RESUMO
Empathic function, which is primarily manifested by facial imitation, is believed to play a pivotal role in interpersonal emotion regulation for mood reinstatement. To explore this association and its neural substrates, we performed a questionnaire survey (study l) to identify the relationship between empathy and interpersonal emotion regulation; and a task-mode fMRI study (study 2) to explore how facial imitation, as a fundamental component of empathic processes, promotes the interpersonal emotion regulation effect. Study 1 showed that affective empathy was positively correlated with interpersonal emotion regulation. Study 2 showed smaller negative emotions in facial imitation interpersonal emotion regulation (subjects imitated experimenter's smile while followed the interpersonal emotion regulation guidance) than in normal interpersonal emotion regulation (subjects followed the interpersonal emotion regulation guidance) and Watch conditions. Mirror neural system (e.g. inferior frontal gyrus and inferior parietal lobe) and empathy network exhibited greater activations in facial imitation interpersonal emotion regulation compared with normal interpersonal emotion regulation condition. Moreover, facial imitation interpersonal emotion regulation compared with normal interpersonal emotion regulation exhibited increased functional coupling from mirror neural system to empathic and affective networks during interpersonal emotion regulation. Furthermore, the connectivity of the right orbital inferior frontal gyrus-rolandic operculum lobe mediated the association between the accuracy of facial imitation and the interpersonal emotion regulation effect. These results show that the interpersonal emotion regulation effect can be enhanced by the target's facial imitation through increased functional coupling from mirror neural system to empathic and affective neural networks.
Assuntos
Regulação Emocional , Humanos , Mapeamento Encefálico/métodos , Comportamento Imitativo/fisiologia , Imageamento por Ressonância Magnética/métodos , Empatia , Neuroimagem Funcional , Emoções/fisiologia , Expressão FacialRESUMO
As a major contributor to the development of depression, rumination has proven linked with aberrant default-mode network (DMN) activity. However, it remains unclear how the spontaneous spatial and temporal activity of DMN underlie the association between rumination and depression. To illustrate this issue, behavioral measures and resting-state functional magnetic resonance images were connected in 2 independent samples (NSample1 = 100, NSample2 = 95). Fractional amplitude of low-frequency fluctuations (fALFF) and regional homogeneity (ReHo) were used to assess spatial characteristic patterns, while voxel-wise functional concordance (across time windows) (VC) and Hurst exponent (HE) were used to assess temporal dynamic patterns of brain activity. Results from both samples consistently show that temporal dynamics but not spatial patterns of DMN are associated with rumination. Specifically, rumination is positively correlated with HE and VC (but not fALFF and ReHo) values, reflecting more consistent and regular temporal dynamic patterns in DMN. Moreover, subregion analyses indicate that temporal dynamics of the ventromedial prefrontal cortex (VMPFC) reliably predict rumination scores. Furthermore, mediation analyses show that HE and VC of VMPFC mediate the association between rumination and depression. These findings shed light on neural mechanisms of individual differences in rumination and corresponding risk for depression.
Assuntos
Depressão , Córtex Pré-Frontal , Depressão/diagnóstico por imagem , Córtex Pré-Frontal/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Individualidade , Idioma , Mapeamento Encefálico/métodos , EncéfaloRESUMO
BACKGROUND: The role of cytoreduction prior to hematopoietic cell transplant (HCT) for patients with pediatric myelodysplastic syndrome (MDS) and related disorders remains unclear. PROCEDURE: We performed a single-center retrospective analysis of pre-transplant disease management and subsequent HCT outcome for pediatric patients with MDS and related disorders who underwent HCT between 2010 and 2020. RESULTS: Total 62 patients (median age 11 years) with idiopathic MDS (n = 16), MDS secondary to an underlying germline condition (n = 11), secondary acute myeloid leukemia (n = 9), myeloproliferative neoplasms (n = 8), and treatment-related myeloid neoplasms (n = 18) received an allogeneic HCT. Cytoreduction prior to HCT was performed in 30/62 (48%) patients; this subset of patients had higher risk disease characteristics, including a higher blast count on presentation. In the overall cohort, use of cytoreduction before HCT was associated with higher rates of relapse (cumulative incidence of relapse 24 months post HCT: 48.1% [27.5%-66.1%]) for those who received cytoreduction versus 16.6% (5.9%-32.1%) for those who did not (p = .03). There was a trend toward decreased overall survival (OS) for those patients who received cytoreduction (24 months post HCT 57.1% vs. 75.3%, respectively; p = .06). OS for patients who received cytoreduction and attained measurable residual disease (MRD) negativity prior to HCT was superior compared to those with persistent disease (24 months post HCT 63.9% [36%-81.2%] vs. 33.3% [7.8%-62.3%], respectively; p = .04). CONCLUSION: Cytoreduction did not provide survival benefit in our overall cohort, but its increased use in children with higher risk disease impacted the analysis. Patients receiving cytoreduction and achieving MRD-negative status before HCT demonstrated improved OS compared to those with persistent disease.
