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1.
Br J Haematol ; 202(2): 369-378, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37157187

RESUMO

Autologous haematopoietic stem cell transplantation (auto-HSCT) as a treatment for B-cell acute lymphoblastic leukaemia (B-ALL) has been rigorously debated in recent years. We retrospectively analysed the outcomes of 355 adult patients with B-ALL in first complete remission who had received auto-HSCT or allogeneic HSCT (allo-HSCT) in our centre. The treatment efficacy was evaluated from a model stratified on the risk classification and minimal residue disease (MRD) status after three chemotherapy cycles. Auto-HSCT demonstrated comparable 3-year overall survival (OS) (72.7% vs. 68.5%, p = 0.441) and leukaemia-free survival rates (62.8% vs. 56.1%, p = 0.383) compared to allo-HSCT for patients with negative MRD, while the advantage of lower non-relapse mortality (1.5% vs. 25.1%, p < 0.001) was offset by a higher cumulative incidence of relapse (CIR) rates (35.7% vs. 18.9%, p = 0.018), especially in high-risk patients. For patients at high risk and with positive MRD, there was a lower trend of 3-year OS (50.0% vs. 66.0%, p = 0.078) and significantly higher CIR rates (71.4% vs. 39.1%, p = 0.018) in auto-HSCT. However, no significant interaction was observed in the tests. In conclusion, auto-HSCT appears to be an attractive treatment for patients with negative MRD after three chemotherapy cycles. For MRD-positive patients, allo-HSCT may be a more effective treatment.


Assuntos
Linfoma de Burkitt , Transplante de Células-Tronco Hematopoéticas , Leucemia-Linfoma Linfoblástico de Células Precursoras B , Humanos , Adulto , Transplante Autólogo , Quimioterapia de Manutenção , Neoplasia Residual , Estudos Retrospectivos , Recidiva Local de Neoplasia , Leucemia-Linfoma Linfoblástico de Células Precursoras B/terapia , Receptores de Complemento 3b
2.
Ageing Res Rev ; 91: 102035, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37619619

RESUMO

Ferroptosis is an iron- and lipid peroxidation (LPO)-mediated programmed cell death type. Recently, mounting evidence has indicated the involvement of ferroptosis in neurodegenerative diseases, especially in Alzheimer's disease (AD), Parkinson's disease (PD), multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), Huntington's disease (HD), and so on. Treating ferroptosis presents opportunities as well as challenges for neurodegenerative diseases. This review provides a comprehensive overview of typical features of ferroptosis and the underlying mechanisms that contribute to its occurrence, as well as their implications in the pathogenesis and advancement of major neurodegenerative disorders. Meanwhile, we summarize the utilization of ferroptosis inhibition in both experimental and clinical approaches for the treatment of major neurodegenerative disorders. In addition, we specifically summarize recent advances in developing therapeutic means targeting ferroptosis in these diseases, which may guide future approaches for the effective management of these devastating medical conditions.


Assuntos
Doença de Alzheimer , Ferroptose , Doença de Huntington , Doenças Neurodegenerativas , Doença de Parkinson , Humanos , Doenças Neurodegenerativas/metabolismo , Doença de Alzheimer/tratamento farmacológico , Doença de Parkinson/tratamento farmacológico
3.
Transpl Immunol ; 80: 101895, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37414267

RESUMO

Post-transplant lymphoproliferative disorder (PTLD) is a condition in which patients experience the unrestrained proliferation of B cells as a consequence of impaired immune surveillance, almost always as a consequence of Epstein-Barr virus (EBV) infection. It remains one of the most serious potential complications that patients can experience after undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT). While treatment with rituximab can significantly improve the prognosis of individuals with EBV-PTLD, those patients in whom rituximab fails to provide appreciable clinical benefit generally exhibit very poor outcomes. In the present report, we describe the case of an EBV-PTLD patient who was successfully treated with blinatumomab and received maintenance therapy consisting of venetoclax combined with azacytidine (AZA). The present case highlights the potential utility of blinatumomab as an effective treatment option for individuals with high-risk EBV-PTLD, although further explanation of the optimal dosing and treatment duration is warranted in the future.


Assuntos
Infecções por Vírus Epstein-Barr , Transplante de Células-Tronco Hematopoéticas , Transtornos Linfoproliferativos , Humanos , Infecções por Vírus Epstein-Barr/tratamento farmacológico , Rituximab/uso terapêutico , Herpesvirus Humano 4 , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Transtornos Linfoproliferativos/tratamento farmacológico , Transtornos Linfoproliferativos/etiologia
4.
Materials (Basel) ; 15(7)2022 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-35407892

RESUMO

In order to decrease and control electromagnetic pollution, absorbing materials with better electromagnetic wave absorption properties should be developed. In this paper, a nanocrystalline alloy ribbon with the composition of Fe73.2Si16.2B6.6Nb3Cu1 was designed and prepared. Nanocrystalline alloy powder was obtained by high-energy ball milling treatment. The effects of ball milling time on the soft magnetic properties, microstructure, morphology, and electromagnetic wave absorption properties of alloy powder were investigated. The results showed that, as time increased, α-(Fe, Si) gradually transformed into the amorphous phase, and the maximum saturation magnetization (Ms) reached 135.25 emu/g. The nanocrystalline alloy powder was flakelike, and the minimum average particle size of the powder reached 6.87 µm. The alloy powder obtained by ball milling for 12 h had the best electromagnetic absorption performance, and the minimum reflection loss RLmin at the frequency of 6.52 GHz reached −46.15 dB (matched thickness was 3.5 mm). As time increased, the best matched frequency moved to the high-frequency direction, and the best matched thickness decreased, while the maximum effective absorption bandwidth ΔfRL<−10 dB was 7.22 GHz (10.78−18 GHz).

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