Blood diseases

血液疾病
  • 文章类型: Journal Article
    荧光纳米显微镜,也被称为超分辨率显微镜,已经超越了传统的分辨率障碍,并使纳米分辨率的生物样品的可视化。已经开发了一系列超分辨率技术并将其用于研究分子分布,组织,和血细胞中的相互作用,以及血细胞相关疾病的潜在机制。在这次审查中,我们提供了各种荧光纳米技术的概述,概述了他们目前的发展阶段以及他们在功能和实用性方面面临的挑战。我们特别探索这些创新如何推动血小板(血小板)的分析,红细胞(红细胞)和白细胞(白细胞),亚细胞组分和分子相互作用的纳米级排列上的光。我们聚焦用于疾病诊断的荧光纳米显微镜发现的新型生物标志物,比如血小板病变,恶性肿瘤,和传染病。此外,我们讨论了技术障碍,并为未来的研究方向绘制了前景。这篇综述旨在强调荧光纳米显微镜对血细胞分析和疾病诊断领域的重要贡献。准备彻底改变我们的探索方法,理解,在分子水平上管理疾病。
    Fluorescence nanoscopy, also known as super-resolution microscopy, has transcended the conventional resolution barriers and enabled visualization of biological samples at nanometric resolutions. A series of super-resolution techniques have been developed and applied to investigate the molecular distribution, organization, and interactions in blood cells, as well as the underlying mechanisms of blood-cell-associated diseases. In this review, we provide an overview of various fluorescence nanoscopy technologies, outlining their current development stage and the challenges they are facing in terms of functionality and practicality. We specifically explore how these innovations have propelled forward the analysis of thrombocytes (platelets), erythrocytes (red blood cells) and leukocytes (white blood cells), shedding light on the nanoscale arrangement of subcellular components and molecular interactions. We spotlight novel biomarkers uncovered by fluorescence nanoscopy for disease diagnosis, such as thrombocytopathies, malignancies, and infectious diseases. Furthermore, we discuss the technological hurdles and chart out prospective avenues for future research directions. This review aims to underscore the significant contributions of fluorescence nanoscopy to the field of blood cell analysis and disease diagnosis, poised to revolutionize our approach to exploring, understanding, and managing disease at the molecular level.
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  • 文章类型: Case Reports
    The article presents a case of a surgical treatment of removing a dermoid cyst of the floor of the oral cavity in a patient with severe hemophilia A. A detailed analysis was carried out of the surgical operation, postoperative management, coagulation factor replacement therapy and accompanying therapy, as well as the features of anesthesia, which allowed a surgical intervention without any hemorrhagic and infectious complications.
    Представлен случай проведения операции удаления дермоидной кисты дна рта у больного тяжелой гемофилией А. Проведен подробный анализ хирургической операции, послеоперационного ведения, общей заместительной гемостатической и сопроводительной терапии, а также особенностей обезболивания, которые позволили осуществить хирургическое вмешательство без геморрагических и инфекционных осложнений.
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  • 文章类型: Journal Article
    背景:脑静脉血栓形成,罕见的中风,其特征是由静脉窦血栓形成引起的出血和/或梗塞引起的神经功能障碍,所谓的静脉中风。目前的指南推荐抗凝药作为静脉卒中治疗的一线治疗。脑静脉血栓形成的原因复杂,治疗困难,尤其是与自身免疫性疾病结合时,血液病,甚至COVID-19。
    目的:本文总结了病理生理机制,流行病学,诊断,治疗,脑静脉血栓合并自身免疫性疾病的临床预后,血液病,或COVID-19等传染病。
    结论:对发生非常规脑静脉血栓形成时不应忽视的特定危险因素的系统理解,以及对病理生理机制的科学理解,临床诊断,和治疗,从而有助于了解特殊类型的静脉中风。
    Cerebral venous thrombosis, a rare stroke, is characterized by neurological dysfunction caused by bleeding and/or infarction resulting from venous sinus thrombosis, the so-called venous stroke. Current guidelines recommend anticoagulants as first-line therapy in the treatment of venous stroke. With complicated causes of cerebral venous thrombosis, treatment is difficult, especially when combined with autoimmune diseases, blood diseases, and even COVID-19.
    This review summarizes the pathophysiological mechanisms, epidemiology, diagnosis, treatment, and clinical prognosis of cerebral venous thrombosis combined with autoimmune diseases, blood diseases, or infectious diseases such as COVID-19.
    A systematic understanding of particular risk factors that should not be neglected when unconventional cerebral venous thrombosis occurs and for a scientific understanding of pathophysiological mechanisms, clinical diagnosis, and treatment, thus contributing to knowledge on special types of venous stroke.
