Hematology

Review Cell Biology

Cold stored platelets in the management of bleeding: is it about bioenergetics?

Chloe E. George, Christine V. Saunders, Alex Morrison, Tom Scorer, Sarah Jones, Nina C. Dempsey

Summary: A review of the history, function, and advantages of platelet concentrates, comparing cold-stored platelets with room temperature platelets and discussing their limitations.

PLATELETS (2023)

Article Hematology

Recurrence of acute chest syndrome post stopping Crizanlizumab, the dilemma of stopping vs continuation in patient with sickle cell disease: case report

Mohammad S. Afana, Mohammad Abu-Tineh, Awni Alshurafa, Ahmed K. Yasin, Khalid Ahmed, Mohammed Abdulgayoom, Mohamed A. Yassin

Summary: Sickle cell disease (SCD) is a common hematological disease with various complications. The treatment options for SCD are limited. Acute chest syndrome (ACS) is a challenging complication in SCD prevention. Crizanlizumab, a monoclonal antibody, improves blood flow in SCD patients by preventing sickle cell adhesion to endothelium. However, its effectiveness in ACS prevention is not well evaluated. This case report presents a 23-year-old SCD patient with recurrent ACS who showed significant improvement when treated with Crizanlizumab.

HEMATOLOGY (2023)

Article Hematology

Detecting rare thalassemia in children with anemia using third-generation sequencing

Zhen-min Ren, Wu-jiao Li, Zhi-hao Xing, Xiao-ying Fu, Ju-yan Zhang, Yun-sheng Chen, De-fa Li

Summary: This study aims to explore the application value of third-generation sequencing (TGS) in the diagnosis of rare thalassemia in children with anemia. The results show that TGS can accurately detect the genotypes of rare thalassemia, which is especially important for clinical diagnosis.

HEMATOLOGY (2023)

Article Hematology

Analysis of single-cell sequencing results of an elderly patient with myeloid leukemia reveals high expression of multiple oncogenes in monocytes and hematopoietic stem cells

Xiaoli Xu, Minjian Xiong, Haiyan Ye, Yonglei Qi, Ying Zhao

Summary: This study analyzed the gene sequencing results of an elderly AML patient and found high expression of tumor-related genes in monocytes and hematopoietic stem cells. These genes may play a role in the progression and heterogeneity of AML, impacting patient treatment and prognosis.

HEMATOLOGY (2023)

Article Hematology

Retrospective study of risk factors for pericardial effusion after haematopoietic stem cell transplantation in children

Ke Tong, Yan Meng, Luying Zhang, Xiaoying Lei, Xianmin Guan, Li Xiao, Jie Yu, Ying Dou

Summary: This study investigated the clinical characteristics, risk factors, and survival prognosis of pericardial effusion (PE) after haematopoietic stem cell transplantation (HSCT) in children. Retrospective analysis of clinical data from children who underwent HSCT at the Children's Hospital Affiliated with Chongqing Medical University from January 2016 to December 2022 was conducted. The study found that PE usually occurred within 100 days after HSCT and was associated with GVHD grade, abnormal pre-HSCT electrocardiogram, HVOD, pulmonary infection, and EBV infection. PE had a significant negative effect on overall survival (OS) rate.

HEMATOLOGY (2023)

Article Hematology

Severe autoimmune hemolytic anemia complicating hereditary spherocytosis treated successfully with glucocorticoids and cyclosporine: a case report

Na Wang, Hongkai Lu, Linzhang Li, Ming Gong, Yongtong Cao

Summary: We report a case of a 25-year-old female patient with severe autoimmune hemolytic anemia complicating hereditary spherocytosis, triggered by respiratory syncytial virus infection. The patient's hemoglobin level was very low and multiple anti-red blood cell antibodies were detected, making blood matching difficult. Combination therapy with glucocorticoids and cyclosporine effectively increased the hemoglobin level and relieved the anemia symptoms.

HEMATOLOGY (2023)

Article Hematology

Single-cell RNA seq analysis of erythroid cells reveals a specific sub-population of stress erythroid progenitors

Hanneda A. Fomukong, Mayen Kalu, Idowu A. Aimola, Abdullahi B. Sallau, Halima Bello-Manga, Flore E. Gouegni, Joy U. Ameloko, Zeenat K. Bello, Alfa U. David, Reuben S. Baba

Summary: By analyzing single-cell RNA sequencing data, it was found that the erythroid population is heterogeneous, with a distinct sub-cell type constituting stress erythroids. This finding has important implications for our understanding of steady-state and stress erythropoiesis.

HEMATOLOGY (2023)

Article Hematology

Identification of two novel β-globin gene mutations HBB: exon3del, HBB: c.-81A>C

Yaxuan Cao, Jianming Luo

Summary: This study reports the discovery of two novel HBB gene deletion mutants and describes their clinical characteristics and genetic analysis methods. When the blood phenotype and clinical presentation do not match the genotype, the presence of new mutants should be considered and further testing should be conducted to ensure accurate diagnosis.

