Hematopoiesis Hematopoietic Stem Cells in Adult AML1/Runx1 Negatively Regulates Quiescent
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Pearls of Laboratory Medicine Transcript Document
Pearls of Laboratory Medicine www.traineecouncil.org TITLE: Transfusion Support in Hematopoietic Stem Cell Transplant PRESENTER: Erin K. Meyer, DO, MPH Slide 1: Title Slide Hello, my name is Erin Meyer. I am the medical director of apheresis and associate medical director of Transfusion Services at Nationwide Children’s Hospital in Columbus Ohio. Welcome to this Pearl of Laboratory Medicine on “Transfusion Support in Hematopoietic Stem Cell Transplant or HSCT.” Slide 2: Transfusion Support for Hematopoietic Stem Cell Transplant (HSCT) The objectives of my talk are a brief overview of the different types of HSCT followed by a review of the sources of HSCT available and transfusion thresholds for patients receiving the different types of HSCT. Finally, I will discuss ABO-incompatible HSCT with a focus on the complications of and transfusion support for each possible ABO-incompatible combination. Hematopoietic stem cells came to light after the dropping of the atomic bombs in 1945. People who survived the initial explosions later died of bone marrow failure from radiation. A series of sentinel experiments by Till and McCulloch in the 1960s then showed that transfer of bone marrow cells from donor mice into lethally irradiated recipient mice resulted in the formation of colonies of myeloid, erythroid, and megakaryocytic cells in the recipient’s spleen approximately 7-14 days later. Stem cells have two very unique properties: the ability to self-renew and the ability to regenerate. The field of stem cell biology has only grown and HSCTs are able to be transplanted now to recipients to help a variety of diseases. -
Hematopoietic Stem Cell Therapy) in MS
FAQ About HSCT (Hematopoietic Stem Cell Therapy) in MS There is growing evidence that autologous HSCT is not for everyone with MS but may be highly effective for people with relapsing MS who meet very specific characteristics. The National Medical Advisory Committee of the National MS Society has written an article reviewing evidence related to the optimal use of autologous hematopoietic stem cell transplantation (aHSCT, commonly known as bone marrow transplants) for the treatment of specific types of relapsing multiple sclerosis. The committee’s findings are published in JAMA Neurology (online October 26, 2020). Q. What is HSCT for multiple sclerosis? A. HSCT (Hematopoietic Stem Cell Transplantation) attempts to “reboot” the immune system, which is responsible for damaging the brain and spinal cord in MS. In HSCT for MS, hematopoietic (blood cell-producing) stem cells, which are derived from a person’s own (“autologous”) bone marrow or blood, are collected and stored, and the rest of the individual’s immune cells are depleted by chemotherapy. Then the stored hematopoietic stem cells are reintroduced to the body. The new stem cells migrate to the bone marrow and over time produce new white blood cells. Eventually they repopulate the body with immune cells. Q. What is the idea behind autologous HSCT (aHSCT) for MS? A. The goal of aHSCT is to reset the immune system and stop the inflammation that contributes to active relapsing MS. Q. Is aHSCT an FDA-approved therapy option for people with MS? A. The medications and procedures used in aHSCT are already approved by the FDA. Publication of the outcomes from well-controlled clinical studies of aHSCT therapy will encourage greater acceptance and use by the medical community. -
IDF Guide to Hematopoietic Stem Cell Transplantation
