Результаты поиска

Analysis of SIRT1 Gene SNPs and Clinical Characteristics in Medication-Related Osteonecrosis of the Jaw.

Certain genetic factors, including single-nucleotide polymorphisms (SNPs) in the SIRT1 gene, have been linked to medication-related osteonecrosis of the jaw (MRONJ). This study examined four SNPs in the SIRT1 gene and implemented multivariate statistical analysis to analyze genetic and clinical factors in MRONJ patients. Genomic DNA was isolated from peripheral blood samples of 63 patients of European origin treated for MRONJ, and four SNP genotypes in the gene encoding the SIRT-1 protein were determined by Sanger sequencing. The allele frequencies measured in the MRONJ population were compare

Использование кладрибина в повторном склерозе после 8-10 лет: два сообщения о пациентах из исследования ORACLE-MS.

Cladribine — иммунная реконструктивная терапия для многократного склероза (MS), которая избирательно приводит к долгосрочному сокращению высокопатологической памяти клеток B с временным сокращением других подгрупп B- и T-клеток, тем самым восстанавливая иммунную функцию ближе к базовым уровням в краткосрочной перспективе. Здесь мы описываем два случая повторного использования MS (RMS), обработанных вторым курсом кладрибина. Первоначально у обоих пациентов был диагностирован клинически изолированный синдром, а позднее они были охвачены исследованиями ОРАКЛЕ-МС и CLASSIC-MS. После получения клад

Multiple-Drugs-Related Osteonecrosis of the Jaw in a Patient Affected by Multiple Myeloma: A Case Report.

A 60-year-old woman suffering from multiple myeloma (MM) was treated with zoledronic acid (bisphosphonate), dexamethasone (corticosteroid), bortezomib (a chemotherapeutic agent), and lenalidomide (thalidomide analog) for about a year and with lenalidomide alone as maintenance therapy for almost two years and developed stage three medication-related osteonecrosis of the jaws (MRONJ) in the upper left dental arch approximately two weeks after tooth extraction, which was treated with a medical nonoperative conservative approach until reversion to stage one. The present case report describing the

Anxiety and Depression of the Patients with Hematological Malignancies during Hospitalization for Hematopoietic Stem Cell Transplantation.

ObjectiveThis study aimed to assess the anxiety and depression in patients undergoing hematopoietic stem cell transplantation (HSCT).MethodsEighty-seven adult patients with various hematologic diseases, who were scheduled to receive autologous or allogeneic HSCT, were enrolled. The M.D. Anderson Symptom Inventory and the Hospital Anxiety Depression Scale were applied prospectively at hospital admission (D-14), on the day of transplantation (D day), and at 7 (D7) and 14 days (D14) after transplantation.ResultsThe severity of both anxiety and depressive symptoms increased over time, with a peak

Экологические и профессиональные факторы риска, связанные с множественной миеломой: многоцентральное, больничное и параллельное исследование конкретных случаев.

ВВЕДЕНИЕ: Множественная миелома (ММ), гематологическая порча, вызванная распространением неопластических плазменных клеток, по-прежнему недостаточно характеризуется факторами профессионального и экологического риска и их воздействием на качество жизни пациентов (QoL). В этом исследовании изучается изменяемое воздействие на Западном берегу, Палестина, и оценивается их связь с рисками, связанными с ММ, и результатами по конкретным заболеваниям. МЕТОДЫ: В период между 2018 и 2025, включая 227 Пациенты ММ и 176 Совпадающие с контрольными. Спички основывались на возрасте, поле, госпитализации и тип

Seizure as an Atypical Presentation of New-Onset Multiple Sclerosis: A Case Report.

Multiple sclerosis (MS) can present with a wide range of symptoms in affected individuals. We report the case of a 56-year-old African-American woman with a history of hypertension who was admitted to the hospital due to persistent generalized weakness and intermittent seizures. According to her son, these symptoms began after starting antihypertensive therapy. She had experienced multiple hospital admissions for intermittent weakness and received treatment for a UTI and ruptured acute appendicitis. During one admission, she was prescribed Keppra at a dose of 500 mg twice daily. However, her s

Pancytopenia Concurrent With Metabolic Encephalopathy.