RESUMO
The composite face effect (CFE) is recognized as a hallmark for holistic face processing, but our knowledge remains sparse about its cognitive and neural loci. Using functional magnetic resonance imaging with independent localizer and complete composite face task, we here investigated its neural-behavioral correspondence within face processing and attention networks. Complementing classical comparisons, we adopted a dimensional reduction approach to explore the core cognitive constructs of the behavioral CFE measurement. Our univariate analyses found an alignment effect in regions associated with both the extended face processing network and attention networks. Further representational similarity analyses based on Euclidian distances among all experimental conditions were used to identify cortical regions with reliable neural-behavioral correspondences. Multidimensional scaling and hierarchical clustering analyses for neural-behavioral correspondence data revealed two principal components underlying the behavioral CFE effect, which fit best to the neural responses in the bilateral insula and medial frontal gyrus. These findings highlight the distinct neurocognitive contributions of both face processing and attentional networks to the behavioral CFE outcome, which bridge the gaps between face recognition and attentional control models.
Assuntos
Atenção/fisiologia , Mapeamento Encefálico/métodos , Córtex Cerebral/fisiologia , Imagem Ecoplanar/métodos , Reconhecimento Facial/fisiologia , Rede Nervosa/fisiologia , Adulto , Córtex Cerebral/diagnóstico por imagem , Feminino , Humanos , Masculino , Rede Nervosa/diagnóstico por imagem , Adulto JovemRESUMO
The present study explored whether neuroticism modulates the impact of extraversion on attention orienting to pleasant and unpleasant pictures of diverse emotional intensities. We measured event-related potentials for highly emotional, mildly emotional, and neutral stimuli in both pleasant and unpleasant blocks, while subjects (16 stable ambiverts, 15 stable extraverts, 17 neurotic ambiverts, and 17 neurotic extraverts) were asked to perform a standard/deviant categorization task, irrespective of the emotionality of the deviants. The results revealed a modulation effect of neuroticism in the impact of extraversion on emotional attention. On the one hand, irrespective of extraversion, emotionally stable samples showed increased N200 amplitudes for highly unpleasant (HN) stimuli relative to mildly unpleasant (MN) and neutral stimuli, while these samples exhibited no significant emotion magnitude effect in the pleasant block. On the other hand, although neurotic samples, both extraverts and ambiverts, showed enhanced N2 amplitudes for HN stimuli than neutral stimuli, neurotic extraverts displayed increased N2 amplitudes for highly pleasant (HP) and mildly pleasant (MP) stimuli than neutral stimuli, which was absent in neurotic ambiverts. These results extend our understanding of the relationship between extraversion and emotion by showing that neuroticism amplifies the positive emotional bias of extraverts.