Guide to Hematopoietic Stem Cell Transplantation Immune Deficiency Foundation Guide to Hematopoietic Stem Cell Transplantation This publication contains general medical information that cannot be applied safely to any individual case. Medical knowledge and practice can change rapidly. Therefore, this publication should not be used as a substitute for professional medical advice. In all cases, patients and caregivers should consult their healthcare providers. Each patient’s condition and treatment are unique. Copyright 2018 by Immune Deficiency Foundation, USA Readers may redistribute this guide to other individuals for non-commercial use, provided that the text, html codes, and this notice remain intact and unaltered in any way. Immune Deficiency Foundation Guide to Hematopoietic Stem Cell Transplantation may not be resold, reprinted or redistributed for compensation of any kind without prior written permission from the Immune Deficiency Foundation (IDF). If you have any questions about permission, please contact: Immune Deficiency Foundation, 110 West Road, Suite 300, Towson, MD 21204, USA, or by telephone: 800-296-4433. For more information about IDF, go to: www.primaryimmune.org. This publication has been made possible through the IDF SCID Initiative and the SCID, Angels for Life Foundation. Acknowledgements The Immune Deficiency Foundation would like to thank the organizations and individuals who helped make this publication possible and contributed to the development of the Immune Deficiency Foundation Guide to Hematopoietic Stem -
Stem Cell Hematopoiesis
Hematopoietic and Lymphoid Neoplasm Project Introduction to the WHO Classification of Tumors of Hematopoietic and Lymphoid Tissues 4th edition 2 Hematopoietic and Lymphoid Lineages, Part I Steven Peace, CTR Westat September 2009 3 Objectives • Understand stem cell hematopoiesis • Understand proliferation • Understand differentiation • Provide a History of Classification of Tumors of Hematopoietic and Lymphoid Tissues • Understand the delineation of cell lines (lineage) in relation to the WHO Classification 4 Objectives (2) • Introduce WHO Classification of Tumors of Hematopoietic and Lymphoid Tissues, 4th ed. • Introduce NEW ICD-O histology codes • Introduce NEW reportable conditions 5 Stem Cell Hematopoiesis • What is a hematopoietic stem cell? • Where are hematopoietic stem cells found? • What is Hematopoiesis? • Hematopoietic stem cells give rise to ALL blood cell types including; • Myeloid lineages • Lymphoid lineages 6 Hematopoietic stem cells give rise to two major progenitor cell lineages, myeloid and lymphoid progenitors Regenerative Medicine, 2006. http://www.dentalarticles.com/images/hematopoiesis.png 7 Proliferation and Differentiation • Regulation of proliferation • Regulation of differentiation • Both affect development along cell line • Turn on/Turn off • Growth factors • Genes (including mutations) • Proteins • Ongogenesis – becoming malignant 8 Blood Lines – Donald Metcalf, AlphaMED Press, 2005 Figure 3.2 The eight major hematopoietic lineages generated by self-renewing multipotential stem cellsB Copyright © 2008 by AlphaMed -
Cell Division History Determines Hematopoietic Stem Cell Potency Fumio Arai1,†,*, Patrick S
bioRxiv preprint doi: https://doi.org/10.1101/503813; this version posted January 15, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. Cell Division History Determines Hematopoietic Stem Cell Potency Fumio Arai1,†,*, Patrick S. Stumpf2,†, Yoshiko M. Ikushima3,†, Kentaro Hosokawa1, Aline Roch4, Matthias P. Lutolf4, Toshio Suda5, and Ben D. MacArthur2,6,7,* †† 1Department of Stem Cell Biology and Medicine, Graduate School of Medical Sciences, Kyushu University, 812-8582, Fukuoka, Japan. 2Centre for Human Development, Stem Cells and Regeneration, University of Southampton, SO17 1BJ, UK 3Research Institute National Center for Global Health and Medicine, Tokyo, Japan 4Laboratory of Stem Cell Bioengineering, Institute of Bioengineering, School of Life Sciences and School of Engineering, Ecole Polytechnique Federale de Lausanne (EPFL), CH-1015 Lausanne, Switzerland 5Cancer Science Institute, National University of Singapore, 14 Medical Drive, MD6, 117599 Singapore, Singapore 6Institute for Life Sciences, University of Southampton, SO17 1BJ, United Kingdom 7Mathematical Sciences, University of Southampton, SO17 1BJ, United Kingdom *Correspondence to Fumio Arai ([email protected]) and Ben MacArthur ([email protected]) †These authors contributed equally. ††Lead Author ABSTRACT Loss of stem cell self-renewal may underpin aging. Here, we combined single cell profiling, deep-learning, mathematical modelling and in vivo functional studies to explore how hematopoietic stem cell (HSC) division patterns evolve with age. We trained an artificial neural network (ANN) to accurately identify cell types in the hematopoietic hierarchy and predict their age from their gene expression patterns. -
