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1.
Huan Jing Ke Xue ; 43(4): 2209-2218, 2022 Apr 08.
Article in Chinese | MEDLINE | ID: mdl-35393845

ABSTRACT

Soil organic carbon (SOC) is the largest carbon pool in the terrestrial ecosystem. It is not only the core index of cultivated land soil quality evaluation but also an important part of the global carbon cycle. In order to understand the response characteristics of SOC in the cultivated layer to the interaction of soil erosion and management measures, the eroded cultivated layer of typical purple soil slope farmland in the Three Gorges Reservoir area was the research object. The in-situ tests of five erosion degrees on sloping farmland were established using the shovel erosion simulation test method; taking no fertilizer (CK) as a control measure, two types of restorative management measures were set up, namely chemical fertilizer (F) and biochar+chemical fertilizer (BF), to clarify the differences in SOC content under different erosion degrees and management measures and to analyze the variation characteristics and interannual variation trend of SOC along the cultivated-layer profile. The results showed that:① BF significantly increased the soil organic carbon content in the cultivated layer of purple soil slope farmland; the SOC of BF was 90.25% and 23.84% higher than that of CK and F on average, respectively. Soil erosion significantly reduced the content of SOC (12.25%-27.74%) under CK measures, but there was no significant difference in the profile distribution of SOC under different erosion degrees. ② The SOC content in the surface layer (0-10 cm) of slope farmland was the highest, and the two measures had the most obvious effect on improving the SOC contents, which were 120.59% and 66.90%, respectively. ③ After three consecutive years of experiments, the SOC content in the cultivated-layer of slope farmland changed significantly. Under CK, the average annual loss of SOC was 12.52%, whereas under BF, the average annual increase in SOC content was 9.31%. ④ The correlation between SOC and soil physical and chemical properties was different in the various soil layers; the deeper the soil layer was, the weaker the correlation was. Therefore, biochar combined with chemical fertilizer (BF) was an important management measure to improve the erosive cultivated layer and enhance soil fertility for slope farmland in the purple hilly area. The results of this study can provide basic parameters for the rational regulation of cultivated layers and the improvement of soil fertility.


Subject(s)
Carbon , Soil , Agriculture/methods , Carbon/analysis , Charcoal , China , Ecosystem , Farms , Fertilizers , Soil/chemistry
2.
Bioprocess Biosyst Eng ; 43(9): 1609-1617, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32333195

ABSTRACT

The decline of sewage purification efficiency in winter is a frequent problem in sub-plateau municipal sewage treatment plants (MSTPs). Understanding the links between activated sludge (AS) bacterial community and sewage purification is crucial for exploring the cause of this problem. In this study, Illumina high-throughput sequencing technology was applied to investigate the seasonal changes of AS bacterial community in sub-plateau MSTPs. The sequencing result indicates that the bacterial community OTU number, diversity, and relative abundance in winter are significantly lower than that in summer samples. The discriminant linear effect size analysis (LEfSe) reveals that Proteobacteria and Chloroflexi members were enriched in summer AS, while Actinobacteria and Firmicutes were enriched in winter AS. The results indicate that different core bacterial community assembly was developed in summer and winter, respectively. The changes in bacterial community may be the reasons for the lower sewage purification efficiency in winter. Furthermore, redundancy analysis (RDA) shows that temperature and dissolved oxygen (DO) are the principal factors that drive the seasonal changes in the core bacterial community diversity, richness and structure in sub-plateau MSTPs. Thus, the sub-plateau AS selects for a unique community assembly pattern and shapes the particular AS ecosystem. These results expand previous understanding and provide insight into the relationship between bacterial community and performance of sub-plateau MSTPs.