Assuntos
Transtornos de Ansiedade/psicologia , Atenção/fisiologia , Potenciais Evocados Visuais/fisiologia , Extroversão Psicológica , Estimulação Luminosa/métodos , Feminino , Humanos , Masculino , Neuroticismo , Estimulação Luminosa/efeitos adversos , Adulto JovemRESUMO
Reappraisal of negative events is known to be useful in decreasing their emotional impact. However, existent evidence for this conclusion mostly relies on conscious, deliberate reappraisal that comes with the cost of cognitive efforts. The aim of the present study was to compare emotion regulation effects of conscious and unconscious reappraisal, which has been shown to be less costly in previous studies. Subjects randomly assigned to an unconscious reappraisal, conscious reappraisal, and control condition performed a frustrating arithmetic task. Subjective emotional experience and heart-rate reactivity were recorded. Participants primed with unconscious reappraisal showed the same decrease in heart-rate reactivity as those explicitly instructed to reappraise. In addition, the unconscious reappraisal group did not show reductions in subjective negative emotion, whereas this was significantly decreased in the conscious reappraisal group. Heart-rate reactivity was positively correlated with negative emotion ratings and negatively correlated with the positive emotion ratings. These results suggest that unconscious reappraisal is only effective in decreasing physiological consequences of frustrating emotion, but not in reducing subjective experience.
Assuntos
Estado de Consciência/fisiologia , Emoções/fisiologia , Frustração , Frequência Cardíaca/fisiologia , Adolescente , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Critical public events, like COVID-19, significantly impact individuals' emotional and mental health. People tend to use multi-level emotion regulation strategies (intrapersonal, interpersonal and hyper-personal) to cope with these events, resulting in various strategy profiles. However, few studies have examined ER strategies from a multilevel perspective. Therefore, this study examines the use of multi-level strategies during COVID-19, and evaluates the effectiveness of these strategies, with a particular interest in identifying strategy profiles promoting mental health. We conducted a two-wave study (an interval of 1 week) using online questionnaires during COVID-19, with an initial sample of 1,189 participants and 895 samples completing the surveys across the two waves. Cross-lagged analysis indicated that experiential avoidance was reciprocally positively related to negative emotions while perspective-taking and humorous-meme-saving were reciprocally positively related to life satisfaction or positive emotions over time. Cluster analysis suggested that there were 9 different profiles which scored differently on mental health indicators. Specifically, the use of multi-level strategies tended to be associated with greater positive emotions and life satisfaction while with lower negative emotions and loneliness. This study revealed that the use of multi-level strategies plays a protective role in mental health when facing critical public events. These findings expanded our understanding of how multilevel emotion regulation strategies impact mental health during critical public events and identify protective profiles for mental health.
RESUMO
BACKGROUND: Hepatic infarction is a rare liver condition. The purpose of this study is to report a case of hepatic infarction caused by thrombus formation following portal vein stent implantation in a patient with hepatocellular carcinoma and portal vein tumor thrombus, and to explore the underlying causes. CASE REPORT: The patient in this study was a 52-year-old male admitted with diffuse hepatocellular carcinoma involving the right lobe and portal vein tumor thrombus. After undergoing portal vein stent implantation and 125I particle strand implantation treatment, the portal vein was patent, and the pressure decreased. However, multiple instances of hepatic artery chemoembolization combined with targeted immunotherapy resulted in gradual reduction in the diameter of the hepatic artery and affecting hepatic arterial blood flow. Two months post-stent implantation, thrombus formation within the stent was noted, and the patient's condition did not improve with anticoagulant therapy, as evidenced by follow-up CT scans showing an increase in thrombi. Six months later, the patient suffered from gastrointestinal bleeding and, despite emergency esophagogastric variceal ligation and hemostatic treatment, developed hepatic parenchymal infarction and liver function failure. CONCLUSIONS: We reveal the underlying cause is that (1) thrombus formation within the portal vein stent, leading to portal vein embolism and obstructed blood flow due to exacerbate portal hypertension after various treatments; and (2) the effect of hepatic artery chemoembolization, immunotherapy, and targeted therapy on tumor angiogenesis, causing reduced hepatic artery diameter and impaired arterial blood flow. These factors disrupt the liver's dual blood supply system, ultimately contributing to hepatic infarction. To our knowledge, this is the first report of hepatic infarction as a complication following portal vein stent implantation for hepatocellular carcinoma with portal vein tumor thrombus, and it holds significant reference value for guiding the treatment of hepatocellular carcinoma with concurrent portal vein tumor thrombus in a clinical setting.
