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1.
Sci Data ; 10(1): 480, 2023 07 22.
Artículo en Inglés | MEDLINE | ID: mdl-37481639

RESUMEN

Planted forests are critical to climate change mitigation and constitute a major supplier of timber/non-timber products and other ecosystem services. Globally, approximately 36% of planted forest area is located in East Asia. However, reliable records of the geographic distribution and tree species composition of these planted forests remain very limited. Here, based on extensive in situ and remote sensing data, as well as an ensemble modeling approach, we present the first spatial database of planted forests for East Asia, which consists of maps of the geographic distribution of planted forests and associated dominant tree genera. Of the predicted planted forest areas in East Asia (948,863 km2), China contributed 87%, most of which is located in the lowland tropical/subtropical regions, and Sichuan Basin. With 95% accuracy and an F1 score of 0.77, our spatially-continuous maps of planted forests enable accurate quantification of the role of planted forests in climate change mitigation. Our findings inform effective decision-making in forest conservation, management, and global restoration projects.

2.
Blood ; 141(8): 904-916, 2023 02 23.
Artículo en Inglés | MEDLINE | ID: mdl-36201743

RESUMEN

Burkitt lymphoma (BL) accounts for most pediatric non-Hodgkin lymphomas, being less common but significantly more lethal when diagnosed in adults. Much of the knowledge of the genetics of BL thus far has originated from the study of pediatric BL (pBL), leaving its relationship to adult BL (aBL) and other adult lymphomas not fully explored. We sought to more thoroughly identify the somatic changes that underlie lymphomagenesis in aBL and any molecular features that associate with clinical disparities within and between pBL and aBL. Through comprehensive whole-genome sequencing of 230 BL and 295 diffuse large B-cell lymphoma (DLBCL) tumors, we identified additional significantly mutated genes, including more genetic features that associate with tumor Epstein-Barr virus status, and unraveled new distinct subgroupings within BL and DLBCL with 3 predominantly comprising BLs: DGG-BL (DDX3X, GNA13, and GNAI2), IC-BL (ID3 and CCND3), and Q53-BL (quiet TP53). Each BL subgroup is characterized by combinations of common driver and noncoding mutations caused by aberrant somatic hypermutation. The largest subgroups of BL cases, IC-BL and DGG-BL, are further characterized by distinct biological and gene expression differences. IC-BL and DGG-BL and their prototypical genetic features (ID3 and TP53) had significant associations with patient outcomes that were different among aBL and pBL cohorts. These findings highlight shared pathogenesis between aBL and pBL, and establish genetic subtypes within BL that serve to delineate tumors with distinct molecular features, providing a new framework for epidemiologic, diagnostic, and therapeutic strategies.


Asunto(s)
Linfoma de Burkitt , Infecciones por Virus de Epstein-Barr , Linfoma de Células B Grandes Difuso , Niño , Humanos , Adulto , Linfoma de Burkitt/patología , Herpesvirus Humano 4 , Linfoma de Células B Grandes Difuso/patología , Mutación
3.
Nat Commun ; 13(1): 4206, 2022 07 28.
Artículo en Inglés | MEDLINE | ID: mdl-35902561

RESUMEN

Restoring forest cover is a key action for mitigating climate change. Although monoculture plantations dominate existing commitments to restore forest cover, we lack a synthetic view of how carbon accumulates in these systems. Here, we assemble a global database of 4756 field-plot measurements from monoculture plantations across all forested continents. With these data, we model carbon accumulation in aboveground live tree biomass and examine the biological, environmental, and human drivers that influence this growth. Our results identify four-fold variation in carbon accumulation rates across tree genera, plant functional types, and biomes, as well as the key mediators (e.g., genus of tree, endemism of species, prior land use) of variation in these rates. Our nonlinear growth models advance our understanding of carbon accumulation in forests relative to mean annual rates, particularly during the next few decades that are critical for mitigating climate change.


