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1.
J Phys Chem B ; 113(39): 13079-85, 2009 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-19739660

RESUMO

Molecular dynamics computer simulations have been carried out on aqueous solutions of glucose at concentrations bracketing those previously measured with quasi-elastic neutron scattering (QENS), in order to investigate the motions and interactions of the sugar and water molecules. In addition, QENS measurements have been carried out on fructose solutions to determine whether the effects previously observed for glucose apply to monosaccharide solutions. The simulations indicate a dynamical analogy between higher solute concentration and lower temperature that could provide a key explanation of the bioprotective phenomena observed in many living organisms. The experimental results on fructose solutions show qualitatively similar behavior to the glucose solutions. The dynamics of the water molecules are essentially the same, while the translational diffusion of the sugar molecules is slightly faster in the fructose solutions.


Assuntos
Monossacarídeos/química , Soluções/química , Difusão , Frutose/química , Simulação de Dinâmica Molecular , Rotação , Água/química
2.
J Phys Condens Matter ; 20(20): 205106, 2008 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-21694287

RESUMO

The temperature dependence of the density correlation function at next-neighbour distances has been investigated for the liquid metal lead. This correlation function is a sensitive parameter for changes in the local environment and its Fourier transform was measured in a coherent inelastic neutron scattering experiment. The zero-frequency amplitude related to the long time decay of density fluctuations decreases in a nonlinear way and indicates a change in dynamics above the melting point. The derived generalized longitudinal viscosity shows a decrease near this temperature range. From these observations we suppose that solidification sets in on a microscopic level distinct above the melting point.

3.
Bone Marrow Transplant ; 40(4): 313-8, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17563741

RESUMO

In Children's cancer group (CCG) 2891, newly diagnosed patients with AML were randomized between standard and intensive timing induction therapies. Patients in first remission who lacked an HLA matched family donor were randomized between an autologous bone marrow transplantation (ABMT) where marrow was purged with 4 hydroperoxycyclophosphamide and consolidation chemotherapy. One hundred and thirty seven patients received an ABMT. Myeloid and platelet engraftment occurred at a median of 44 and 42 days, respectively. Disease-free survival (DFS), relapse-free survival and overall survival at 8 years post induction were 47% (95% confidence interval (CI): 38-55), 50% (CI: 42-59) and 55% (CI: 46-63), respectively. Multivariate analysis of DFS showed WBC <50 000/microl and having received intensively timed induction therapy were associated with improved DFS. Recipients who received intensive timed induction therapy and whose WBC was less than 50 000/microl had a DFS at 8 years of 62% (CI: 49-73). Conversely, recipients who received intensive timed induction therapy patients whose WBC was > or =50 000/microl had a DFS of 33% (CI: 17-50), P=0.003. The results confirm previous studies that ABMT is effective post remission therapy for pediatric patients with AML in first remission.


Assuntos
Transplante de Medula Óssea/métodos , Leucemia Mieloide Aguda/terapia , Indução de Remissão/métodos , Adolescente , Adulto , Transplante de Medula Óssea/efeitos adversos , Criança , Pré-Escolar , Intervalo Livre de Doença , Feminino , Sobrevivência de Enxerto , Humanos , Lactente , Masculino , Estudos Prospectivos , Condicionamento Pré-Transplante/métodos , Transplante Autólogo
4.
J Phys Condens Matter ; 19(41): 415120, 2007 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-28192332

RESUMO

The high-resolution quasi-elastic neutron scattering (QENS) technique has been applied to study the translational diffusion of methanol protons in pure methanol (MeOH) at 223 and 297 K, and in 0.3 and 1.3 molal non-aqueous electrolyte solutions (NAESs) of NiCl2 in methanol at 297 K. Molecular dynamics (MD) simulations, in conjunction with the present QENS results and our previously published structural results obtained by neutron diffraction isotopic substitution (NDIS) experiments, have been carried out in the NVT ensemble to explore the particle dynamics and microscopic structures of the experimentally investigated systems. The simulated structure of the ∼1.35 molal NiCl2-MeOH NAES has been compared with the structures of Ni2+ and Cl- coordination shells in ∼1.4 molal NAES obtained earlier by the NDIS technique.