Differential Contributions of Haematopoietic Stem Cells to Foetal and Adult Haematopoiesis: Insights from Functional Analysis of Transcriptional Regulators
Oncogene (2007) 26, 6750–6765 & 2007 Nature Publishing Group All rights reserved 0950-9232/07 $30.00 www.nature.com/onc REVIEW Differential contributions of haematopoietic stem cells to foetal and adult haematopoiesis: insights from functional analysis of transcriptional regulators C Pina and T Enver MRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK An increasing number of molecules have been identified ment and appropriate differentiation down the various as candidate regulators of stem cell fates through their lineages. involvement in leukaemia or via post-genomic gene dis- In the adult organism, HSC give rise to differentiated covery approaches.A full understanding of the function progeny following a series of relatively well-defined steps of these molecules requires (1) detailed knowledge of during the course of which cells lose proliferative the gene networks in which they participate and (2) an potential and multilineage differentiation capacity and appreciation of how these networks vary as cells progress progressively acquire characteristics of terminally differ- through the haematopoietic cell hierarchy.An additional entiated mature cells (reviewed in Kondo et al., 2003). layer of complexity is added by the occurrence of different As depicted in Figure 1, the more primitive cells in the haematopoietic cell hierarchies at different stages of haematopoietic differentiation hierarchy are long-term ontogeny.Beyond these issues of cell context dependence, repopulating HSC (LT-HSC), -
Transfusion Support Issues in Hematopoietic Stem Cell Transplantation Claudia S
Knowledge of transfusion complications related to HSCT can help with the early detection and treatment of patients before and after transplantation. Ray Paul. SP12-6796 × 40, 2013. Acrylic, latex, enamel on canvas printed with an image of myxofibrosarcoma with metastases to the artist’s lung, 26" × 36". Transfusion Support Issues in Hematopoietic Stem Cell Transplantation Claudia S. Cohn, MD, PhD Background: Patients receiving hematopoietic stem cell transplantation require extensive transfusion support until red blood cell and platelet engraftment occurs. Rare but predictable complications may arise when the transplanted stem cells are incompatible with the native ABO type of the patient. Immediate and delayed hemolysis is often seen. Methods: A literature review was performed and the results from peer-reviewed papers that contained reproducible findings were integrated. Results: A strong body of clinical evidence has developed around the common complications experienced with ABO-incompatible hematopoietic stem cell transplantation. These complications are discussed and the underlying pathophysiology is explained. General treatment options and guidelines are enumerated. Conclusions: ABO-incompatible hematopoietic stem cell transplantations are frequently performed. Immune-related hemolysis is a commonly encountered complication; therefore, health care professionals must recognize the signs of immune-mediated hemolysis and understand the various etiologies that may drive the process. Introduction antigen (HLA) matching remains an important predic- Hematopoietic stem cell transplantation (HSCT) is used tor of success with HSCT; however, the ABO barrier is to treat a variety of hematological and congenital diseas- often crossed when searching for the most appropriate es. The duration and specificity of transfusion support HLA match between donor and patient. -
Stem-Cell Transplant Acute Myeloid Leukemia, 11A-2