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  • 文章类型: Journal Article
    暴露于环境污染物经常导致血液疾病的发生,但潜在的分子机制却鲜为人知.Diflovidazin(DFD)的毒性,一种广泛使用的除螨剂,非目标生物的血液系统需要紧急阐明。探讨DFD(2、2.5和3mg/L)对造血干细胞(HSC)发育和存活的有害影响。本研究采用斑马鱼模型。DFD暴露减少了HSC及其亚型的数量,包括巨噬细胞,中性粒细胞,胸腺T细胞,红细胞,和血小板。HSCs凋亡和分化异常的显著转变是血细胞削减的主要缘由。使用小分子拮抗剂和p53吗啉代显示NF-κB/p53途径负责DFD暴露后HSC的凋亡。TLR4抑制剂和分子对接的修复结果显示,它是NF-κB信号的上游,在DFD毒理学中起着至关重要的作用。本研究阐明了DFD在斑马鱼HSC损伤中的作用及其分子机制。为斑马鱼等多种血液疾病的发生提供了理论依据。
    Exposure to environmental contaminants frequently induces the occurrence of blood diseases, but the underlying molecular mechanisms are scarcely known. The toxicity of Diflovidazin (DFD), a widely used mite-remover, to the blood system of non-target organisms requires urgent elucidation. To investigate the deleterious effects of DFD (2, 2.5, and 3 mg/L) on the development and survive of hematopoietic stem cells (HSCs), the zebrafish model was used in this study. DFD exposure reduced the number of HSCs and their subtypes, including macrophages, neutrophils, thymus T-cells, erythrocytes, and platelets. The significant changes in the abnormal apoptosis and differentiation of HSCs were the major reasons for the reduction in blood cells. Using small-molecule antagonists and p53 morpholino revealed that the NF-κB/p53 pathway was responsible for the apoptosis of HSCs upon DFD exposure. The restoration results attributed to the TLR4 inhibitor and molecular docking showed that the TLR4 protein, which was upstream of NF-κB signaling, played a vital role in DFD toxicology. This study elucidates the role and molecular mechanism of DFD in damaging zebrafish HSCs. It provides a theoretical basis for the occurrence of various blood diseases in zebrafish and other organisms.
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  • 文章类型: Journal Article
    本文采用区带电泳,分子生物学中最常用的工具之一,探索汉斯-约尔格·莱茵伯格对实验的反思中得出的两个想法。首先,技术对象-仪器和物质条件-在知识或认识事物的生产中发挥的约束作用。第二,通过这些技术对象生产相互连接的实验系统,这导致了研究领域和实验文化的意外纠缠。到1960年代初,世界各地实验室区带电泳的开始发生了一些变化——有人说,彻底改变了蛋白质的研究。即使在今天,电泳继续开放生物医学的研究场所和问题,分子生物学,人类遗传学,在分子进化领域。在我的文章中,我试图研究区带电泳的相互联系的生活,并解决更广泛的社会问题,甚至是全球背景,在其中,这种看似不起眼的技术成为生产生物知识的重要工具。这样做,我的目标是将实验系统的历史和史学的过去和现在带到未来,实验和技术在不同的地理和环境中使用时受到质疑,包括贫困的背景。
    This paper uses zone electrophoresis, one of the most frequently used tools in molecular biology, to explore two ideas derived from Hans-Jörg Rheinberger\'s reflections on experiments. First, the constraining role played by technical objects-instrumentation and material conditions-in the production of knowledge or epistemic things. Second, the production of interconnected experimental systems by such technical objects, which results in the unexpected entanglement of research fields and experimental cultures. By the beginning of the 1960s, the inception of zone electrophoresis in laboratories around the world transformed-some say, revolutionized-the study of proteins. Even today, electrophoresis continues to open research venues and questions in biomedicine, molecular biology, human genetics, and in the field of molecular evolution. In my essay, I seek to look at the interconnected lives of zone electrophoresis and address the broader social, and even global context, in which this apparently humble technique became a salient tool in the production of biological knowledge. In so doing, I aim to take the past and present of the history and historiography of experimental systems to the future, where experiments and technologies are interrogated as they are used in different geographies and contexts, including contexts of poverty.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    大颗粒淋巴细胞白血病是一种罕见的细胞毒性细胞慢性淋巴增殖性疾病。其他血液恶性肿瘤如CLL和多发性骨髓瘤与疫苗接种反应差和严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)死亡率显着增加有关,特别是在接受过免疫抑制治疗的患者中。鉴于经常用于治疗该疾病的免疫抑制疗法,大颗粒淋巴细胞(LGL)患者可能特别容易受到SARS-CoV-2感染。向弗吉尼亚大学(UVA)的LGL白血病登记处的所有患者发送问卷,以获取有关疫苗接种状况的信息,接受的疫苗类型,疫苗接种的副作用,患者治疗前的状态,during,接种疫苗后,抗体检测,2019年冠状病毒病(COVID-19)感染史,以及是否存在加强疫苗接种。收集了27名患者的抗体测试,这些患者具有由弗吉尼亚大学医学实验室通过AbbottArchitectSARS-CoV-2IgGII测定法确定的定量SARS-CoV-2刺突蛋白IgG水平。在≥50.0AU/mL的阈值下将测定评分为反应性或在<50.0AU/mL的阈值下无反应性。未治疗的LGL患者以及在其疫苗接种之前进行治疗的患者对SARS-CoV-2疫苗具有强烈的体液应答。与进行免疫抑制治疗的患者相比,未进行免疫抑制治疗的患者的疫苗反应显着降低。我们的发现支持在疫苗接种窗口期间暂停免疫疗法和向所有LGL白血病患者施用SARS-CoV-2加强剂以最大化保护性抗体的双重策略。