Asunto(s)
Carbono , Bosques , Biomasa , Cambio Climático , Humanos , Árboles
4.
Nature ; 585(7826): 545-550, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32968258

RESUMEN

To constrain global warming, we must strongly curtail greenhouse gas emissions and capture excess atmospheric carbon dioxide1,2. Regrowing natural forests is a prominent strategy for capturing additional carbon3, but accurate assessments of its potential are limited by uncertainty and variability in carbon accumulation rates2,3. To assess why and where rates differ, here we compile 13,112 georeferenced measurements of carbon accumulation. Climatic factors explain variation in rates better than land-use history, so we combine the field measurements with 66 environmental covariate layers to create a global, one-kilometre-resolution map of potential aboveground carbon accumulation rates for the first 30 years of natural forest regrowth. This map shows over 100-fold variation in rates across the globe, and indicates that default rates from the Intergovernmental Panel on Climate Change (IPCC)4,5 may underestimate aboveground carbon accumulation rates by 32 per cent on average and do not capture eight-fold variation within ecozones. Conversely, we conclude that maximum climate mitigation potential from natural forest regrowth is 11 per cent lower than previously reported3 owing to the use of overly high rates for the location of potential new forest. Although our data compilation includes more studies and sites than previous efforts, our results depend on data availability, which is concentrated in ten countries, and data quality, which varies across studies. However, the plots cover most of the environmental conditions across the areas for which we predicted carbon accumulation rates (except for northern Africa and northeast Asia). We therefore provide a robust and globally consistent tool for assessing natural forest regrowth as a climate mitigation strategy.


Asunto(s)
Secuestro de Carbono , Carbono/metabolismo , Agricultura Forestal/estadística & datos numéricos , Agricultura Forestal/tendencias , Bosques , Mapeo Geográfico , Árboles/crecimiento & desarrollo , Árboles/metabolismo , Conservación de los Recursos Naturales , Recolección de Datos , Restauración y Remediación Ambiental , Calentamiento Global/prevención & control , Internacionalidad , Cinética
6.
Science ; 361(6407): 1108-1111, 2018 09 14.
Artículo en Inglés | MEDLINE | ID: mdl-30213911

RESUMEN

Global maps of forest loss depict the scale and magnitude of forest disturbance, yet companies, governments, and nongovernmental organizations need to distinguish permanent conversion (i.e., deforestation) from temporary loss from forestry or wildfire. Using satellite imagery, we developed a forest loss classification model to determine a spatial attribution of forest disturbance to the dominant drivers of land cover and land use change over the period 2001 to 2015. Our results indicate that 27% of global forest loss can be attributed to deforestation through permanent land use change for commodity production. The remaining areas maintained the same land use over 15 years; in those areas, loss was attributed to forestry (26%), shifting agriculture (24%), and wildfire (23%). Despite corporate commitments, the rate of commodity-driven deforestation has not declined. To end deforestation, companies must eliminate 5 million hectares of conversion from supply chains each year.


Asunto(s)
Conservación de los Recursos Naturales , Bosques , Árboles , Agricultura , Agricultura Forestal , Imágenes Satelitales , Incendios Forestales
7.
Am J Surg Pathol ; 41(10): 1309-1321, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28817403