NC Medicaid Medicaid and Health Choice Hematopoietic Stem-Cell Clinical Coverage Policy No: 11A-2 Transplantation for Amended Date: July 1, 2021 Acute Myeloid Leukemia (AML) To all beneficiaries enrolled in a Prepaid Health Plan (PHP): for questions about benefits and services available on or after implementation, please contact your PHP. Table of Contents 1.0 Description of the Procedure, Product, or Service ........................................................................... 1 1.1 Definitions .......................................................................................................................... 4 1.1.1 Donor Lymphocyte Infusion (DLI) ....................................................................... 4 2.0 Eligibility Requirements .................................................................................................................. 4 2.1 Provisions............................................................................................................................ 4 2.1.1 General ................................................................................................................... 4 2.1.2 Specific .................................................................................................................. 5 2.2 Special Provisions ............................................................................................................... 5 2.2.1 EPSDT Special Provision: Exception to Policy Limitations for a Medicaid Beneficiary under 21 Years of Age ...................................................................... -
Haematopoiesis to Describe the Components of Normal Blood, Their Relative Proportions and Their Functions
Haematopoiesis To describe the components of normal blood, their relative proportions and their functions Blood 8% of body weight Plasma (55%) clear, 90% water, contains salts, enzymes, proteins WBCs and platelet (1%) RBCs (45%) bioconcave– disc, no nucleus = anuclear- 120days lifespan Immature = blasts– Mature= cytes In white blood cells myeloblast goes to neutrophils, basophils, eosinophils Monoblast= monocyte can also become dendritic cells and macrophages – White blood cells (leukocytes)– Polymorphonuclear= neutrophils, eosinophil s, basophils Mononuclear= lymphocytes= T cells, B cells and’ monocytes Lymphoid= NK cells, T-Lymphocyte, B-lymphocyte Myeloid= Monocyte, erythrocyte, neutrophils, basophils, eosinophils, mast cells, megakaryocyte, mast cells BOTH Dendritic cells (from monocyte in myeloid) (lymphoid precursor) Neutrophil – protection from bacteria and fungi Eosinophil- protection against parasites Basophil – increase during allergic reactions Lymphocytes – T cells- protection against viruses, B cells immunoglobulin synthesis Monocyte- protection from back bacteria and fungi phagocytosis – How do blood go from bone to blood vessels? – The bones are perfused with blood vessels- How do we investigate blood? In venepuncture, the superficial veins of the upper limbs are selected and hollow needle is inserted through the skin into the veins. Blood is then collected into evacuated tubes. These veins are present in numbers and are easily accessible. Anticoagulant, EDTA is used to stop blood clotting 1.Using Automated the sample full collected…. blood count Whole blood for a FBC is usually taken into an EDTA tube to stop it from clotting. The blood is well mixed and put through a machine called an automated analyser, counts the numbers and size of RBC and platelets within the blood using sensors Reticulocyte Assessing the young RBCs numbers performed by automated cell counters give indication of output of young RBC by bone marrow – 2. -
1 the Potential Role of Cytokines and Growth Factors in the Pathogenesis
Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 10 August 2021 doi:10.20944/preprints202108.0237.v1 The Potential Role of Cytokines and growth factors in the pathogenesis of Alzheimer's Disease Gilbert Ogunmokun1, Saikat Dewanjee2, Pratik Chakraborty2, Chandrasekhar Valupadas3,4 Anupama Chaudhary5, Viswakalyan Kolli6, Uttpal Anand7, Jayalakshmi Vallamkondu8, Parul Goel9, Hari Prasad Reddy Paluru10, Kiran Dip Gill11, P. Hemachandra Reddy12-16 , Vincenzo De Feo17*, ,Ramesh Kandimalla18,19*, 1The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas, USA 2Advanced Pharmacognosy Research Laboratory, Department of Pharmaceutical Technology, Jadavpur University, Kolkata 700032, India 3Professor, Internal Medicine & Medical Superintendent, MGM Hospital, Warangal, India 4In charge Medical Superintendent, KMC