5.
J Phys Chem B ; 110(28): 13786-92, 2006 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-16836324

RESUMO

The microscopic behavior of fresh and freeze-dried strawberry and red onion at different water contents (45 and 20 wt % water) has been investigated by quasielastic neutron scattering (QENS). To distinguish between the dynamics of the water and the biological material isotopic (H/D) substitution was used. The results show that all samples exhibit an onset of anharmonic motions on the experimental time scale (3-100 ps) at about 230-240 K. Above 250 K the dynamics is mainly of translational character and strongly dependent on the hydration level. The diffusion constant increases rapidly with increasing water content and at 280 K it is approximately 20% higher for the hydration water in freeze-dried strawberry than in freeze-dried red onion and around 2 orders of magnitude faster for the hydration water than for the biological material. Moreover, the diffusion constant of the biological part is about 50% faster in freeze-dried strawberry than in freeze-dried red onion. It was also found that the average relaxation time is slightly faster in fresh strawberry than in freeze-dried strawberry. From the results we can conclude that the water dynamics is not only promoting motions in the biological material, it is also affected by the structure (and possibly also the dynamics) of the biological material. Thus, the microscopic properties of the biological materials are interrelated with the properties of their hydration water.


Assuntos
Fragaria/química , Cebolas/química , Termodinâmica , Nêutrons , Espalhamento de Radiação , Temperatura
6.
J Chem Phys ; 124(2): 024501, 2006 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-16422605

RESUMO

Quasielastic neutron scattering has been used to study proton dynamics in the system lithium-ammonia at concentrations of 0, 4, 12, and 20 mole percent metal (MPM) in both the liquid and solid (expanded metal) phases. At 230 K, in the homogenous liquid state, we find that the proton self-diffusion coefficient first increases with metal concentration, from 5.6x10(-5) cm2 s(-1) in pure ammonia to 7.8x10(-5) cm2 s(-1) at 12 MPM. At higher concentrations we note a small decrease to a value of 7.0x10(-5) cm2 s(-1) at 20 MPM (saturation). These results are consistent with NMR data, and can be explained in terms of the competing influences of the electron and ion solvation. At saturation, the solution freezes to form a series of expanded metal compounds of composition Li(NH3)4. Above the melting point, at 100 K, we are able to fit our data to a jump-diffusion model, with a mean jump length (l) of 2.1 A and residence time (tau) of 3.1 ps. This model gives a diffusion coefficient of 2.3x10(-5) cm2 s(-1). In solid phase I (cubic, stable from 88.8 to 82.2 K) we find that the protons are still undergoing this jump diffusion, with l=2.0 A and tau=3.9 ps giving a diffusion coefficient of 1.8x10(-5) cm2 s(-1). Such motion gives way to purely localized rotation in solid phases IIa (from 82.2 to 69 K) and IIb (stable from 69 to 25 K). We find rotational correlation times (tau(rot)) of the order of 2.0 and 7.3 ps in phases IIa and IIb, respectively. These values can be compared with a rotational mode in solid ammonia with tau(rot) approximately 2.4 ps at 150 K.

7.
J Chem Phys ; 122(23): 234905, 2005 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-16008485

RESUMO

A quasielastic neutron scattering study has been performed on a polymer gel electrolyte consisting of lithium perchlorate dissolved in ethylene carbonate/propylene carbonate and stabilized with poly(methyl methacrylate). The dynamics of the solvent, which is crucial for the ion conduction in this system, was probed using the hydrogen/deuterium contrast variation method with nondeuterated solvent and a deuterated polymer matrix. Two relaxation processes of the solvent were studied in the 10-400 microeV range at different temperatures. From analysis of the momentum transfer dependence of the processes we conclude that the faster process ( approximately 100 microeV) is related to rotational diffusion of the solvent and the slower process ( approximately 10 microeV) to translational diffusion of the solvent. The translational diffusion is found to be similar to the diffusion in the corresponding liquid electrolyte at short distances, but geometrically constrained by the polymer matrix at distances beyond approximately 5 A. The study indicates that the hindered diffusion of the solvent on a length scale of the polymer network interchain distance ( approximately 5-20 A) is sufficient to explain the reduced macroscopic diffusivity and ion conductivity of the gel electrolyte compared to the liquid electrolyte.