RESUMEN

Primary bone (PB) diffuse large B-cell lymphoma (DLBCL) is rare and has a favorable prognosis, but the underlying biological mechanisms remain unknown. In this study we analyzed the clinicopathologic features of 160 patients with PB-DLBCL in comparison with 499 nonosseous DLBCL. Compared with patients with nonosseous DLBCL and secondary involvement of bone by DLBCL, PB-DLBCL patients less frequently had elderly age, B-symptoms, elevated serum lactate dehydrogenase levels, and high International Prognostic Index at diagnosis, more frequently had germinal center (GC) subtype (approximately 90%) and complete remission, and had significantly better survival. The 5-year progression-free and overall survival rates of PB-DLBCL patients were 80% and 93%, respectively, superior to both GC B-cell-like (GCB) and activated B cell-like subtypes of DLBCL. Further stratifying nonosseous DLBCL cell-of-origin subtypes by clinical factors showed that PB-DLBCL had similar survival rates as the centrocyte-origin (CC) subtype of DLBCL-GCB classified by the B-cell-associated gene signature algorithm. To better understand the favorable outcome of PB-DLBCL patients, gene expression profiling and microRNA profiling were performed in a small subset of PB-DLBCL. The gene expression profiles of PB-DLBCL resembled those of nonosseous DLBCL-GCB-CC, but were distinct from other DLBCL cell-of-origin especially the centroblast-origin (CB) subtype. Compared with DLBCL-GCB-CB, PB-DLBCL and DLBCL-GCB-CC also had much higher levels of miR-125a-3p, miR-34-3p, and miR-155-5p, and significantly lower levels of miR-17-5p and miR-17-3p. These results demonstrated that PB-DLBCL is clinically distinct, and the cell-of-origin of PB-DLBCL stems from centrocytes in the GC, that are biologically attributed for the favorable prognosis of PB-DLBCL.


Asunto(s)
Neoplasias Óseas/diagnóstico , Neoplasias Óseas/genética , Centro Germinal , Linfoma de Células B Grandes Difuso/diagnóstico , Linfoma de Células B Grandes Difuso/genética , Transcriptoma , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias Óseas/mortalidad , Niño , Femenino , Humanos , Linfoma de Células B Grandes Difuso/mortalidad , Masculino , Persona de Mediana Edad , Pronóstico , Tasa de Supervivencia , Adulto Joven
8.
Glob Chang Biol ; 22(4): 1336-47, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26616240

RESUMEN

Halving carbon emissions from tropical deforestation by 2020 could help bring the international community closer to the agreed goal of <2 degree increase in global average temperature change and is consistent with a target set last year by the governments, corporations, indigenous peoples' organizations and non-governmental organizations that signed the New York Declaration on Forests (NYDF). We assemble and refine a robust dataset to establish a 2001-2013 benchmark for average annual carbon emissions from gross tropical deforestation at 2.270 Gt CO2 yr(-1). Brazil did not sign the NYDF, yet from 2001 to 2013, Brazil ranks first for both carbon emissions from gross tropical deforestation and reductions in those emissions - its share of the total declined from a peak of 69% in 2003 to a low of 20% in 2012. Indonesia, an NYDF signatory, is the second highest emitter, peaking in 2012 at 0.362 Gt CO2 yr(-1) before declining to 0.205 Gt CO2 yr(-1) in 2013. The other 14 NYDF tropical country signatories were responsible for a combined average of 0.317 Gt CO2 yr(-1) , while the other 86 tropical country non-signatories were responsible for a combined average of 0.688 Gt CO2 yr(-1). We outline two scenarios for achieving the 50% emission reduction target by 2020, both emphasizing the critical role of Brazil and the need to reverse the trends of increasing carbon emissions from gross tropical deforestation in many other tropical countries that, from 2001 to 2013, have largely offset Brazil's reductions. Achieving the target will therefore be challenging, even though it is in the self-interest of the international community. Conserving rather than cutting down tropical forests requires shifting economic development away from a dependence on natural resource depletion toward recognition of the dependence of human societies on the natural capital that tropical forests represent and the goods and services they provide.


Asunto(s)
Carbono , Conservación de los Recursos Naturales , Clima Tropical
9.
J Thorac Oncol ; 10(10): 1383-95, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26295375