Subject(s)
Bacteria , Microbiota , Seasons , Sewage/microbiology , Water Microbiology , Water Purification , Bacteria/classification , Bacteria/growth & development
3.
Sci Total Environ ; 723: 138081, 2020 Jun 25.
Article in English | MEDLINE | ID: mdl-32220739

ABSTRACT

Concentration gradients of multiple heavy metals (HMs) in the arid loess region near a smelter were determined. In order to understand the response of soil microbes to multiple HM gradients, bacterial and fungal community structures and functions were analyzed using high-throughput RNA gene sequencing and the PICRUSt method. RDA/PCA analyses revealed that soil pH, HMs, and electrical conductivity (EC) jointly affected the bacterial communities in the soils. The soil microbial community structures responded differently to HMs, EC, and pH. High HMs increased the abundances of the bacterial phyla Actinobacteria, Bacteroidetes, Deinococcus-Thermus, and Chloroflexi, and the genera Blastococcus, Rubrobacter, Quadrisphaera, and Tunicatimonas, whereas they decreased the abundances of the phyla Proteobacteria and Acidobacteria and the genera Streptomyces and Nocardioides. High EC and low pH decreased the abundance of most of the dominant bacterial phyla but increased the abundances of Firmicutes, Deinococcus-Thermus, and Nitrospirae. Furthermore, high HMs and EC reduced the numbers of soil-specific bacterial and fungal groups and drove the succession of certain groups that were highly resistant to increased HMs and EC. In addition, many bacterial and fungal groups exhibited different response patterns to each HM, implying that, in multiple HM-contaminated soils, HMs jointly shaped the microbial communities. PICRUSt analysis suggested that high HMs significantly decreased the total gene abundance and most KEGG modules in the soils. High EC and low pH significantly enhanced the abundances of several two-component system-, electron transfer-, and methanogenesis-related modules. We conclude that excessive multiple HMs and EC principally repressed the microbial activity and severely drove the gradient succession of bacterial and fungal communities in the arid loess region.


Subject(s)
Metals, Heavy , Mycobiome , Bacteria , Soil , Soil Microbiology
4.
Ecotoxicol Environ Saf ; 161: 332-341, 2018 10.
Article in English | MEDLINE | ID: mdl-29890434

ABSTRACT

In vitro experiments were performed to determine whether auxin can mediate the formation of adventitious roots in response to heavy metal and drought stresses using a model rooting plant, mung bean [Vigna radiata (L.) Wilczek]. The treatments with CdCl2 or mannitol alone significantly inhibited the formation and growth of adventitious roots in mung bean seedlings. In contrast, when CdCl2 or mannitol was applied together with indole-3-butyric acid (IBA), IBA considerably cancelled the inhibition of adventitious rooting by stresses. Treatment with CdCl2 or mannitol alone significantly increased the soluble protein and malondialdehyde (MDA) contents. CdCl2 and mannitol stress each induced differentially significant changes in the activities of antioxidative enzyme and antioxidant levels during adventitious rooting. Notably, both CdCl2 and mannitol stress strongly reduced the peroxidase (POD) and ascorbate peroxidase (APX) activities and glutathione (GSH) and phenols levels. Catalase and superoxide dismutase (SOD) activity were enhanced by CdCl2 but reduced by mannitol. CdCl2 increased the ascorbate acid (ASA) level, which was decreased by mannitol. Furthermore, when CdCl2 or mannitol was applied together with IBA, IBA counteracted the CdCl2- or mannitol-induced increase or decrease in certain antioxidants, MDA, and antioxidative enzymes. These results suggest that Cd and mannitol stress inhibition of adventitious rooting is associated with the regulation of antioxidative enzymes and antioxidants in cells to defense the oxidative stress. Moreover, IBA alleviates the effects of Cd and mannitol stress on the rooting process partially through the regulation of antioxidative defense systems.