8.
J Chem Phys ; 122(24): 244702, 2005 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-16035788

RESUMO

The dynamics of propylene glycol (PG) and its oligomers 7-PG and poly-propylene glycol (PPG), with M(w) = 4000 (approximately 70 monomers), confined in a Na-vermiculite clay have been investigated by quasielastic neutron scattering. The liquids are confined to single molecular layers between clay platelets, giving a true two-dimensional liquid. Data from three different spectrometers of different resolutions were Fourier transformed to S(Q,t) and combined to give an extended dynamical time range of 0.3-2000 ps. An attempt was made to distinguish the diffusive motion from the methyl group rotation and a fast local motion of hydrogen in the polymer backbone. The results show that the average relaxation time tau(d) of this diffusive process is, as expected, larger than the relaxation time tau averaged over all dynamical processes observed in the experimental time window. More interesting, it is evident that the severe confinement has a relatively small effect on tau(d) at T = 300 K, this holds particularly for the longest oligomer, PPG. The most significant difference is that the chain-length dependence of tau(d) is weaker for the confined liquids, although the slowing down in bulk PG due to the formation of a three-dimensional network of OH-bonded end groups reduces this difference. The estimated average relaxation time tau at Q = 0.92 Angstroms(-1) for all the observed processes is in excellent agreement with the previously reported dielectric alpha relaxation time in the studied temperature range of 260-380 K. The average relaxation time tau (as well as the dielectric alpha relaxation time) is also almost unaffected by the confinement to a single molecular layer, suggesting that the interaction with the clay surfaces is weak and that the reduced dimensionality has only a weak influence on the time scale of all the dynamical processes observed in this study.

9.
J Chem Phys ; 122(8): 84505, 2005 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-15836061

RESUMO

We have investigated the dynamics of water confined in a molecular sieve, with a cylindrical pore diameter of 10 A, by means of quasielastic neutron scattering (QENS). Both the incoherent and coherent intermediate scattering functions I(Q,t) were determined by time-of-flight QENS and the neutron spin-echo technique, respectively. The results show that I(Q,t) is considerably more stretched in time with a slightly larger average relaxation time in the case of coherent scattering. From the Q dependence of I(Q,t) it is clear that the observed dynamics is almost of an ordinary translational nature. A comparison with previous dielectric measurements suggests a possible merging of the alpha and beta relaxations of the confined water at T=185 K, although the alpha relaxation cannot be directly observed at lower temperatures due to the severe confinement. The present results are discussed in relation to previous results for water confined in a Na-vermiculite clay, where the average relaxation time from spin-echo measurements was found to be slower than in the present system (particularly at low temperatures).