RESUMEN

This overview of the 4th edition of the World Health Organization (WHO) Classification of thymic tumors has two aims. First, to comprehensively list the established and new tumor entities and variants that are described in the new WHO Classification of thymic epithelial tumors, germ cell tumors, lymphomas, dendritic cell and myeloid neoplasms, and soft-tissue tumors of the thymus and mediastinum; second, to highlight major differences in the new WHO Classification that result from the progress that has been made since the 3rd edition in 2004 at immunohistochemical, genetic and conceptual levels. Refined diagnostic criteria for type A, AB, B1-B3 thymomas and thymic squamous cell carcinoma are given, and it is hoped that these criteria will improve the reproducibility of the classification and its clinical relevance. The clinical perspective of the classification has been strengthened by involving experts from radiology, thoracic surgery, and oncology; by incorporating state-of-the-art positron emission tomography/computed tomography images; and by depicting prototypic cytological specimens. This makes the thymus section of the new WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart a valuable tool for pathologists, cytologists, and clinicians alike. The impact of the new WHO Classification on therapeutic decisions is exemplified in this overview for thymic epithelial tumors and mediastinal lymphomas, and future perspectives and challenges are discussed.


Asunto(s)
Timoma/clasificación , Neoplasias del Timo/clasificación , Humanos , Clasificación del Tumor , Estadificación de Neoplasias , Timoma/patología , Neoplasias del Timo/patología , Organización Mundial de la Salud
10.
J Cutan Pathol ; 42(7): 452-8, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25931140

RESUMEN

The diagnosis of a CD30+ cutaneous infiltrate is often difficult and requires clinicopathologic correlation. To further evaluate this challenge, initial clinical and histopathologic diagnoses were correlated with final clinicopathologic diagnosis in 44 cases with CD30 immunopositivity. Dermatopathologic evaluation confirmed the initial clinical diagnosis in 65% of the suspected benign cases, all cases of suspected lymphomatoid papulosis (LyP), and 72% of clinically malignant cases. In the 25 patients with clinical suspicion for lymphoma, the histopathologic diagnoses included lymphoma in 18, LyP in 2, CD30+ lymphoproliferative disorder (CD30 LPD) in 3 and hypersensitivity reaction in 2 patients. Clinicopathologic correlation led to a change in three cases diagnosed histopathologically as anaplastic large cell lymphoma (ALCL) reclassified as LyP type C, and one patient diagnosed as CD30 LPD clinically evolved as herpes virus infection. Furthermore, five cases reported as CD30 LPD received more specific diagnoses after clinicopathologic correlation (LyP type C in three, and ALCL in two patients). Clinicopathologic correlation is essential in establishing the correct diagnosis of CD30 LPD, in particular the distinction of ALCL from LyP type C. In this setting, the histopathologic diagnosis of CD30 LPD is advisable in the absence of clinical data.


Asunto(s)
Antígeno Ki-1/metabolismo , Enfermedades de la Piel/diagnóstico , Enfermedades de la Piel/patología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores/metabolismo , Diagnóstico Diferencial , Estudios de Seguimiento , Humanos , Estudios Longitudinales , Linfoma Anaplásico de Células Grandes/diagnóstico , Linfoma Anaplásico de Células Grandes/patología , Papulosis Linfomatoide/diagnóstico , Papulosis Linfomatoide/patología , Trastornos Linfoproliferativos/diagnóstico , Trastornos Linfoproliferativos/patología , Persona de Mediana Edad , Enfermedades de la Piel/metabolismo , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/patología , Adulto Joven
12.
J Cutan Pathol ; 42(1): 6-15, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25384543

RESUMEN

BACKGROUND: Pseudolymphomatous folliculitis is a lymphoid proliferation that clinically and histopathologically mimics primary cutaneous extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). In this study, we assessed the diagnostic value of three immunohistochemical markers, programmed death-1 (PD-1), CD1a and S100. METHODS: We evaluated 25 cases of cutaneous lymphoid proliferations with established diagnoses, including 9 patients with pseudolymphomatous folliculitis, 11 with MALT lymphoma, and 5 with cutaneous lymphoid hyperplasia (CLH). The clinical, histopathologic and immunohistochemical characteristics were reviewed and three major characteristics assessed: (a) proportion of T cells expressing PD-1, (b) pattern of expression of CD1a by dendritic cells and (c) pattern of expression of S100 by dendritic cells. RESULTS: We found pseudolymphomatous folliculitis to have a significant increase in PD-1+ T cells compared with MALT lymphoma (p < 0.0001). The pattern of CD1a staining is also informative: MALT lymphoma is significantly more likely to demonstrate a peripheral concentration of CD1a+ dendritic cells around lymphoid nodules than pseudolymphomatous folliculitis (p < 0.0003) or CLH (p < 0.05). Pseudolymphomatous folliculitis demonstrates an interstitial distribution of CD1a+ cells more often than MALT lymphoma (p < 0.04). S100 staining was not a helpful discriminator. CONCLUSIONS: Histopathologic factors including PD-1 and CD1a staining patterns may allow for more certainty in distinguishing lymphoid hyperplasia, including pseudolymphomatous folliculitis, from MALT lymphoma.