Subject(s)
Antioxidants/metabolism , Cadmium/toxicity , Droughts , Indoles/pharmacology , Oxidative Stress/drug effects , Soil Pollutants/toxicity , Vigna/drug effects , Indoleacetic Acids/pharmacology , Oxidation-Reduction , Plant Roots/drug effects , Plant Roots/growth & development , Plant Roots/metabolism , Seedlings/drug effects , Seedlings/growth & development , Seedlings/metabolism , Vigna/growth & development , Vigna/metabolism
5.
Environ Sci Pollut Res Int ; 21(1): 525-37, 2014 Jan.
Article in English | MEDLINE | ID: mdl-23812737

ABSTRACT

In vitro experiments were conducted to investigate the effects of abscisic acid (ABA) and Cd on antioxidative defense systems and indole-3-acetic acid (IAA) oxidase during adventitious rooting in mung bean [Vigna radiata (L.) Wilczek] seedlings. The exogenous ABA significantly enhanced the number and fresh weight of the adventitious roots. CdCl2 strongly inhibited adventitious rooting. Pretreatment with 10 µM ABA clearly alleviated the inhibitory effect of Cd on rooting. ABA significantly reduced superoxide dismutase (SOD), ascorbate peroxidase (APX), peroxidase (POD), and catalase (CAT) activities, as well as the levels of glutathione (GSH) and ascorbic acid (ASA) during adventitious rooting. ABA strongly increased IAA-oxidase activity during the induction (0-12 h) and expression (after 48 h) phases and increased the phenols levels. Cd treatment significantly reduced the activities of SOD, APX, POD, and IAA oxidase, as well as GSH level. Cd strongly increased ASA levels. ABA pretreatment counteracted Cd-induced alterations of certain antioxidants and antioxidative enzymes, e.g., remarkably rescued APX and POD activities, reduced the elevated SOD and CAT activities and ASA levels, and recovered the reduced GSH levels, caused by Cd stress. Thus, the physiological effects of the combination of ABA and Cd treatments were opposite of those obtained with Cd treatment alone, suggesting that ABA involved in the regulation of antioxidative defense systems and the alleviation of wounding- and Cd-induced oxidative stress.


Subject(s)
Abscisic Acid/metabolism , Cadmium/toxicity , Fabaceae/physiology , Peroxidases/metabolism , Soil Pollutants/toxicity , Ascorbate Peroxidases , Ascorbic Acid/metabolism , Catalase/metabolism , Fabaceae/metabolism , Glutathione/metabolism , Oxidation-Reduction , Peroxidase/metabolism , Plant Roots/drug effects , Plant Roots/physiology , Seedlings/drug effects , Seedlings/metabolism , Stress, Physiological , Superoxide Dismutase/metabolism
6.
BMC Complement Altern Med ; 13: 375, 2013 Dec 28.
Article in English | MEDLINE | ID: mdl-24373196

ABSTRACT

BACKGROUND: Xiaochaihu Decoction (XCHD) prevents hepatocarcinogenesis in association with inhibition of oxidative stress. However, alkaline phosphatase (ALP) activity, lipopolysaccharides (LPS)-catecholamines (CA) interactions in gut, liver and brain may play an important role in the status of oxidative stress. This study was to assess whether XCHD attenuates the vicious circle between oxidative stress and ALP inactivation through LPS-CA interactions. METHODS: Hepatocellular carcinoma group (HCC) were induced by CCI4 + ethanol; HCC with Liver Depression and Spleen Deficiency (HCC + LDSD) were induced by squeezing tails (30 min/day), solitary breeding and intermittent fasting on the basis of HCC; XCHD was administered after 4 weeks of the HCC + LDSD. The degree of tissue injury were studied using a scoring system, and brain weights were measured. Peroxynitrite (ONOO(-)), malondialdehyde (MDA), 4-hydroxy-3-methoxymandelic acid (VMA, CA metabolites), lipopolysaccharide-phosphate (LPS-P), ALP activity (ALP-A) and Concanavalin A (ConA)-binding rate of ALP (ALP-C) were determined by colorimetric method and lectin (ConA) affinity precipitation method. RESULTS: More injuries and ONOO(-), MDA, VMA, LPS-P, ALP-C were increased, ALP-A were decreased in the gut, liver and brain of HCC group, the most in HCC + LDSD group, after treatment with XCHD, all of which were improved. A positive association found between gut-liver-brain injury and ONOO(-), MDA, VMA, LPS-P, ALP-C, between ONOO(-), MDA, VMA, LPS-P and ALP-C in the gut, liver and brain, and a negative association found between gut-liver-brain injury and ALP-A, between ALP-A and ONOO(-), MDA, VMA, LPS-P, ALP-C in the gut, liver and brain. CONCLUSIONS: XCHD can attenuates the vicious circle between the oxidative stress, nitrosative stress, N-glycan deficiency and inactivation of ALP through LPS-CA interactions in gut, liver and brain.