Assuntos
Carcinoma Hepatocelular , Infarto , Radioisótopos do Iodo , Neoplasias Hepáticas , Veia Porta , Stents , Humanos , Masculino , Carcinoma Hepatocelular/terapia , Pessoa de Meia-Idade , Neoplasias Hepáticas/terapia , Veia Porta/patologia , Stents/efeitos adversos , Radioisótopos do Iodo/administração & dosagem , Infarto/etiologia , Trombose Venosa/etiologia , Trombose Venosa/terapia , Quimioembolização Terapêutica/efeitos adversos , Quimioembolização Terapêutica/métodosRESUMO
Social exclusion can induce negative emotions and aggression. While previous studies have investigated the effect of trait acceptance on emotional experience and aggression during social exclusion, it is still unclear how different forms of acceptance strategy can downregulate negative emotions and whether this potential reduction of negative emotions should mediate the effect of acceptance on aggression. To address these questions, 100 participants were recruited and randomly divided into three groups: control group (CG, N = 33), conscious acceptance group (CAG, N = 33) and unconscious acceptance group (UAG, N = 34). Negative emotions were induced by the cyberball game and measured by the modified PANAS. Aggressive behavior was assessed by the hot sauce allocation task. Results showed that anger, rather than other negative emotions, mediated the effect of acceptance on aggressive behavior. Conscious and unconscious acceptance both effectively regulated anger, hurt feelings and aggressive behavior during social exclusion. Compared to conscious acceptance, unconscious acceptance was associated with less reduction of positive emotion and had a better effect on reducing sadness. These findings highlight the advantage of applying unconscious acceptance strategy to regulating social exclusion-induced emotions for the purpose of reducing aggressive behavior.
Assuntos
Ira , Emoções , Humanos , Ira/fisiologia , Emoções/fisiologia , Agressão/psicologia , Estado de ConsciênciaRESUMO
Objectives: Social media use (SMU) increased dramatically during COVID-19 due to policies such as long-term quarantine. Given that SMU has complex effects on individuals' well-being, this study aimed to explore the relationship between SMU and subjective well-being and the influencing factors in the context of the pandemic in China. Methods: A total of 895 adults (413 males) in different risk areas across China participated in this study. They provided self-reported data on subjective well-being, social media use, adaptive humor, and other demographic variables. Results: It revealed that SMU was positively associated with individual well-being, an effect partially mediated by the score of adaptive humor. Furthermore, the effect of SMU on adaptive humor was moderated by trait optimism, with the effect more robust in high (vs. low) optimistic individuals. Conclusion: This study explored the positive effects of SMU on individuals' well-being, suggesting that individuals may better cope with negative experiences and maintain well-being under quarantine by showing more adaptive humor on social media.
RESUMO
The present study investigated the neural mechanisms that underlie the higher levels of subjective well-being in extraverts. The impact of extraversion on the human sensitivity to pleasant and unpleasant pictures of diverse emotional intensities was examined. We recorded event-related potentials (ERPs) for highly positive (HP), moderately positive (MP), and neutral stimuli in the pleasant session, and for highly negative (HN), moderately negative (MN), and neutral stimuli in the unpleasant session, while subjects (16 extraverts and 16 ambiverts) performed a standard/deviant categorization task, irrespective of the emotionality of the deviant stimuli. The results showed significant emotion effects for HP and MP stimuli at the P2 and P3 components in extraverts, but not in ambiverts. Despite a pronounced emotion effect for HN stimuli across the P2, N2, and P3 components in both samples, ambiverts displayed a significant emotion effect for MN stimuli at the N2 and P3 components that was absent in extraverts. The posterior cingulate cortices, which connect multiple neural regions that are important in interactions of emotion and extraversion, may mediate the extravert-specific emotion effect for pleasant stimuli. Thus, extraverts are less susceptible to unpleasant stimuli of mild intensity than are ambiverts, while extraverts have an additional enhanced sensitivity to pleasant stimuli, regardless of emotion intensity. Consequently, the decreased threshold for pleasant emotion and the increased threshold for unpleasant emotion might be essential neural mechanisms that underlie the higher levels of subjective well-being in extraverts.