Asunto(s)
Antígenos CD1/biosíntesis , Linfoma de Células B de la Zona Marginal/metabolismo , Linfoma de Células B/metabolismo , Receptor de Muerte Celular Programada 1/biosíntesis , Seudolinfoma/metabolismo , Proteínas S100/biosíntesis , Enfermedades de la Piel/metabolismo , Neoplasias Cutáneas/metabolismo , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores de Tumor/biosíntesis , Diagnóstico Diferencial , Femenino , Humanos , Inmunohistoquímica , Linfoma de Células B/diagnóstico , Linfoma de Células B/patología , Linfoma de Células B de la Zona Marginal/diagnóstico , Linfoma de Células B de la Zona Marginal/patología , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Seudolinfoma/diagnóstico , Seudolinfoma/patología , Enfermedades de la Piel/diagnóstico , Enfermedades de la Piel/patología , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/patología , Adulto Joven
13.
Am J Clin Pathol ; 142(6): 816-29, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25389336

RESUMEN

OBJECTIVES: Human herpesvirus 8 (HHV8)-associated lymphomas are uncommon, mainly affect men infected with the human immunodeficiency virus (HIV), and usually have a poor prognosis. We sought to characterize the HHV8+ lymphomas seen at our institution since the mid-1990s. METHODS: We identified 15 patients with HHV8-associated lymphomas and evaluated their clinical and pathologic features. RESULTS: Diagnoses included primary effusion lymphoma (PEL) (n = 2), extracavitary PEL (n = 8), intravascular large B-cell lymphoma (n = 1), HHV8+ plasmablastic microlymphoma (n = 3), and germinotropic lymphoproliferative disorder (GLD) (n = 1). The case of GLD progressed to a high-grade HHV8+ Epstein-Barr virus-positive lymphoma, an evolution that has not been previously reported. Four patients were HIV-(three from an HHV8-endemic area). Potentially misleading pathologic features in our series of extracavitary PEL included classic Hodgkin lymphoma-like features, lymph node sinus involvement, and T-cell antigen expression. CONCLUSIONS: HHV8-associated lymphomas can be clinically and pathologically heterogeneous, with features that may lead to misdiagnosis as other types of lymphoma.


Asunto(s)
Infecciones por Herpesviridae/complicaciones , Linfoma/diagnóstico , Linfoma/virología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Herpesvirus Humano 8 , Humanos , Masculino , Persona de Mediana Edad
14.
Blood ; 123(9): 1293-6, 2014 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-24345752

RESUMEN

The genetics of angioimmunoblastic T-cell lymphoma (AITL) are very poorly understood. We defined the mutational landscape of AITL across 219 genes in 85 cases from the United States and Europe. We identified ≥2 mutations in 34 genes, nearly all of which were not previously implicated in AITL. These included loss-of-function mutations in TP53 (n = 4), ETV6 (n = 3), CCND3 (n = 2), and EP300 (n = 5), as well as gain-of-function mutations in JAK2 (n = 2) and STAT3 (n = 4). TET2 was mutated in 65 (76%) AITLs, including 43 that harbored 2 or 3 TET2 mutations. DNMT3A mutations occurred in 28 (33%) AITLs; 100% of these also harbored TET2 mutations (P < .0001). Seventeen AITLs harbored IDH2 R172 substitutions, including 15 with TET2 mutations. In summary, AITL is characterized by high frequencies of overlapping mutations in epigenetic modifiers and targetable mutations in a subset of cases.