Subject(s)
Alkaline Phosphatase/metabolism , Drugs, Chinese Herbal/pharmacology , Liver Neoplasms, Experimental/metabolism , Oxidative Stress/drug effects , Animals , Brain/drug effects , Brain/pathology , Brain Chemistry/drug effects , Carbon Tetrachloride/toxicity , Catecholamines , Drug Stability , Drugs, Chinese Herbal/chemistry , Ethanol/toxicity , Intestinal Mucosa/metabolism , Intestines/drug effects , Intestines/pathology , Linear Models , Lipopolysaccharides , Liver/chemistry , Liver/drug effects , Liver/metabolism , Liver/pathology , Liver Neoplasms, Experimental/chemically induced , Male , Malondialdehyde/metabolism , Mice , Organ Size/drug effects , Organ Specificity , Peroxynitrous Acid/metabolism
7.
Zhonghua Gan Zang Bing Za Zhi ; 21(5): 372-5, 2013 May.
Article in Chinese | MEDLINE | ID: mdl-24025140

ABSTRACT

OBJECTIVE: To explore the potential of iodized linoleic acid (ILA) and its 5-fluoro-deoxyuridine ester (IFU) to inhibit hepatocellular carcinoma (HCC) cells in vitro and tumors in vivo. METHODS: ILA and its constituent component IFU were chemically synthesized, purified, and confirmed by 1H-NMR. The HCC cell lines, QGY-7703 (5-fluorouracil (5-FU) treatment sensitive) and SMMC-7721 (5-FU resistant), were treated with ILA, IFU, 5-FU, or traditional lipiodol for 72 hours. Survival rates of the treated cells were assessed by the methyl thiazolyl tetrazolium method, and used to calculate the IC50 and IC90. In addition, thirty nude mice were subcutaneously inoculated with SMMC-7721 cells and randomly divided two weeks later into four treatment groups (n = 6 each) for intra-tumoral injection of ILA, IFU, 5-FU, lipiodol or DMSO (controls). The rate of tumor inhibition (RTI) was calculated for each group at week 4 after treatment. RESULTS: For the cultured SMMC-7721 cells, the inhibitory concentrations for ILA, IFU, and 5-FU were: IC50: 134.38 mumol/L, 17.55 mumol/L, and 7.38 mumol/L; IC90: 192.88 mumol/L, 97.63 mumol/L, and more than 200 mumol/L. For the cultured QGY-7703 cells, the inhibitory concentrations for ILA, IFU, and 5-FU were: IC50: 109.55 mumol/L, 44.79 mumol/L, and 98.06 mumol/L; IC90: all, more than 200 mumol/L. In both cell types, the IC50 of lipiodol was more than 400 mumol/L. Compared with the RTI of the control mice (100%), the RTI of ILA-treated mice was 31.9% (t = 2.37, P less than 0.05), of IFU-treated mice was 56.9% (t = 4.91, P less than 0.01), and of 5-FU-treated mice was 31.0% (t = 2.59, P less than 0.05). The RTI of IFU was significantly stronger than that of either ILA or 5-FU (P less than 0.05). The lipiodol treatment showed no inhibition effect on tumors (P more than 0.05). CONCLUSION: ILA and IFU can effectively inhibit the growth of HCC cells in vitro and tumors in vivo. Furthermore, IFU outperforms ILA in inhibiting HCC growth.