10.
J Chem Phys ; 121(23): 12026-37, 2004 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-15634166

RESUMO

The structure of an amorphous polymer electrolyte, poly(propylene oxide) (PPO) complexed with LiClO4, has been studied using reverse Monte Carlo (RMC) simulations. The simulations require no force field but are based on experimental data only, in this case from x-ray and neutron diffraction experiments. Excellent agreement between the experimental data and the structures resulting from the RMC simulation is obtained. Samples with ether-oxygen to lithium concentrations (molar ratios) O:Li=16:1 and 5:1 were studied and compared to results of pure PPO from a previous study. We focus on the effects of the solvated salt on the structure of the polymer matrix, the spatial distribution of ions, and the correlations between the anions and the polymer chains. Analyzing the structures produced in the simulations, we find that for a concentration 16:1, the interchain distance is approximately the same as in pure PPO but more well defined. For a concentration 5:1, we find a larger and less well-defined interchain distance compared to the 16:1 concentration. This signifies that at the 16:1 salt concentration, there is enough free volume in the polymer host to accommodate the ions, and that the solvation of salt induces ordering of the polymer matrix. At the higher salt concentration 5:1, the polymer network must expand and become less ordered to host the ions. We also note, in accordance with previous studies, that the solvation of salt changes the conformation of the polymer chain towards more gauche states. The simulations furthermore reveal marked correlations between the polymer chains and the anions, which we suggest arise predominantly from an interaction mediated via cations, which can simultaneously coordinate both ether oxygens in the polymer chains and anions. Interanionic distances at 5 A, which are consistent with two or more anions being coordinated around the same cation, are also observed. On a larger scale, the RMC structure of PPO-LiClO4 16:1 clearly indicates the presence of salt-rich and salt-depleted domains having a length scale of <20 A. In view of such a heterogeneous structure of PPO-LiClO4 16:1, it is plausible that the increased ordering of the polymer matrix is due to rather well-defined structural arrangements within the salt-rich domains, and that the characteristic interchain distance in the salt-rich domains is similar to that of the pure polymer.

11.
Eur Phys J E Soft Matter ; 12(1): 179-83, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15007698

RESUMO

The dynamics of propylene glycol (PG) and its oligomers 7-PG and PPG, with Mw = 4000 (about 70 monomers), confined in a Na-vermiculite clay have been investigated by quasi-elastic neutron scattering and dielectric spectroscopy. The liquids are confined to a single molecular layer between the clay platelets, thus giving a true 2D liquid. The results show that the average relaxation time [tau], deduced from neutron scattering at a momentum transfer Q of about 1 A(-1) is in perfect agreement with the dielectric alpha-relaxation time, although neutron scattering does not only probe the main (alpha-) relaxation, but all motions of hydrogens on the experimental time scale. At room temperature 1/[tau] is proportional to Q(2), indicating that the relaxations are mainly due to ordinary translational diffusion. The most unexpected finding is that [tau](or the dielectric alpha-relaxation time) is almost unaffected by the 2D confinement, in contrast to the dielectrically active normal mode of PPG which is substantially slower in the confinement. Only the 7-mer has a significantly slower segmental translational diffusion in the clay. The results suggest that the interactions to the clay surfaces are weak and that the present 2D confinement has a very small influence on the time scale of all our observed relaxation processes, except the normal-mode relaxation.


Assuntos
Silicatos de Alumínio/química , Modelos Químicos , Modelos Moleculares , Movimento (Física) , Difração de Nêutrons , Propilenoglicol/química , Análise Espectral , Adsorção , Argila , Difusão , Teste de Materiais , Polímeros/química , Temperatura
12.
Leukemia ; 16(4): 601-7, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11960339

RESUMO

The objective of this study was to identify biologic parameters that were associated with either exceptionally good or poor outcome in childhood acute myeloid leukemia (AML). Among the children with AML who entered Children's Cancer Group trial 213, 498 patients without Down syndrome or acute promyelocytic leukemia (APL) comprise the basis for this report. Univariate comparisons of the proportion of patients attaining complete remission after induction (CR) indicate that, at diagnosis, male gender, low platelet count (< or =20 000/microl), hepatomegaly, myelodysplastic syndrome (MDS), French-American- British (FAB) category M5, high (>15%) bone marrow (BM) blasts on day 14 of the first course of induction, and +8 are associated with lower CR rates, while abnormal 16 is associated with a higher CR rate. Multivariate analysis suggests high platelet count at diagnosis (>20 000/microl), absence of hepatomegaly, < or =15% day 14 BM blast percentage, and abnormal 16 are independent prognostic factors associated with better CR. Univariate analysis demonstrated a significant favorable relationship between platelet count at diagnosis (>20 000/microl), absence of hepatomegaly, low percentage of BM blasts (< or =15%), and abnormal 16 with overall survival. Absence of hepatomegaly, < or =15% day 14 BM blast percentage, and abnormal 16 were determined to be independent prognostic factors associated with better survival.