Asunto(s)
Linfadenopatía Inmunoblástica/genética , Linfoma de Células T/genética , Mutación , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Análisis Mutacional de ADN , Femenino , Frecuencia de los Genes , Humanos , Linfadenopatía Inmunoblástica/epidemiología , Linfoma de Células T/epidemiología , Masculino , Persona de Mediana Edad
15.
Carbon Balance Manag ; 8(1): 10, 2013 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-24161143

RESUMEN

BACKGROUND: Mapping the aboveground biomass of tropical forests is essential both for implementing conservation policy and reducing uncertainties in the global carbon cycle. Two medium resolution (500 m - 1000 m) pantropical maps of vegetation biomass have been recently published, and have been widely used by sub-national and national-level activities in relation to Reducing Emissions from Deforestation and forest Degradation (REDD+). Both maps use similar input data layers, and are driven by the same spaceborne LiDAR dataset providing systematic forest height and canopy structure estimates, but use different ground datasets for calibration and different spatial modelling methodologies. Here, we compare these two maps to each other, to the FAO's Forest Resource Assessment (FRA) 2010 country-level data, and to a high resolution (100 m) biomass map generated for a portion of the Colombian Amazon. RESULTS: We find substantial differences between the two maps, in particular in central Amazonia, the Congo basin, the south of Papua New Guinea, the Miombo woodlands of Africa, and the dry forests and savannas of South America. There is little consistency in the direction of the difference. However, when the maps are aggregated to the country or biome scale there is greater agreement, with differences cancelling out to a certain extent. When comparing country level biomass stocks, the two maps agree with each other to a much greater extent than to the FRA 2010 estimates. In the Colombian Amazon, both pantropical maps estimate higher biomass than the independent high resolution map, but show a similar spatial distribution of this biomass. CONCLUSIONS: Biomass mapping has progressed enormously over the past decade, to the stage where we can produce globally consistent maps of aboveground biomass. We show that there are still large uncertainties in these maps, in particular in areas with little field data. However, when used at a regional scale, different maps appear to converge, suggesting we can provide reasonable stock estimates when aggregated over large regions. Therefore we believe the largest uncertainties for REDD+ activities relate to the spatial distribution of biomass and to the spatial pattern of forest cover change, rather than to total globally or nationally summed carbon density.

16.
Mod Pathol ; 26 Suppl 1: S57-70, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23281436

RESUMEN

Hodgkin lymphomas (HLs) are neoplasms of large B cells. Two types are recognized: nodular lymphocyte predominant HL (NLPHL) and classical HL (CHL). In both types, there may be morphological and possibly biological overlap with large B-cell lymphomas (LBCLs) of non-HL types. These include nodular sclerosis CHL and primary mediastinal large B-cell lymphoma; CHL rich in lymphocytes and NLPHL; and NLPHL and T-cell/histiocyte-rich LBCL. This review covers the defining features of each of these diseases, the borderlines between them, and strategies for differential diagnosis.


Asunto(s)
Enfermedad de Hodgkin/patología , Linfoma de Células B Grandes Difuso/patología , Diagnóstico Diferencial , Humanos , Inmunofenotipificación
17.
J Clin Oncol ; 31(2): 240-6, 2013 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-22869878