    Large granular lymphocyte leukemia is a rare chronic lymphoproliferative disorder of cytotoxic cells. Other hematological malignancies such as CLL and multiple myeloma have been associated with poor vaccination response and markedly increased severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mortality rates, specifically in patients who have undergone immunosuppressive therapy. Given the immunosuppressive therapies often used to treat the disease, large granular lymphocytic (LGL) patients may be especially vulnerable to SARS-CoV-2 infection. A questionnaire was sent to all patients in the LGL Leukemia Registry at the University of Virginia (UVA) to obtain information on vaccination status, type of vaccine received, side effects of vaccination, patient treatment status before, during, and after vaccination, antibody testing, history of coronavirus disease 2019 (COVID-19) infection, and presence or absence of booster vaccination. Antibody testing of 27 patients who had quantitative SARS-CoV-2 Spike Protein IgG levels determined by University of Virginia medical laboratories via the Abbott Architect SARS-CoV-2 IgG II assay were collected. The assay was scored as reactive at a threshold of ≥50.0 AU/mL or nonreactive with a threshold of <50.0 AU/mL. LGL patients without treatment as well as patients who held treatment prior to their vaccination have a robust humoral response to SARS-CoV-2 vaccines. Patients who did not hold their immunosuppressive treatments have signifigantly diminished vaccine response compared to those who held their immunosuppressive treatment. Our findings support a dual strategy of pausing immunotherapy during the vaccination window and administration of the SARS-CoV-2 booster to all LGL leukemia patients to maximize protective antibodies.
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  • 文章类型: Journal Article
    姜黄素是姜黄提取物中最重要的活性成分。姜黄素,一种来自植物的天然单体作为膳食补充剂受到了相当大的关注,在广泛的人类病理条件下表现出明显的活性。总的来说,姜黄素有益于人体健康,表现出抗炎和抗氧化的药理活性,以及抗肿瘤和免疫调节活性。姜黄素还具有治疗神经退行性疾病的潜力,心脑血管疾病。在这篇评论文章中,我们总结了近年来姜黄素作为恶性肿瘤生物活性剂的研究进展,阿尔茨海默病(AD),血液病和病毒性传染病。我们还关注与姜黄素相关的问题,从基础研究到临床翻译,例如它的低溶解度,导致生物利用度差,以及围绕姜黄素纯度和效果之间关联的争议。通过回顾和总结姜黄素的临床研究和不良反应的病例报告,我们发现姜黄素的临床转化并不成功,过量摄入姜黄素可能会对肾脏产生不良影响,心,肝脏,血液和免疫系统,这导致我们警告说,姜黄素从基础研究到应用转化还有很长的路要走。
    Curcumin is the most important active component in turmeric extracts. Curcumin, a natural monomer from plants has received a considerable attention as a dietary supplement, exhibiting evident activity in a wide range of human pathological conditions. In general, curcumin is beneficial to human health, demonstrating pharmacological activities of anti-inflammation and antioxidation, as well as antitumor and immune regulation activities. Curcumin also presents therapeutic potential in neurodegenerative, cardiovascular and cerebrovascular diseases. In this review article, we summarize the advancements made in recent years with respect to curcumin as a biologically active agent in malignant tumors, Alzheimer\'s disease (AD), hematological diseases and viral infectious diseases. We also focus on problems associated with curcumin from basic research to clinical translation, such as its low solubility, leading to poor bioavailability, as well as the controversy surrounding the association between curcumin purity and effect. Through a review and summary of the clinical research on curcumin and case reports of adverse effects, we found that the clinical transformation of curcumin is not successful, and excessive intake of curcumin may have adverse effects on the kidneys, heart, liver, blood and immune system, which leads us to warn that curcumin has a long way to go from basic research to application transformation.