Assuntos
Viés , Mapeamento Encefálico , Encéfalo/fisiologia , Emoções/fisiologia , Potenciais Evocados Visuais/fisiologia , Extroversão Psicológica , Adulto , Eletroencefalografia , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Estimulação Luminosa , Tempo de Reação , Fatores de Tempo , Adulto JovemRESUMO
Multimodal Electroencephalography techniques were used to determine whether the name of famous people undergoes self-relevant processing due to a shared surname with participants. During a three-stimulus oddball task, brain activity was recorded when participants suddenly saw their own names (self-name [SN]), a famous name with the same surname (FNS), or a famous name with a different surname (FND). While familiarity ratings were kept similar across the three kinds of name, behavioral analysis showed a higher rating on self-relevance for SN than for FNS, which, in turn, received a higher rating than FND. P2 amplitudes demonstrated a similar enhancement in response to SN and FNS compared to FND while P3 amplitudes and power of theta band (3.5-6 Hz) oscillation were more pronounced in response to SN than to FNS, which in turn elicited larger P3 and theta activities than FND. These findings, excluding the influence of familiarity, revealed that famous people sharing same surname with us could elicit a reliable self-relevant effect, despite lack of real social connection. This self-relevant processing may be embodied by the P3 amplitude and theta band neural oscillation in EEG.
RESUMO
Individuals with internet addiction (IA) show difficulties in emotion regulation. However, they could effectively employ emotion regulation strategies when instructed. We speculate that this discrepancy might be caused by maladaptive emotion regulation choices. Recent studies indicated that decreased activity of the left frontal cortex could be a neural marker of reappraisal use. To address this problem, individuals with IA (n = 17, IA group) and healthy individuals (n = 23, healthy control [HC] group) were required to choose an emotion regulation strategy between reappraisal and distraction to regulate their emotions varying in emotional intensity and valence. We also compared the resting state frontal alpha asymmetry (FAA) of these 2 groups. The results replicated more choices of reappraisal in low- versus high-intensity emotional contexts across groups. More importantly, the IA group chose reappraisal less frequently compared with the HC group, irrespective of emotional intensity. Furthermore, we found individuals with IA have lower FAA than healthy controls, and FAA shows a positive correlation with the use of reappraisal. These findings suggest that IA alters individuals' patterns of emotion regulation choice and impairs frontal activities, causing difficulties in emotion regulation.
Assuntos
Regulação Emocional , Eletroencefalografia/métodos , Emoções/fisiologia , Lobo Frontal , Humanos , Transtorno de Adição à InternetRESUMO
Social exclusion has led to increased negative emotions and aggressive behaviors, two outcomes that are correlated with each other. Thus, the down-regulation of negative emotions appears to play a crucial role in reducing the tendency for aggressive behavior. However, this assumption has not yet been tested. To this end, a total of 397 undergraduates reported their aggressive tendencies, state emotions and trait acceptance by completing corresponding questionnaires, and a recall paradigm was used to induce experiences of social exclusion. The results showed that in the context of social exclusion, (1) trait acceptance was negatively correlated with negative emotions and aggressive tendency but was positively correlated with positive emotions; (2) negative emotions, rather than positive emotions, were positively correlated with aggressive tendency; (3) increased trait acceptance buffered the experience of anger, which is, in turn, related to reduced aggressive tendency; (4) trait acceptance also downregulated the feeling of sadness, which is, however, related to increased aggression; (5) the mediator of sadness was smaller in effect size than that of anger. Taken together, these results suggest that negative emotions are associated with aggression in the context of social exclusion, and the habitual use of an acceptance strategy was conductive to decreasing aggressive tendencies by decreasing anger.
Assuntos
Agressão , Ira , Ira/fisiologia , Agressão/psicologia , Emoções/fisiologia , Isolamento Social , TristezaRESUMO
Stigma toward people with HIV or AIDS produces significant harms to their life and also hinders the prevention of AIDS. In the present study, we tested whether awe can weaken AIDS-related stigma and the mediating role of connectedness and empathy between them through a cross-sectional study (Study 1, N = 372) and two experimental studies (Study 2a and 2b, N = 110 and N = 180, respectively). Results showed that awe reduced AIDS-related stigma (Study 2a and 2b), via the serial mediation of connectedness and empathy (Study 1 and 2b). These findings suggest that the experience of awe increases one's connectedness to the world, which then enhances empathy and decreases AIDS-related stigma. This study expands our understanding of the relationship between awe and stigma, providing empirical basis for decreasing social prejudice to others.