RESUMEN

PURPOSE: The International Peripheral T-Cell Lymphoma Project was undertaken to better understand the subtypes of T-cell and natural killer (NK) -cell lymphomas. PATIENTS AND METHODS: Angioimmunoblastic T-cell lymphoma (AITL) was diagnosed according to the 2001 WHO criteria by a central review process consisting of panels of expert hematopathologists. Clinical, pathologic, immunophenotyping, treatment, and survival data were correlated. RESULTS: Of 1,314 patients, 243 (18.5%) were diagnosed with AITL. At presentation, generalized lymphadenopathy was noted in 76% of patients, and 89% had stages III to IV disease. Skin rash was observed in 21% of patients. Hemolytic anemia and hypergammoglobulinemia occurred in 13% and 30% of patients, respectively. Five-year overall and failure-free survivals were 33% and 18%, respectively. At presentation, prognostic models were evaluated, including the standard International Prognostic Index, which comprised the following factors: age ≥ 60 years, stages III to IV disease, lactic dehydrogenase (LDH) > normal, extranodal sites (ENSs) > one, and performance status (PS) ≥ 2; the Prognostic Index for Peripheral T-Cell Lymphoma, comprising: age ≥ 60 years, PS ≥ 2, LDH > normal, and bone marrow involvement; and the alternative Prognostic Index for AITL (PIAI), comprising: age > 60 years, PS ≥ 2, ENSs > one, B symptoms, and platelet count < 150 × 10(9)/L. The simplified PIAI had a low-risk group (zero to one factors), with 5-year survival of 44%, and a high-risk group (two to five factors), with 5-year survival of 24% (P = .0065). CONCLUSION: AITL is a rare clinicopathologic entity characterized by an aggressive course and dismal outcome with current therapies.


Asunto(s)
Linfadenopatía Inmunoblástica/patología , Linfoma de Células T Periférico/patología , Adulto , Anciano , Anciano de 80 o más Años , Supervivencia sin Enfermedad , Femenino , Humanos , Linfadenopatía Inmunoblástica/inmunología , Linfadenopatía Inmunoblástica/terapia , Inmunofenotipificación , Linfoma de Células T Periférico/inmunología , Linfoma de Células T Periférico/terapia , Masculino , Persona de Mediana Edad , Pronóstico , Resultado del Tratamiento , Adulto Joven
18.
Blood ; 121(8): 1394-402, 2013 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-23255553

RESUMEN

Cyclin D1(-) mantle cell lymphomas (MCLs) are not well characterized, in part because of the difficulties in their recognition. SOX11 has been identified recently as a reliable biomarker of MCL that is also expressed in the cyclin D1(-) variant. We investigated 40 lymphomas with MCL morphology and immunophenotype that were negative for cyclin D1 expression/t(11;14)(q13;q32) but positive for SOX11. These tumors presented clinically with generalized lymphadenopathy, advanced stage, and poor outcome (5-year overall survival, 48%). Chromosomal rearrangements of the CCND2 locus were detected in 55% of the cases, with an IG gene as partner in 18 of 22, in particular with light chains (10 IGK@ and 5 IGL@). No mutations in the phosphorylation motifs of CCND1, CCND2, or CCND3 were detected. The global genomic profile and the high complexity of the 32 cyclin D1(-) SOX11(+) MCL patients analyzed by copy number arrays were similar to the conventional cyclin D1/SOX11 MCL. 17p deletions and high Ki67 expression conferred a significantly worse outcome for the patients. This comprehensive characterization of a large series of cyclin D1(-) MCL patients indicates that these tumors are clinically and biologically similar to the conventional cyclin D1(+) MCL and provides a basis for the proper identification and clinical management of these patients.


Asunto(s)
Ciclina D1/genética , Ciclina D2/genética , Reordenamiento Génico/genética , Linfoma de Células del Manto/genética , Linfoma de Células del Manto/patología , Adulto , Anciano , Anciano de 80 o más Años , Ciclina D1/metabolismo , Ciclina D2/metabolismo , Ciclina D3/genética , Ciclina D3/metabolismo , Variaciones en el Número de Copia de ADN/genética , Análisis Mutacional de ADN , Femenino , Humanos , Inmunohistoquímica , Hibridación Fluorescente in Situ , Linfoma de Células del Manto/metabolismo , Masculino , Persona de Mediana Edad , ARN Mensajero/genética , Factores de Transcripción SOXC/genética , Factores de Transcripción SOXC/metabolismo , Translocación Genética/genética
19.
Science ; 336(6088): 1573-6, 2012 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-22723420