HEMATOLOGY (2023)

Article Hematology

Patient preferences and experiences regarding thrombopoietin-receptor agonists for immune thrombocytopenia in The Netherlands (TRAPeze Netherlands study)

A. J. Gerard Jansen, Vickie Mcdonald, Adrian Newland, Mervyn Morgan, Mieke Bastiaanse, Koo Wilson, Daniel Eriksson, Emma Geldman, Owen Daykin-Pont, Samantha Prince, Jaap Jan Zwaginga

Summary: The study investigated patient experience and preference towards thrombopoietin-receptor agonists (TPO-RAs) in the treatment of immune thrombocytopenia (ITP) in the Netherlands. Patients preferred orally delivered therapies, less frequent dosing, and treatments without food restrictions. The study provides insights for improving the quality of life of ITP patients on TPO-RAs.

HEMATOLOGY (2023)

Article Hematology

Intestinal flora altered and correlated with interleukin-2/4 in patients with primary immune thrombocytopenia

Honghui Wang, Hui Bi, Muran Yang, Xiuli Wang, Chuanju Song, Wen Yang, Yacan Wang, Dongmei Xie, Huiting Li, Zeping Zhou

Summary: This study investigated the differences in intestinal flora between ITP patients and healthy controls, and identified the correlation between intestinal flora and Th1/Th2 imbalance. It was found that changes in the intestinal flora of ITP patients may be related to inflammation and immunity. Additionally, the study revealed the association between intestinal flora and bleeding scores as well as platelet counts. Functionally, the intestinal flora of ITP patients showed alterations in motility, chemotaxis, membrane transport, and metabolism.

HEMATOLOGY (2023)

Article Hematology

Sigma metric used to evaluate the performance of haematology analysers: choosing an internal reference analyser for the laboratory

Min Li, Xiaojuan Li, Xiaohong Lu, Mingqin Zhong, Lin Wang, Mingze Song, Feng Xue

Summary: The study evaluated the analytical performance of automated analysers in haematology laboratories using the sigma metric and selected the best analyser as the reference. The results showed that all parameters of the automated analysers met satisfactory levels at the normal control level. However, the platelet count by Instrument G performed poorly at the low control level, while Instrument H performed the best.

HEMATOLOGY (2023)

Article Cell Biology

Deep learning, 3D ultrastructural analysis reveals quantitative differences in platelet and organelle packing in COVID-19/SARSCoV2 patient-derived platelets

Sagar S. Matharu, Cassidy S. Nordmann, Kurtis R. Ottman, Rahul Akkem, Douglas Palumbo, Denzel R. D. Cruz, Kenneth Campbell, Gail Sievert, Jamie Sturgill, James Z. Porterfield, Smita Joshi, Hammodah R. Alfar, Chi Peng, Irina D. Pokrovskaya, Jeffrey A. Kamykowski, Jeremy P. Wood, Beth Garvy, Maria A. Aronova, Sidney W. Whiteheart, Richard D. Leapman, Brian Storrie

Summary: Platelets contribute to COVID-19 clinical manifestations, especially microclotting in the pulmonary vasculature. A 3D ultrastructural approach revealed that COVID-19 patient platelets have denser packing of organelles and are smaller in size compared to healthy controls, with little difference in platelet activation. The findings suggest that factors outside of platelets may play a more significant role in COVID-19 complications.

PLATELETS (2023)

Article Hematology

A cross-sectional survey of symptoms and daily living among patients with polycythemia vera and their treating physicians in Japan

Yoko Edahiro, Keita Kirito, Akihiko Gotoh, Katsuto Takenaka, Yuka Sugimoto, Norio Komatsu, Kazuya Shimoda

Summary: This Japanese cross-sectional survey examined the symptoms, daily living activities, and treatment needs of patients with polycythemia vera (PV) as perceived by patients and physicians. The study found that PV symptoms significantly impacted patients' daily living, with work, leisure activities, and family life being the most affected areas. There were also differences in symptom perception, treatment needs, and communication between physicians and patients.

HEMATOLOGY (2023)

Article Hematology

Construction and validation of an NAD plus metabolism-related lncRNA signature for predicting the prognosis and immune landscape of acute myeloid leukemia

Yu Zhu, Jinli Jian, Yujie Niu, Xiaoxiao Yang, Yuancheng Guo, Long Zhao, Bei Liu

Summary: This study investigates the potential of a NAD(+) metabolism-related lncRNA signature as a prognostic biomarker for acute myeloid leukemia (AML). Transcriptome profiles and clinical data of AML patients were obtained from The Cancer Genome Atlas (TCGA) database. NAD(+) metabolism-related lncRNAs were identified and a predictive model was constructed. The model showed good predictive power and outperformed other markers in terms of prognosis.