RESUMO
Motivation is considered important in the study of emotion regulation. However, it remains unknown whether and how varied motivation may influence people's emotion regulation choice. To address this question, 51 participants first performed a global-local task that measures attentional breadth. Then, they were required to choose emotion regulation strategies, reappraisal, or distraction, to regulate their emotion in emotional contexts that varied in motivational direction and intensity. We found that distraction was chosen more often over reappraisal in high-intensity-motivated emotion, while the reverse pattern was observed in low-intensity motivated emotion. Besides, withdrawal-motivated emotion was associated with more reappraisal choices than approach-motivated emotion, an effect that, however, vanished when valence was controlled. Furthermore, participants made fewer global choices, which is indicative of narrowed attentional breadth, during high- relative to low-intensity motivated emotional contexts, and attentional breadth partially mediated the effect of motivational intensity on emotion regulation choice. These findings suggest that increased motivation promotes one's choice of distraction over reappraisal during emotion regulation, by narrowing attentional breadth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Assuntos
Regulação Emocional , Atenção/fisiologia , Emoções/fisiologia , Humanos , MotivaçãoRESUMO
Objective: The purpose of this study is to evaluate whether the impulse inhibition ability with methamphetamine dependents would vary at different abstinence stages. Methods: Sixty-three methamphetamine dependents, including 31 short-term (< 10 months) and 32 long-term (≥ 10 months) abstinence participants, were recruited for this study. In addition, 33 men were recruited as the healthy control (HC) group. All participants performed a two-choice oddball task, which is well-established to assess impulse inhibition. Accuracy for deviant trials and deviant-standard reaction time (RT) delay were computed as indexes of impulse inhibition. Results: The accuracy for deviant trials was significantly decreased in short-term abstinence subjects (90.61%) compared to HC subjects (95.42%, p < 0.01), which was coupled with a shorter RT delay reflecting greater impulsivity in the short-term group vs. the HC group (47 vs. 73 ms, p < 0.01). However, impulse inhibition was improved in the long-term group, shown by the increased accuracy for deviant trials in the long-term group compared to the short-term group (94.28 vs. 90.61%, p < 0.05) and the similar accuracy for the long-term and HC groups (p > 0.05). Further regression analyses confirmed that the abstinence duration positively predicted impulse inhibition of methamphetamine dependents, both in accuracy and RT for deviant stimulus (ß = 0.294, p = 0.019; ß = 0.337, p = 0.007). Conclusion: These results suggest that long-term abstinence is more effective in improving impulse inhibition with methamphetamine dependents.
RESUMO
It is unknown whether the famous sex-related difference in emotion processing is accounted for by biological sex, gender role, or their interaction. To clarify the issue, in Study 1 we recorded event-related potentials in response to negative and positive images of diverse intensities when 47 masculine (26 males) and 47 feminine (22 males) subjects performed a non-emotional task. The occipital P1 and N1 amplitudes were larger in women than in men, while feminine subjects showed larger N1 amplitudes than masculine subjects, regardless of sex. Moreover, feminine subjects showed enhanced frontocentral N2 (210-270 ms) amplitudes for highly and mildly negative than for neutral stimuli, while masculine subjects showed an emotion effect only for highly negative stimuli. The feminine-specific effect for mildly negative stimuli was positively correlated to the feminine score, and this correlation was located to the anterior cingulate and the superior and medial frontal gyri. Furthermore, feminine but not masculine subjects showed enhanced parietal P3 (330-560 ms) amplitudes for highly and mildly positive than for neutral stimuli, an effect positively related to the feminine score and localized to the precuneus, posterior cingulate, and superior temporal gyrus. Machine learning analyses verified that single-trial N2 and P3 amplitudes of feminine subjects reliably discriminated the intensity of negative and positive stimuli, respectively. For ecological considerations, in Study 2 we used an observational approach (n = 300) and confirmed that feminine gender role, rather than biological sex, predicted individual differences in daily experience of emotion-related psychopathological symptoms. These findings provide solid evidence for the critical impact of gender role rather than sex on emotional susceptibility.