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  • 文章类型: Journal Article
    背景和目的:我们提供了一份关于COVID-19大流行期间波兰一所大学医院血液病患者的心脏血液护理的回顾性报告。材料与方法:对2019年和2020年全年血液科住院人数和心脏血液科会诊人数进行分析。心脏手术的类型,危险因素,并对并发症进行了评估.结果:与2019年相比,2020年的住院人数显着减少。然而,两个分析年份之间的血液病发病率没有显着差异。2019年,在血液科患者中进行了299次心脏咨询,2020年共进行了352次此类咨询(p=0.042)。2020年进行的高风险测试(经食管和压力超声心动图)较少,有利于在心脏诊断中使用心脏计算机断层扫描,因为在大流行期间更安全。在2019年和2020年,42%和48%的血液学患者在心脏会诊期间至少发现了一个心血管危险因素。在651名接受检查的血液学患者中,最常见的发现是血液肿瘤治疗的轻度心脏并发症,在57名患者中发现。结论:这项研究似乎证实,在大流行期间,对组织良好的心脏血液学咨询的需求增加。
    Background and Objectives: We present a retrospective report on the cardio-hematological care of hematology patients at a university hospital in Poland during the COVID-19 pandemic. Materials and Methods: The number of hospitalizations at the Hematology Department and cardio-hematology consultations throughout 2019 and 2020 was analyzed. The types of cardiac procedures, risk factors, and complications were also assessed. Results: A significant reduction in the number of hospitalizations was observed in 2020 as compared to 2019. However, there were no significant differences in the incidence of hematological diseases between both of the analyzed years. In 2019, 299 cardiac consultations were performed in hematological patients, and there was a total of 352 such consultations performed in 2020 (p = 0.042). Less high-risk tests (transesophageal and stress echocardiography) were performed in 2020, in favor of the use of cardiac computed tomography in cardiac diagnostics as it was safer during the pandemic. At least one cardiovascular risk factor during cardiac consultation was noted in 42% and 48% of hematological patients in 2019 and 2020, respectively. Among 651 examined hematological patients, the most common findings were mild cardiac complications of hemato-oncological treatment, which were found in 57 patients. Conclusions: This study seems to confirm that during a pandemic there is an increased demand for well-organized cardio-hematology consultations.
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  • 文章类型: Journal Article
    适体是特异性结合靶向互补分子的RNA/DNA寡核苷酸分子。作为具有有前途的诊断和治疗应用的潜在识别元素,适体,如单克隆抗体,可以为血液疾病提供许多治疗和诊断选择。适体呈现出优于抗体的几个特征,包括简单的体外选择和生产,易于修饰和共轭,高稳定性,低免疫原性。作为抗体的有希望的替代品,适体可以克服目前单克隆抗体治疗的局限性,提供新的诊断,治疗性的,和血液疾病的预防性治疗。几个生物医学领域的研究人员,如生物标志物检测,诊断,成像,和靶向治疗,已经广泛研究了适体,在过去的二十年中,已经开发了几种适体。其中之一是pegaptanib钠注射液,一种基于适体的治疗剂,起到抗血管生成药物的作用,它是第一个由美国食品和药物管理局(FDA)批准用于治疗用途的适体。其他几种适体现在正在临床试验中。在这次审查中,我们重点介绍了临床试验计划中适体的现状,并介绍了一些目前正在血液病临床前开发中的有前途的适体。
    Aptamers are RNA/DNA oligonucleotide molecules that specifically bind to a targeted complementary molecule. As potential recognition elements with promising diagnostic and therapeutic applications, aptamers, such as monoclonal antibodies, could provide many treatment and diagnostic options for blood diseases. Aptamers present several superior features over antibodies, including a simple in vitro selection and production, ease of modification and conjugation, high stability, and low immunogenicity. Emerging as promising alternatives to antibodies, aptamers could overcome the present limitations of monoclonal antibody therapy to provide novel diagnostic, therapeutic, and preventive treatments for blood diseases. Researchers in several biomedical areas, such as biomarker detection, diagnosis, imaging, and targeted therapy, have widely investigated aptamers, and several aptamers have been developed over the past two decades. One of these is the pegaptanib sodium injection, an aptamer-based therapeutic that functions as an anti-angiogenic medicine, and it is the first aptamer approved by the U.S. Food and Drug Administration (FDA) for therapeutic use. Several other aptamers are now in clinical trials. In this review, we highlight the current state of aptamers in the clinical trial program and introduce some promising aptamers currently in pre-clinical development for blood diseases.
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