1.8435","DOIUrl":"https://doi.org/10.18502/ijhoscr.v16i1.8435","url":null,"abstract":"<p><p><b>Background:</b> An analysis of red blood cell alloimmunization in patients with thalassemia can help to devise specific strategies to decrease the alloimmunization rate. This study explored the frequency and specificity of alloantibodies and autoantibodies against red blood cell (RBC) antigens in patients with thalassemia referring to the Iranian Blood Transfusion Organization (IBTO) Immunohematology Reference Laboratory (IRL) in Tehran. <b>Materials and Methods:</b> This study first examined the laboratory records of 23,113 patients suffering from different diseases referring to IBTO's IRL for pretransfusion testing in the 2008-2015 period. ABO and Rh(D) typing and antibody screening tests were performed for all 23,113 patient records and 685 (2.97%) beta-thalassemia patients with positive pre-transfusion test results (antibody screening and/or DAT) were selected for further investigation. <b>Results:</b> The antibody screening test was positive in 640 out of 685 thalassemic patients (93.4%). DAT was performed for 529 patients, 226 (33%) of which showed positive results. Meanwhile, 161 out of 685 beta-thalassemia patients (23.5%) had positive auto control test results, reflecting the possible presence of allo- and/or autoantibodies. The most common antigen-specific alloantibodies were directed against K and E RBC antigens with a frequency of 25% (Anti-K) and 11.91% (Anti-E), respectively. The development of two antibodies (double antibodies) in one patient was observed in 80 individuals (11.46%). <b>Conclusion:</b> Age, gender, history of pregnancy, and splenectomy were not contributing factors to the antibody presence in the patient population under study. Extended red blood cell phenotyping should be considered as an essential procedure for expected multi-transfused thalassemia patients before blood transfusion. Considering the high frequency of anti-K and anti-E observed in this study, it is recommended that thalassemia patients in Iran are tested through phenotyping of RBC units for K and E antigens before transfusion.</p>","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"16 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/6c/IJHOSCR-16-9.PMC9339119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40703568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparison of Dexamethasone Plus Vincristine versus Standard Regimen in Induction Therapy of Adult Acute Lymphoblastic Leukemia Patients Undergoing Hematopoietic Stem Cell Transplantation. 地塞米松加长春新碱与标准方案诱导治疗成人急性淋巴细胞白血病行造血干细胞移植的比较。
International Journal of Hematology-Oncology and Stem Cell Research Pub Date : 2022-01-01 DOI: 10.18502/ijhoscr.v16i1.8439
Mohammad Vaezi, Amirhoushang Pourkhani, Amir Kasaeian, Maryam Souri, Marjan Yaghmaie, Bahram Chardouli, Kamran Alimoghaddam, Ardeshir Ghavamzadeh
{"title":"A Comparison of Dexamethasone Plus Vincristine versus Standard Regimen in Induction Therapy of Adult Acute Lymphoblastic Leukemia Patients Undergoing Hematopoietic Stem Cell Transplantation.","authors":"Mohammad Vaezi,&nbsp;Amirhoushang Pourkhani,&nbsp;Amir Kasaeian,&nbsp;Maryam Souri,&nbsp;Marjan Yaghmaie,&nbsp;Bahram Chardouli,&nbsp;Kamran Alimoghaddam,&nbsp;Ardeshir Ghavamzadeh","doi":"10.18502/ijhoscr.v16i1.8439","DOIUrl":"https://doi.org/10.18502/ijhoscr.v16i1.8439","url":null,"abstract":"<p><p><b>Background:</b> Current treatment options of acute lymphoblastic leukemia(ALL) include chemotherapy alone or hematopoietic stem cell transplantation (HSCT) following induction chemotherapy both along with CNS prophylaxis. The usual and standard induction regimens currently administered could have severe complications and mortality. <b>Materials and Methods:</b> To lessen induction regimen complications in ALL patients who undergo HSCT, we used a cytoreduction induction regimen including dexamethasone (8 mg, IV, three times a day, for 28 days) and vincristine(1.4 mg/m<sup>2</sup>, IV, on days 1,8,15 and 22) for 49 newly diagnosed adult ALL patients followed by an early sibling donor HSCT within two months. The results were matched with outcomes of HSCT in 172 ALL patients inducted by standard induction regimen. <b>Results:</b> Median follow-up time was 5.41 years in the standard group and 5.27 years in the other. All patients of the case group (100%) achieved complete remission. Landmark analyses were performed to scrutinize the effect of treatments on different time intervals: first two years and 2<sup>nd</sup> to end years. Type of treatment had no significant effect on the hazard of death in the first landmark (HR=0.87, P=0.64). Cytoreduction regimen amplified the hazard of death 3.43 times more than the standard regimen in the second landmark (HR=3.43 P=0.035). Multivariate analysis showed that the cytoreduction regimen reduced the hazard of relapse about 22%, but not statistically significant (HR=0.78, P-value=0.24). <b>Conclusion:</b> Overall, it seems despite achieving complete remission in induction therapy, depth of response is a critical predictor for long-term outcomes of HSCT in ALL patients, and the use of multiple agents may be necessary to decrease tumor cell burden and minimal residual disease(MRD).</p>","PeriodicalId":38991,"journal":{"name":"International Journal of Hematology-Oncology and Stem Cell Research","volume":"16 1","pages":"22-33"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/df/IJHOSCR-16-22.PMC9339120.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40420438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信