Assuntos
Leucemia Mieloide/diagnóstico , Doença Aguda , Adolescente , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Contagem de Células Sanguíneas , Medula Óssea/patologia , Exame de Medula Óssea , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Cariotipagem , Leucemia Mieloide/tratamento farmacológico , Leucemia Mieloide/mortalidade , Contagem de Leucócitos , Masculino , Contagem de Plaquetas , Prognóstico , Indução de Remissão , Taxa de Sobrevida
13.
Twin Res ; 4(2): 73-80, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11665339

RESUMO

Questionnaire surveys, while more economical, typically achieve poorer response rates than interview surveys. We used data from a national volunteer cohort of young adult twins, who were scheduled for assessment by questionnaire in 1989 and by interview in 1996-2000, to identify predictors of questionnaire non-response. Out of a total of 8536 twins, 5058 completed the questionnaire survey (59% response rate), and 6255 completed a telephone interview survey conducted a decade later (73% response rate). Multinomial logit models were fitted to the interview data to identify socioeconomic, psychiatric and health behavior correlates of non-response in the earlier questionnaire survey. Male gender, education below University level, and being a dizygotic rather than monozygotic twin, all predicted reduced likelihood of participating in the questionnaire survey. Associations between questionnaire response status and psychiatric history and health behavior variables were modest, with history of alcohol dependence and childhood conduct disorder predicting decreased probability of returning a questionnaire, and history of smoking and heavy drinking more weakly associated with non-response. Body-mass index showed no association with questionnaire non-response. Despite a poor response rate to the self-report questionnaire survey, we found only limited sampling biases for most variables. While not appropriate for studies where socioeconomic variables are critical, it appears that survey by questionnaire, with questionnaire administration by telephone to non-responders, will represent a viable strategy for gene-mapping studies requiring that large numbers of relatives be screened.


Assuntos
Entrevistas como Assunto/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Adulto , Austrália , Estudos de Coortes , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Estilo de Vida , Modelos Logísticos , Masculino , Viés de Seleção , Fatores Socioeconômicos , Gêmeos/psicologia
14.
IEEE Trans Neural Netw ; 12(1): 101-12, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-18244366

RESUMO

A novel multiple-expert framework for recognition of handwritten characters is presented. The proposed framework is composed of multiple classifiers (experts) put together in such a manner as to enhance the recognition capability of the combined network compared to the best performing individual expert participating in the framework. Each of these experts has been derived from a novel neural structure in which the weight values are derived from Clifford algebra. A Clifford algebra is a mathematical paradigm capable of capturing the interdimensional dependencies found in multidimensional data. It offers a technique for concise data storage and processing by representing dependencies between the component dimensions of the data which is otherwise difficult to encode and hence is often employed in analyzing multidimensional data. Results achieved by the proposed multiple-expert framework demonstrates significant improvement over alternative techniques.