Assuntos
Emoções , Papel de Gênero , Potenciais Evocados , Feminino , Humanos , Masculino , Lobo Parietal , Caracteres SexuaisRESUMO
Disease burden prior to hematopoietic cell transplantation (HCT) is difficult to assess in myelodysplastic syndrome (MDS), particularly in patients without excess blasts. We assessed whether morphologic dysplasia at the time of transplant can be a metric of disease burden that is associated with post-transplant outcomes in MDS patients. We identified 84 MDS patients undergoing allogeneic HCT at our institution between 2010 and 2017 who received a bone marrow evaluation immediately prior to HCT. Dysplasia was independently determined by two hematopathologists blinded to existing pathology reports. Erythroid nuclear dysplasia, but not megakaryocytic or myeloid, was associated with post-HCT outcomes. Presence compared to absence of erythroid nuclear dysplasia was associated with lower 2-year progression-free survival (PFS; 34 % vs 62 %, p = 0.0495) and 2-year overall survival (OS; 34 % vs 62 %, p = 0.042). In a multivariate analysis including age, IPSS-R at the time of transplant, pre-HCT therapy, and donor type as covariates, erythroid nuclear dysplasia remained associated with lower PFS (HR 2.6, p = 0.036) and OS (HR 2.7, p = 0.028). Dysplasia assessment prior to transplant may serve as an estimate of disease burden in MDS and identify high-risk patients who merit additional therapies pre- or post-transplant.
Assuntos
Medula Óssea/patologia , Células Eritroides/patologia , Transplante de Células-Tronco Hematopoéticas , Síndromes Mielodisplásicas/terapia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Síndromes Mielodisplásicas/patologia , Transplante Homólogo , Resultado do Tratamento , Adulto JovemRESUMO
Circulating microRNAs (miRNAs) can be biomarkers for diagnosis and progression of several pathophysiological conditions. In a cohort undergoing total pancreatectomy with islet autotransplantation (TPIAT) from the multicenter Prospective Observational Study of TPIAT (POST), we investigated associations between a panel of circulating miRNAs (hsa-miR-375, hsa-miR-29b-3p, hsa-miR-148a-3p, hsa-miR-216a-5p, hsa-miR-320d, hsa-miR-200c, hsa-miR-125b, hsa-miR-7-5p, hsa-miR-221-3p, hsa-miR-122-5p) and patient, disease and islet-isolation characteristics. Plasma samples (n = 139) were collected before TPIAT and miRNA levels were measured by RTPCR. Disease duration, prior surgery, and pre-surgical diabetes were not associated with circulating miRNAs. Levels of hsa-miR-29b-3p (P = 0.03), hsa-miR-148a-3p (P = 0.04) and hsa-miR-221-3p (P = 0.01) were lower in those with genetic risk factors. Levels of hsa-miR-148a-3p (P = 0.04) and hsa-miR-7-5p (P = 0.04) were elevated in toxic/metabolic disease. Participants with exocrine insufficiency had lower hsa-miR-29b-3p, hsa-miR-148a-3p, hsa-miR-320d, hsa-miR-221-3p (P < 0.01) and hsa-miR-375, hsa-miR-200c-3p, and hsa-miR-125b-5p (P < 0.05). Four miRNAs were associated with fasting C-peptide before TPIAT (hsa-miR-29b-3p, r = 0.18; hsa-miR-148a-3p, r = 0.21; hsa-miR-320d, r = 0.19; and hsa-miR-221-3p, r = 0.21; all P < 0.05), while hsa-miR-29b-3p was inversely associated with post-isolation islet equivalents/kg and islet number/kg (r = -0.20, P = 0.02). Also, hsa-miR-200c (r = 0.18, P = 0.03) and hsa-miR-221-3p (r = 0.19, P = 0.03) were associated with islet graft tissue volume. Further investigation is needed to determine the predictive potential of these miRNAs for assessing islet autotransplant outcomes.