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2.
Eur J Haematol ; 107(3): 324-332, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34022082

RESUMEN

OBJECTIVE: ABO mismatch between donor and recipient occurs in 40% of allogeneic hematopoietic stem cell transplantations (HCT). Different strategies have been described to reduce isohemagglutinins (IHA) before HCT. We describe the effect of selective ABO immunoadsorption (ABO IA) on erythrocyte transfusion rate and the development of post-transplant pure red cell aplasia (ptPRCA). METHODS: 63 patients with major ABO incompatibility were retrospectively analyzed. Nine patients with major ABO incompatibility and high-IHA titer were treated by ABO IA before HCT. We analyzed the need for transfusion and the occurrence of ptPRCA. We compared the outcome with patients treated by other methods to reduce IHA. RESULTS: In all nine patients treated by ABO IA, IHA decreased in a median four times. PtPRCA occurred in one patient. The median number of transfusions was 8 (range: 0-36) between d0 and d100. In 25 patients with high-IHA titer without treatment or treated by other methods to reduce IHA, the need for transfusions was comparable. No difference in the incidence of ptPRCA was observed. CONCLUSIONS: Selective ABO IA is a feasible, safe, and effective method to reduce IHA before HCT in major ABO incompatibility. No effect on transfusion rate or ptPRCA compared to other strategies could be observed.


Asunto(s)
Trasplante de Células Madre Hematopoyéticas/métodos , Leucemia/terapia , Síndromes Mielodisplásicos/terapia , Trastornos Mieloproliferativos/terapia , Plasmaféresis/métodos , Aplasia Pura de Células Rojas/prevención & control , Reacción a la Transfusión/prevención & control , Sistema del Grupo Sanguíneo ABO/inmunología , Incompatibilidad de Grupos Sanguíneos/inmunología , Incompatibilidad de Grupos Sanguíneos/mortalidad , Incompatibilidad de Grupos Sanguíneos/terapia , Transfusión de Eritrocitos/efectos adversos , Femenino , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Humanos , Leucemia/inmunología , Leucemia/mortalidad , Masculino , Persona de Mediana Edad , Síndromes Mielodisplásicos/inmunología , Síndromes Mielodisplásicos/mortalidad , Trastornos Mieloproliferativos/inmunología , Trastornos Mieloproliferativos/mortalidad , Aplasia Pura de Células Rojas/etiología , Aplasia Pura de Células Rojas/inmunología , Aplasia Pura de Células Rojas/mortalidad , Estudios Retrospectivos , Análisis de Supervivencia , Donantes de Tejidos , Reacción a la Transfusión/etiología , Reacción a la Transfusión/inmunología , Reacción a la Transfusión/mortalidad , Trasplante Homólogo , Resultado del Tratamiento
3.
Int J Mol Sci ; 18(12)2017 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-29211031

RESUMEN

Side effects on cardiac ion channels causing lethal arrhythmias are one major reason for drug withdrawals from the market. Field potential (FP) recording from cardiomyocytes, is a well-suited tool to assess such cardiotoxic effects of drug candidates in preclinical drug development, but it is currently limited to the spontaneous beating of the cardiomyocytes and manual analysis. Herein, we present a novel optogenetic cardiotoxicity screening system suited for the parallel automated frequency-dependent analysis of drug effects on FP recorded from human-induced pluripotent stem cell-derived cardiomyocytes. For the expression of the light-sensitive cation channel Channelrhodopsin-2, we optimised protocols using virus transduction or transient mRNA transfection. Optical stimulation was performed with a new light-emitting diode lid for a 96-well FP recording system. This enabled reliable pacing at physiologically relevant heart rates and robust recording of FP. Thereby we detected rate-dependent effects of drugs on Na⁺, Ca2+ and K⁺ channel function indicated by FP prolongation, FP shortening and the slowing of the FP downstroke component, as well as generation of afterdepolarisations. Taken together, we present a scalable approach for preclinical frequency-dependent screening of drug effects on cardiac electrophysiology. Importantly, we show that the recording and analysis can be fully automated and the technology is readily available using commercial products.


Asunto(s)
Ensayos Analíticos de Alto Rendimiento/métodos , Moduladores del Transporte de Membrana/toxicidad , Miocitos Cardíacos/efectos de los fármacos , Optogenética/métodos , Pruebas de Toxicidad/métodos , Potenciales de Acción , Cardiotoxicidad , Línea Celular , Ensayos Analíticos de Alto Rendimiento/instrumentación , Humanos , Células Madre Pluripotentes Inducidas/efectos de los fármacos , Células Madre Pluripotentes Inducidas/fisiología , Canales Iónicos/metabolismo , Miocitos Cardíacos/fisiología , Optogenética/instrumentación , Pruebas de Toxicidad/instrumentación
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