15.
J Clin Oncol ; 18(9): 1845-55, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10784625

RESUMO

PURPOSE: Past reports indicate that alpha hemolytic streptococcal (AHS) organisms are a common cause of infection among acute myeloid leukemia (AML) patients. This study was intended to ascertain the population incidence and rate (infections per 100 patient-days of treatment) of AHS and to identify associated risk factors. PATIENTS AND METHODS: Patients (n = 874 with 151,350 days of risk) enrolled on the Children's Cancer Group (CCG) protocol for newly diagnosed AML, CCG-2891, which randomly assigned intensity of induction and intensification, were prospectively evaluated for infectious complications. RESULTS: AHS occurred in 21% of patients, was primarily blood borne (86%), made up 21% of bacteremic infections, and had a recurrent incidence of 31% during subsequent therapy. AHS was more often life-threatening (59%) than other infections (41%) (P = .001). AHS rates increased with age less than 10 years (odds ratio [OR], 2.0; P = .007), intensively timed induction (OR, 1.8 to 1.9; P = .02), and high-dose cytarabine intensification (OR, 3.7; P<.0001). Among all courses, the greatest incidence (19%) and rate (0.41) were associated with the use of high-dose cytarabine. Gastrointestinal toxicity correlated significantly with AHS bacteremia (P<.01). Infection with AHS resulted in increased hospital days (P =.0001). Only among bone marrow transplant patients were overall survival (OR, 2.8; P = .0001) and disease-free survival (OR, 2.1; P = .008) decreased after AHS bacteremia. CONCLUSION: This study, the first to prospectively examine AHS incidence among uniformly treated patients in multiple institutions, established that as the intensity of AML therapy has increased, so has the rate of AHS. Young children, those with previous AHS bacteremias, and those receiving high-dose cytarabine are at particularly high risk of AHS bacteremia.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Leucemia Mieloide Aguda/tratamento farmacológico , Infecções Estreptocócicas/epidemiologia , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Criança , Pré-Escolar , Feminino , Hemólise , Humanos , Incidência , Lactente , Recém-Nascido , Leucemia Mieloide Aguda/complicações , Leucemia Mieloide Aguda/microbiologia , Masculino , Estudos Prospectivos , Fatores de Risco , Infecções Estreptocócicas/etiologia
16.
Leuk Res ; 22(5): 461-4, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9652733

RESUMO

BACKGROUND: The TEL/AML1 fusion associated with t(12;21)(p13;q22) is the most common gene rearrangement in childhood malignancy, occurring in approximately 25% of pediatric acute lymphoblastic leukemia. The TEL/AML1 rearrangement is cryptic at the cytogenetic level but confers a favorable prognosis. The AML1 gene was first identified by virtue of its involvement in adult and pediatric acute myeloid malignancies associated with t(8;21) and t(3;21)(q26;q22.1). We have therefore determined the frequency of the TEL/AML1 fusion in pediatric myeloid leukemias by RT-PCR analysis. METHODS: Total RNA was isolated from cryopreserved bone marrow samples of 38 pediatric patients with AML. RNA quality was controlled for by amplification of the TEL gene. An RT-PCR assay was then used to test for the presence of the TEL/AML1 fusion. RESULTS: 29 patients had adequate RNA for analysis. Zero out of 29 pediatric AML patients had evidence for the TEL/AML1 fusion by RT-PCR. CONCLUSIONS: The TEL/AML1 fusion does not occur in children with AML and suggests that the TEL/AML1 rearrangement is restricted in pediatric hematologic malignancy to B lineage ALL.


Assuntos
Leucemia Mieloide/genética , Proteínas de Neoplasias/genética , Proteínas de Fusão Oncogênica , Translocação Genética/genética , Doença Aguda , Adolescente , Linhagem da Célula/genética , Criança , Pré-Escolar , Cromossomos Humanos Par 12 , Cromossomos Humanos Par 21 , Subunidade alfa 2 de Fator de Ligação ao Core , Feminino , Humanos , Leucemia Mieloide/classificação , Masculino , Reação em Cadeia da Polimerase , RNA/análise
17.
Blood ; 91(2): 608-15, 1998 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-9427716