RESUMEN

Policies to reduce emissions from deforestation would benefit from clearly derived, spatially explicit, statistically bounded estimates of carbon emissions. Existing efforts derive carbon impacts of land-use change using broad assumptions, unreliable data, or both. We improve on this approach using satellite observations of gross forest cover loss and a map of forest carbon stocks to estimate gross carbon emissions across tropical regions between 2000 and 2005 as 0.81 petagram of carbon per year, with a 90% prediction interval of 0.57 to 1.22 petagrams of carbon per year. This estimate is 25 to 50% of recently published estimates. By systematically matching areas of forest loss with their carbon stocks before clearing, these results serve as a more accurate benchmark for monitoring global progress on reducing emissions from deforestation.


Asunto(s)
Carbono , Conservación de los Recursos Naturales , Ecosistema , Árboles , Clima Tropical , África del Sur del Sahara , Asia , Biomasa , Países en Desarrollo , América Latina , Método de Montecarlo , Tecnología de Sensores Remotos , Suelo
20.
Mod Pathol ; 25(8): 1149-59, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22627742

RESUMEN

The diagnosis of infectious mononucleosis (acute Epstein-Barr virus (EBV) infection) is usually made on the basis of clinical and laboratory findings. However, an atypical clinical presentation occasionally results in a lymph node or tonsillar biopsy. The morphological features of EBV-infected lymphoid tissue can easily mimic lymphoma. Furthermore, the immunophenotype of the immunoblasts has not been well characterized. To assess the morphological spectrum of acute EBV infection and the utility of immunohistochemistry in diagnosing difficult cases that resemble lymphoma, we reviewed 18 cases of acute EBV infection submitted in consultation to our institution with an initial diagnosis of/or suspicion for lymphoma. Patients included nine male and nine female individuals with a median age of 18 years (range 9-69). Biopsies were obtained from lymph nodes (3/18) or Waldeyer's ring (15/18). Infectious mononucleosis was confirmed by monospot or serological assays in 72% of cases (13/18). All cases featured architectural distortion by a polymorphous infiltrate with an immunoblastic proliferation, sometimes forming sheets. Reed-Sternberg-like cells were present in 8/18 (44%) of the cases. Infiltrates were often accompanied by necrosis (10/18) and mucosal ulceration (6/15). The majority of immunoblasts in all cases were CD20+ B cells with a post-germinal center immunophenotype (strongly positive for MUM1/IRF4 (18/18), CD10- (18/18 negative) and BCL-6- (16/18 negative; 2/18 faint BCL-6 expression in <10% of immunoblasts)). Immunoblasts showed variable weak expression of BCL-2 and polyclonal expression of κ and λ immunoglobulin light chains in 81% cases. Reed-Sternberg-like cells in 8/8 cases were CD30+, CD15-, BOB.1+ and OCT-2+. In conclusion, an atypical lymphoid infiltrate with numerous MUM1+, CD10-, BCL-6- immunoblasts should raise the suspicion of a reactive process, such as infectious mononucleosis, and warrants additional consideration before a diagnosis of lymphoma is made.


Asunto(s)
Mononucleosis Infecciosa/diagnóstico , Linfoma/diagnóstico , Adulto , Anciano , Antígenos CD/metabolismo , Biomarcadores/metabolismo , Biopsia , Niño , Diagnóstico Diferencial , Femenino , Herpesvirus Humano 4/aislamiento & purificación , Humanos , Cadenas Ligeras de Inmunoglobulina/metabolismo , Mononucleosis Infecciosa/metabolismo , Mononucleosis Infecciosa/virología , Ganglios Linfáticos/patología , Ganglios Linfáticos/virología , Activación de Linfocitos , Linfocitos/patología , Linfoma/metabolismo , Masculino , Persona de Mediana Edad , Necrosis , Proteínas Proto-Oncogénicas c-bcl-6/metabolismo , Células de Reed-Sternberg , Adulto Joven
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