Pancytopenia is a decrease in the number of cells in all peripheral blood cell lines and has been associated with anemias, cancers, chemotherapy, infections, and nutritional deficiencies. However, pancytopenia concurrent with encephalopathy is rare and not well-studied. We present a case of pancytopenia concurrent with metabolic encephalopathy. An 81-year-old female patient presented to the emergency department for two weeks of increased fatigue and hypersomnolence. The patient had trouble staying awake during the initial physical exam, and her laboratory results were significant for pancytope

Secondary Hemophagocytic Syndrome in a Patient with Plasma Cell Myeloma and CNS Involvement Treated with Lenalidomide.

We present an extremely rare case report of a 29-year-old multiple myeloma patient with central nervous system involvement and secondary hemophagocytic lymphohistiocytosis (HLH). We observed that HLH was presumably triggered by the immunomodulatory drug-lenalidomide. HLH is frequently misdiagnosed or underdiagnosed. As HLH requires immediate treatment, our report emphasizes the need to consider HLH in the differential diagnosis when the condition of a patient receiving chemotherapy rapidly deteriorates and an infectious etiology is excluded. We furthermore discuss the pathogenesis of HLH, with

Induction treatment of acute myeloid leukemia in an elderly patient with intramarrow injection/administration of cytarabine: first report of a case.

We have used intramarrow injection/administration of cytarabine (Ara-C) instead of conventional intravenous approach to induce remission in an elderly patient with acute myelogenous leukemia. We show for the first time that the intramarrow injection of chemotherapeutic agents such as Ara-C can be used safely and effectively.

Restless legs syndrome in multiple myeloma patients.

BACKGROUND: Restless legs syndrome (RLS) is a common neurological condition characterized by uncomfortable and unpleasant sensations in the legs that are relieved by movement. It is frequently idiopathic, sometimes associated with specific disorders such as malignancies. Because there is no study relevant to RLS in Multiple Myeloma (MM), we aimed to evaluate the frequency of RLS in MM patients during chemotherapy and examined the relationship between presence of RLS and depression and anxiety in these patients. METHODS: We enrolled a population of 62 adult MM patients for RLS features. RLS wa

Circular RNAs in tumor immunity and immunotherapy.

Circular RNAs (circRNAs) are unique noncoding RNAs that have a closed and stable loop structure generated through backsplicing. Due to their conservation, stability and tissue specificity, circRNAs can potentially be used as diagnostic indicators and therapeutic targets for certain tumors. Many studies have shown that circRNAs can act as microRNA (miRNA) sponges, and engage in interactions with proteins and translation templates to regulate gene expression and signal transduction, thereby participating in the occurrence and development of a variety of malignant tumors. Immunotherapy has revolu

Нацеливаюсь на иммунологический синапс в нескольких миэломах.

Иммунологический синапс, высокоорганизованный соединитель клеток, является важной основой для эффективного убийства раковых клеток с помощью Т. Однако в миеломе терапевтическое сопротивление отражает множество взаимодействующих слоев, включая синаптическое нарушение, клональную эволюцию, метаболическую перепрограммирование и пространственные неоднородные ниши костного мозга, которые могут способствовать дисфункции Т-клеток и иммунной отток. В этом обзоре иммунологический синапс в качестве потенциально изменяемого межклеточного интерфейса: мы описываем, как ниша костного мозга влияет на синапти

Распространение КПИ в других долгосрочных условиях: систематический метаанализ.

Хроническая обструктивная легочная болезнь (КОП) является основным глобальным бременем для здоровья, которое часто сосуществует с другими долгосрочными условиями (ЛТК). Вместе с тем по-прежнему недооценивается различная распространенность КПИ во всех КЛД, что сказывается на способности осуществлять комплексные стратегии оказания помощи и целенаправленной деятельности по выявлению конкретных случаев. ЦЕЛИ: Цель этого мета-обзора заключалась в обобщении данных, полученных в результате систематических обзоров, о распространенности КПИ в наиболее распространенных ДКП. МЕТОДЫ: Систематический поиск

Связь между аутоиммунным заболеванием и раком цвета кожи: ретроспективное тематическое исследование 120 876 Пациенты.

ЦЕЛЬ: рак цветности (КЗ) one из наиболее часто диагностируемых раковых заболеваний и одной из главных причин смертности от раковых заболеваний во всем мире. Хотя воспламенительное кишечное заболевание (ИББ) является широко распространенным фактором риска для КПР, потенциальная связь между другими аутоиммунными заболеваниями и КПР неясна. В свете растущей распространенности аутоиммунных заболеваний и их признанной связи с различными вредными явлениями в настоящем исследовании ставится задача изучить вопрос о том, связаны ли с КПР различные аутоиммунные заболевания. МЕТОДЫ: Всего 20 146 пациенто

Correlation between Polymorphisms of Vitamin D Metabolism Genes and Perianal Disease in Crohn's Disease.