RESUMO

In recent pediatric trials of acute myeloid leukemia (AML), children with Down syndrome (DS) have had significantly more megakaryoblastic leukemia and have experienced better outcome than other children. To further characterize AML in DS, Children's Cancer Group Studies 2861 and 2891 prospectively studied demography, biology, and response in AML and myelodysplastic syndrome (MDS) of children with and without DS. These studies evaluated timing of induction therapy and compared postremission chemotherapy with marrow transplantation in 1,206 children. One-hundred eighteen (9.8%) had DS, a fourfold increase in 20 years. DS patients were younger, had lower white blood cell and platelet counts, more antecedent MDS, acute megakaryoblastic leukemia or undifferentiated AML, and an under-representation of chromosomal translocations (P < .001 for each variable). Four-year event-free survival in DS was 69% versus 35% in others (P < .001). Intensively timed induction conferred significantly higher mortality in DS patients; bone marrow transplantation offered no advantage. Conventional induction followed by chemotherapy achieved an 88%, 4-year, disease-free survival in DS patients versus 42% in others (P < .001). Megakaryoblastic leukemia was unfavorable in others but prognostically neutral in DS. AML in DS is demographically and biologically distinct from AML in other children. It is singularly responsive to conventional chemotherapy and may warrant even less therapy. The increasing proportion of DS patients with AML most likely reflects changes in attitudes about entering DS patients on AML trials and possibly increasing ability to distinguish megakaryoblastic leukemia from lymphoid leukemia.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Transplante de Medula Óssea , Síndrome de Down/epidemiologia , Síndrome de Down/terapia , Leucemia Mieloide/epidemiologia , Leucemia Mieloide/terapia , Síndromes Mielodisplásicas/epidemiologia , Síndromes Mielodisplásicas/terapia , Doença Aguda , Adolescente , Criança , Pré-Escolar , Terapia Combinada , Síndrome de Down/fisiopatologia , Feminino , Humanos , Lactente , Leucemia Mieloide/fisiopatologia , Masculino , Síndromes Mielodisplásicas/fisiopatologia , Análise de Sobrevida , Resultado do Tratamento
18.
Blood ; 89(10): 3801-5, 1997 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-9160687

RESUMO

To study prognostic factors in infant acute myeloid leukemia (AML), we analyzed 44 children treated on Childrens Cancer Group protocols for MLL gene rearrangement by Southern blot, cytogenetic 11q23 abnormalities, and reactivity with monoclonal antibody 7.1. This antibody detects the human homologue of the rat NG2 chondroitin sulfate proteoglycan molecule, which has previously been reported to be expressed on human melanoma. NG2 has been found to be expressed on human leukemic blasts but not on other hematopoietic cells. In childhood AML, NG2 cell surface expression correlated with poor outcome and with some but not all 11q23 rearrangements. In childhood acute lymphoblastic leukemia, NG2 expression correlated with poor outcome and with balanced 11q23 translocations. In this study, 29 of 44 (66%) of infants with AML showed MLL rearrangement and, as expected, this group had a high incidence of French-American-British M4/M5 morphology (22/29). Of the cases tested, 35.1% (13/37) were NG2 positive. All (13/13) NG2-positive cases were rearranged at MLL, whereas only 46% (11/24) of NG2-negative cases had MLL rearrangement. NG2 expression did not correlate with poor outcome (P = .31); there was a trend towards a worse outcome with MLL rearrangement (P = .13). Thus monoclonal antibody 7.1 does not detect all cases of MLL rearrangement in infant AML.


Assuntos
Antígenos de Neoplasias/biossíntese , Antígenos/biossíntese , Cromossomos Humanos Par 11/genética , Proteínas de Ligação a DNA/genética , Rearranjo Gênico , Leucemia Mieloide/genética , Proteínas de Neoplasias/genética , Proteoglicanas/biossíntese , Proto-Oncogenes , Fatores de Transcrição , Translocação Genética , Doença Aguda , Animais , Anticorpos Monoclonais/imunologia , Especificidade de Anticorpos , Antígenos/genética , Antígenos de Neoplasias/genética , Cromossomos Humanos Par 11/ultraestrutura , Cromossomos Humanos Par 4/genética , Cromossomos Humanos Par 4/ultraestrutura , Estudos de Coortes , DNA de Neoplasias/genética , Intervalo Livre de Doença , Feminino , Histona-Lisina N-Metiltransferase , Humanos , Lactente , Leucemia Mieloide/imunologia , Leucemia Mieloide/metabolismo , Leucemia Mieloide/mortalidade , Masculino , Camundongos , Proteína de Leucina Linfoide-Mieloide , Proteínas de Neoplasias/biossíntese , Prognóstico , Proteoglicanas/genética , Ratos , Análise de Sobrevida , Resultado do Tratamento
20.
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