Subject(s)
Carcinoma, Hepatocellular/pathology , Fluorouracil/pharmacology , Linoleic Acid/pharmacology , Liver Neoplasms/pathology , Animals , Cell Line, Tumor , Humans , Inhibitory Concentration 50 , Male , Mice , Mice, Inbred BALB C , Mice, Nude , Xenograft Model Antitumor Assays
8.
Guang Pu Xue Yu Guang Pu Fen Xi ; 27(10): 2053-6, 2007 Oct.
Article in Chinese | MEDLINE | ID: mdl-18306794

ABSTRACT

In order to detect the drinking water quality in our country at the present time effectively, several brand brands of drinking water on the market and the distilled water that laboratory offered were measured and calculad were measured and calculated. The laser Raman spectra of samples were measured, while the sample's degree of degeneracy polarization at the symmetric stretching peak was calculated from the measurements. Results indicate that the relative intensity of the Raman spectrum and the degree of degeneracy polarization follow the same rule. Through comparison and analysis of the results of measurement and calculation, it is concluded that we can judge the relative content of mineral substance of drinking water by comparing the strengths of laser Raman spectrum characteristic peak and the magnitudes of the sample's degree of degeneracy polarization at the same characteristic peak. This conclusion will provide us a new and effective path to assaying the quality of drinking water.


Subject(s)
Mineral Waters/analysis , Spectrum Analysis, Raman/methods , Water Supply/analysis , Water/analysis , Lasers , Spectrum Analysis, Raman/instrumentation
9.
Zhonghua Zhong Liu Za Zhi ; 28(9): 706-8, 2006 Sep.
Article in Chinese | MEDLINE | ID: mdl-17274381

ABSTRACT

OBJECTIVE: To evaluate the safety of domestically produced idarubicin in the treatment of acute leukemia by a multicenter randomized control trial. METHODS: This trial was carried out in the hemotologica department of five hospitals throughout China, with hospitalized patients who suffered from acute myelogenous leukemia ( AML except M3 type) , acute lymphocytic leukemia ( ALL) , chronic myelogenous leukemia-blast (CML-blast) , totally 155 patients. Those with severely cardial, hepatic or renal disfunction or those who had ever treated with > or = 200 mg/m(2) idarubicin were excluded from the trial. All patients signed the letter of consent as required by the Ethics Committee of our government. In this study, 155 leukemia patients were randomly grouped into: 1. test group treated using domestic idarubicin, 2. control group using imported idarubicin. The acute myelogenous leukemia regimen included idarubicin 8 mg/m(2), dl -3 plus cytosine arabinoside 100 mg/m(2), dl - 7 for 1-2 cycles. The regimen for acute lymphocytic leukemia was idarubicin 8 mg/m2, dl - 3; vincristine 2 mg/mr, dl; cyclophosphamide 750 mg/m2, dl ; plus prednisone 60 mg/m(2),dl - 14 for 1-2 cycles. RESULTS: Clinical response rate of the tested group treated with domestic idarubicin and control group treated with imported idarubicin was 78. 1% (50/64) vs. 76.9% (50/65) without any statistically significant difference between the two groups(P >0. 05). Grade Ill - IV hematological toxicity rate of the domestic idarubicin group and imported idarubicin group was 74. 0% vs. 73. 1% , respectively (P = 0. 73). Drug-related death was observed in 3 of 77 patients in the domestic idarubicin group (3.9%) due to cerebral hemorrage or septic infection. The incidence of non-hematological toxicities in domestic idarubicin group and imported idarubicin group was 84. 4% vs. 79. 5% for nausea or vomiting, 70. 1% vs. 71. 8% for infection, 42. 9% vs. 41. 0% for mucositis, 33. 8% vs. 33. 3% for alopecia, 28.6% vs. 28. 2% for serum glutamicoxalacetic transaminase abnormalitis, 16. 9% vs. 10. 3% for cardiac toxicity, all without statistically significant differences between these two groups (P > 0. 05). Discontinuation of treatment due to non-hematological toxicity was not neccessary. CONCLUSION: Domestic idarubicin is comparable to imported counterpart in efficiency and safety for the treatment of acute leukemia. The most severe side effects of domestic idarubicin is hematological toxicity, which should be closely observed and treated in time, while its non-hematological toxicity is tolerable.