Although the role of vitamin D (VD) in the pathogenesis and progression of Crohn's disease (CD) is known, the association between single-nucleotide polymorphisms (SNPs) of genes linked to vitamin D pathway and CD risk is still under study. Furthermore, no significant association has been previously found between these SNPs and perianal CD (pCD), a severe phenotypic manifestation of CD that may present as perianal fistula, abscess, and recto-vaginal fistula. Among the mechanisms involved in its pathogenesis, local inflammation and intestinal microbiota alteration are recognized. VD seems to act

Multi-Omic Analysis Reveals the Impact of Bortezomib in Hyperleukocytic Acute Myeloid Leukemia.

BackgroundHyperleukocytic acute myeloid leukemia (HL-AML) is associated with early complications and high mortality rates, highlighting the urgent need for more effective therapeutic strategies.MethodsThis study conducted label-free proteomic analysis on serum from HL-AML and non-HL AML (NHL-AML) patients, integrating the data with the OHSU transcriptomic database. Flow cytometry was used to evaluate the in vitro impact of bortezomib. The in vivo effectiveness of bortezomib was assessed using the patient-derived xenograft (PDX) model of HL-AML.ResultsThrough integrated analysis of serum proteo

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… Ethics Statement The study was approved by the Ethics Committee of Zhongnan Hospital of Wuhan University, and written informed consent forms were obtained from all participants prior to bone marrow puncture. Conflicts of Interest The authors declare no conflicts of interest. …

Case report: A case of proliferative glomerulonephritis with monoclonal kappa-light chain deposits treated with daratumumab combination therapy.

INTRODUCTION: Proliferative glomerulonephritis with monoclonal immunoglobulin deposits (PGNMID) is a chronic glomerular disease caused by monoclonal gammopathy. IgG (mainly IgG3) is the most commonly involved isotype of PGNMID. Here we illustrated a novel medication regimen for the rare variant of PGNMID with deposition of monoclonal immunoglobulin light chain only (PGNMID-LC). Daratumumab has been proved effective in the treatment of plasma cell myeloma while its effect for PGNMID-LC has rarely been reported. METHODS: A daratumumab combination therapy (D-VCd regimen, specifically are daratum

The Relationship between Changes in Serum Element Concentrations and Pathological Condition and Disease Status in Japanese Multiple Myeloma Patients: A Pilot Study and Literature Review.

BackgroundMultiple myeloma (MM) is a rare cancer, and information on its pathological condition and serum element levels is lacking. In this pilot study, we examined serum element concentrations in Japanese patients with MM by a comprehensive multi-element analysis.MethodsThis is a case-control study of 12 Japanese patients diagnosed with MM at the Nagoya City University Hospital between 2008 and 2013. Blood samples were taken, at the initial diagnosis and at relapse. The serum concentrations of 12 elements were analyzed by inductively coupled plasma mass spectrometry and compared between MM p

Bloodstream Infections in Hematologic Malignancy Patients With Fever and Neutropenia: Are Empirical Antibiotic Therapies in the United States Still Effective?

BackgroundRising antimicrobial resistance rates may impact the efficacy of empirical antibiotic treatment for febrile neutropenia in high-risk cancer patients. Lacking contemporary data about the epidemiology, antibiotic resistance patterns, and clinical outcomes from bloodstream infections (BSIs) in US cancer patients, it is unclear if current guidelines remain relevant.MethodsIn a cross-sectional study, 14 US cancer centers prospectively identified BSIs in high-risk febrile neutropenic (FN) patients, including those receiving chemotherapy for hematologic malignancies or hematopoietic stem ce

Knockdown of lncRNA AL928768.3 inhibits multiple myeloma cell proliferation by inducing cell cycle arrest in G0/G1 phase.

BackgroundMultiple myeloma (MM) is a B-lymphocyte-derived malignancy. It ranks as the second most common hematological malignancy, with relatively high morbidity and mortality. However, the molecular mechanisms of MM occurrence and development remain elusive. This study found that long non-coding RNA AL928768.3 (lncRNA AL) was abnormally expressed in MM samples. However, the effect and molecular mechanism of lncRNA AL on the occurrence and development of MM remains unclear.MethodsBone marrow fluids of MM patients (n=54) and volunteers (n=13) were collected and CD138+ cells were isolated. The e