HEMATOLOGY (2023)

Article Hematology

Can doses of post-transplantation cyclophosphamide in haploidentical stem cell allografts be reduced?

Juan Carlos Olivares-Gazca, Maria de Lourdes Pastelin-Martinez, Merittzel Abigail Montes-Robles, Moises Manuel Gallardo-Perez, Edgar J. Hernandez-Flores, Max Robles-Nasta, Daniela Sanchez-Bonilla, Guillermo J. Ruiz-Delgado, Guillermo J. Ruiz-Arguelles

Summary: To address the issue of unavailable HLA-matched donors for ethnic minorities and multiethnic families, we conducted a study on haploidentical hematopoietic stem cell transplantation (Haplo-HSCT). The results showed that outpatient transplantation using peripheral blood stem cells can be performed safely and significantly reduces costs.

HEMATOLOGY (2023)

Article Hematology

Analysis 33 patients of non-DS-AMKL with or without acquired trisomy 21 from multiple centers and compared to 118 AML patients

Wenzhi Zhang, Jianxin Dun, Hui Li, Jingzhen Liu, Hongbo Chen, Hui Yu, Jiawei Xu, Fen Zhou, Yining Qiu, Jinjin Hao, Qun Hu, Xiaoyan Wu

Summary: In non-DS-AMKL, patients with acquired trisomy 21 (+21) have lower platelet counts at onset compared to those without +21, but there are no significant differences in remission rates and prognosis. Non-DS-AMKL has a younger onset age and is often associated with anemia, bleeding, lymph node enlargement, lower white blood cell count, and complex karyotype. Patients with delayed diagnosis often present with thrombocytopenia or pancytopenia initially.

HEMATOLOGY (2023)

Article Hematology

Genome-wide DNA methylation profiles analysis in primary warm autoimmune hemolytic anemia patients

Manjun Zhao, Yang Zhang, Jin Yang, Lei Chen, Ziying Zhang, Huaquan Wang, Zonghong Shao, Limin Xing

Summary: The DNA methylation pattern of B cells in patients with autoimmune hemolytic anemia (AIHA) differs from that of healthy controls, with a higher proportion of hypo-methylation regions. Genes related to differentially methylated regions (DMRs) are mainly involved in specific signaling pathways.

HEMATOLOGY (2023)

Article Hematology

Combination of venetoclax with BCR-ABL tyrosine kinase inhibitor as a therapeutic strategy for Philadelphia chromosome-positive leukemias

Jing-Ying Zou, Si-Man Huang, Hai-Xia Zhoub, Ming-Zhu Xu, Ai-Ning Sun, De-Pei Wu, Sheng-Li Xue, Tong-Tong Zhang

Summary: This retrospective study summarized the effectiveness of combining Venetoclax and BCR-ABL1 TKI for the treatment of Ph+ leukemias. The results showed that this combination therapy achieved a high overall response rate and most patients had sustained disease remission during the one-year follow-up. This approach may be a feasible strategy for Ph+ leukemias, but further prospective studies are needed to evaluate its safety and efficacy.

HEMATOLOGY (2023)

Article Hematology

A novel necroptosis-related gene signature in acute myeloid leukemia

Weiyue Fang, Hongdou Lin, Junyi Chen, Wenjian Guo

Summary: This study aimed to establish a novel signature of necroptosis-related genes to enhance our understanding of molecular heterogeneity in leukemia. By analyzing gene expression profiles and clinical features from TCGA and GEO databases, four genes (FADD, PLA2G4A, PYCARD, and ZBP1) were identified as independent risk factors affecting the prognosis of AML patients. Risk scores were calculated based on the coefficients of these four genes, and a nomogram was constructed using clinical characteristics and risk scores. CellMiner was also used to identify potential drugs and analyze the correlations between genes and drug sensitivity.

HEMATOLOGY (2023)

Article Hematology

Intensified conditioning regimen with fludarabine combined with post-transplantation cyclophosphamide for haploidentical allogeneic hematopoietic stem cell transplantation in children with high-risk acute leukemia

Junjie Cao, Xiaodong Xu, Ying Lu, Tiantian Wang, Dong Chen, Shuangyue Li, Xuhui Liu, Peipei Ye, Zhong-zheng Zheng, Renzhi Pei

Summary: To overcome the high relapse rate in post-transplantation cyclophosphamide (PTCy) treatment, an intensified conditioning regimen combining fludarabine, enhanced dose of cytarabine, busulfan, cyclophosphamide, anti-thymocyte globulin (ATG) and PTCy was used. The results showed that the incidence of grade II-IV acute graft versus host disease (GVHD) was significantly lower in the intensified conditioning group. In addition, the positive rate of minimal residual disease after transplantation was also significantly reduced.

HEMATOLOGY (2023)