Subject(s)
Antibiotics, Antineoplastic/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Idarubicin/administration & dosage , Leukemia, Myeloid, Acute/drug therapy , Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Adolescent , Adult , Aged , Agranulocytosis/chemically induced , Antibiotics, Antineoplastic/adverse effects , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Blast Crisis/drug therapy , Cyclophosphamide/administration & dosage , Cyclophosphamide/adverse effects , Cytarabine/administration & dosage , Cytarabine/adverse effects , Female , Humans , Idarubicin/adverse effects , Male , Middle Aged , Mucositis/chemically induced , Nausea/chemically induced , Prednisone/administration & dosage , Prednisone/adverse effects , Remission Induction , Treatment Outcome , Vincristine/administration & dosage , Vincristine/adverse effects
10.
Zhonghua Zhong Liu Za Zhi ; 27(12): 750-2, 2005 Dec.
Article in Chinese | MEDLINE | ID: mdl-16483490

ABSTRACT

OBJECTIVE: To evaluate the efficacy and safety of IDA (Haizheng Parmacy, China) in the treatment of acute leukemia. METHODS: A multi-institutional single-blind randomized controlled clinical trial was carried out. A total of 155 newly diagnosed patients with AML and ALL were enrolled. The patients were randomly divided into two groups, one was given IDA (n = 77) and the other given zevodas (Pharnacia & Upjohn, n = 78) for comparison. RESULTS: All the patients enrolled in this trial were eligible for assessment of side effects, and 129 patients for evaluation of overall response rate. In patients treated with IDA vs zevodas, the overall response rate (OR) was 78.1% vs 76.9%, CR was 68.8% vs 67.7%; in AML patients, OR was 82.4% vs 71.8%, and CR was 76.5% vs 64.1%; in ALL patients, OR was 80.0% vs 81.8%, and CR was 68.0% vs 68.2%. There was no sitatistically significant difference in hematologic and non-hematologic toxicities between the two groups. CONCLUSION: The efficacy of IDA in the treatment of acute leukemia is comparable to that of zevodas. Both have similar toxic side effects.


Subject(s)
Antibiotics, Antineoplastic/therapeutic use , Idarubicin/therapeutic use , Leukemia, Myeloid, Acute/drug therapy , Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Adolescent , Adult , Aged , Antibiotics, Antineoplastic/adverse effects , China , Female , Humans , Idarubicin/adverse effects , Male , Middle Aged , Single-Blind Method
11.
Zhonghua Xue Ye Xue Za Zhi ; 25(6): 328-32, 2004 Jun.
Article in Chinese | MEDLINE | ID: mdl-15308008

ABSTRACT

OBJECTIVE: To investigate the epidemiological characteristics and drug resistance profile of the infection in patients with hematological malignancies. METHODS: All the microbe strains isolated from the department of hematology in Ruijin hospital between 1998 and 2002 were collected for the assessment of antimicrobial susceptibility and the results were analysed by WHONET5 software. RESULTS: Out of the 536 strains isolated in the department of hematology, 230 (42.9%) were Gram positive and 301 (56.2%) Gram negative organisms. The first 6 strains of Gram (-) microbes in frequent order were Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterobacter cloacae, Escherichia coli, Acinetobacter Baumannii and Stenotrophomonas (xantho) maltophi. The extended spectrum beta-lactamase (ESBLs) producing rates of Escherichia coli and Klebsiella pneumoniae were 27.3% and 33.3%, respectively. Methylcillin resistant coagulase negative staphylococcus (MRCNS) was the most prevalent Gram (+) bacteria in the complicated infection patients with hematological malignancies, which accounted for 88.5%. Carbapenems were most sensitive for all of the gram negative bacteria, with a drug resistance rate of 11.4 (5.0% approximately 15.8%) of imipenem. For ESBLs strains, carbapenems and cefapime were the best choice, with the resistance rate of 46.4% approximately 94.4% and 50.0% approximately 75.9%, respectively. The drug resistance rate of Acinetobacter Baumannii was 25.0% approximately 41.3% for the third generation cephalosporin, 22.7% for the fourth generation cephalosporin and 12.7% for imipenem. Pseudomonas aeruginosa was resistant to carbapenems, with a resistance rate of 12.7% of imipenem; however, it was more sensitive to the third generation cephalosporin. CONCLUSION: Antibiotics should be rationally administrated with more considerations to the characteristics of epidemiology and drug resistance profile of the microbes in the given department of hematology.


Subject(s)
Bacterial Infections/microbiology , Drug Resistance, Bacterial , Hematologic Neoplasms/complications , Bacterial Infections/complications , Bacterial Infections/epidemiology , Humans , Microbial Sensitivity Tests
12.
Hematol J ; 3(3): 137-44, 2002.
Article in English | MEDLINE | ID: mdl-12111649

ABSTRACT

INTRODUCTION: Although retrospective analysis were frequently undertaken, and many prognostic systems for myelodysplastic syndromes (MDS) have been proposed worldwide, few such studies have been performed and the effectiveness of different scoring systems have not yet been verified in independent patient populations in China. The aim of this single center study was to evaluate the prognostic factors and compare the prognostic scoring systems in Chinese patients with MDS. MATERIALS AND METHODS: One hundred and twenty-eight patients diagnosed as primary MDS in our Institution were studied retrospectively to identify significant prognostic factors and to assess the predictive value of 11 previously described prognostic systems, including French-American-British (FAB) classification, World Health Organization (WHO) classification, Mufti, Sanz, Morra, Aul, Oguma, Toyama, Morel and international prognostic scoring system (IPSS). RESULTS: The median age of the patients was 50 years (range 13-82). The 2- and 5-year survival rate of the patients were 55.22+/-4.90% and 26.09+/-6.36% respectively, with a median survival of 31 months (range 1-127 months). Fifty patients (39.1%) had progressed to acute leukemia (AL) with a median time of 8 months (range 1-43 months). Major independent variables indicated by multivariate analysis were the percentage of bone marrow (BM) blast cells and complex karyotype aberrations for survival (P=0.042 and 0.042, respectively) and only the percentage of BM blast cells for AL transformation (P=0.023). All the systems except Mufti scores successfully discriminated risk groups concerning both survival and AL evolution, especially in the high risk group, ranging from 10 to 20 months and from 4 to 7 months, respectively. The FAB and WHO classification, as well as Sanz, Oguma, Morel and IPSS possessed lower P value (P<0.0001) than that of the rest scoring systems. CONCLUSION: The patients in our study were younger than these of the Western population, whereas the survival and AL transformation ratio were comparable to these previous studies. The BM blast proportion and complex chromosomal defects were highly significant for predicting outcome in MDS patients. Most investigated systems effectively stratified patients into groups with different life expectancies and identified a subset of patients with poor clinical outcome. The FAB, WHO classification, as well as Sanz, Oguma, Morel and IPSS scoring systems were more applicable for predicting survival and leukemia progression.


Subject(s)
Myelodysplastic Syndromes/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Blast Crisis , Cell Transformation, Neoplastic , China , Chromosome Aberrations , Cytogenetic Analysis , Female , Humans , Male , Middle Aged , Myelodysplastic Syndromes/classification , Myelodysplastic Syndromes/mortality , Prognosis , Retrospective Studies , Severity of Illness Index , Survival Analysis , Survival Rate
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