Superspeciality Hospital, Warangal, India 5Orinin-BioSystems, LE-52, Lotus Road 4, CHD City, Karnal, Karnal, Haryana -132001, India 6Professor, Department of Biochemistry, GITAM Institute of Medical Sciences and Research, Visakhapatnam, India 7Department of Life Sciences and the National Institute for Biotechnology in the Negev, Ben-Gurion University of the Negev, Beer-Sheva, Israel 8National Institute of Technology, Warangal 506004, Telangana, India 9Department of Biochemistry, Maharishi Markandeshwar Institute of Medical Sciences & Research, Mullana, Ambala, India 10Sri Krsihnadevaraya University, Anantapur, Andhra Pradesh, India 11Department of Biochemistry, Posgraduate Institute -
Neutrophil-Mediated Treatment of Neurodegenerative and Other Inflammatory Disorders Alain L
RESEARCH ARTICLE Neutrophil-mediated Treatment of Neurodegenerative and Other Inflammatory Disorders Alain L. Fymat Professor, International Institute of Medicine and Science, California, USA ABSTRACT Conventionally, neuroinflammation has been seen as a branch of immunology linked to neurodegenerative and other inflammatory disorders. The diagnosis and treatment of these disorders are dependent on the ability of delivering diagnostic and therapeutic pharmaceuticals through the blood–brain barrier. While itself contributing to the inflammatory process, the barrier largely hinders or even forbids this delivery but allows neutrophils to pass freely through it. This article discusses the use of a nanobiotechnology-based, neutrophil-mediated treatment of neurodegenerative and other inflammatory disorders. Key words: Dopamine, levodopa, paclitaxel INTRODUCTION A schematic representation of the cells and molecules involved in cerebral inflammation is shown in Figure 1. onventionally, neuroinflammation has been seen as The schema summarizes the pathogenic paths that may a central nervous system (CNS) -centric and specific link intravascular inflammatory events to proepileptogenic branch of immunology. Thus, a great deal of effort events in the brain parenchyma. The BBB and its component C cells forming tight junctions are diagrammed by the oblique has been made to find immunocompetent or inflammatory cells in the brain (or spinal cord) parenchyma. The purpose descending gray lines. External activated microglia and of this article is to query whether neutrophils, which pass gliotic astrocytes interact with the BBB being mediated by freely through the blood–brain barrier (BBB), can mediate the interleukin (IL-1β, IL-6, and IL-12) and tumor necrosis factor delivery of diagnostic and therapeutic drugs to the brain to alpha (TNF-α). -
Hematopathology
320A ANNUAL MEETING ABSTRACTS expression of ALDH1 was analyzed using mouse monoclonal ALDH1 antibody (BD Conclusions: Based on the present results we conclude that miR29ab1 ko’s have Biosciences, San Jose, CA). Correlations between ALDH1 expression and clinical and decreased hematopoietic stem cell population compared to the wild types and that histological parameters were assessed by Pearson’s Chi-square and M-L Chi-square miR29ab1 might have an important role in the maintenance of this cell population. tests. Survival curves were generated using the Kaplan-Meier method and statistical Also, miR29 genes might regulate immunity and life span, since both miR29ab1 and differences by log rank test. miR29ab1/b2c ko’s seem to have markedly decreased life spans. Results: Majority of the tumors (116, 63%) showed stromal staining only, 21 (11%) tumors showed both epithelial and stromal expression, 47 (26%) tumors did not show 1347 The Majority of Immunohistochemically BCL2 Negative FL Grade either epithelial or stromal staining. The normal salivary gland showed epithelial I/II Carry A t(14;18) with Mutations in Exon 1 of the BCL2 Gene and Can expression only. Statistical analyses did not show any correlation between tumor pattern, Be Identifi ed with the BCL2 E17 Antibody tumor size, the presence of perineural invasion and the patterns of ALDH1 expression. P Adam, R Baumann, I Bonzheim, F Fend, L Quintanilla-Martinez. Eberhard-Karls- The survival analysis using Kaplan-Meier method and log rank test did not show any University, Tubingen, Baden-Wurttemberg, Germany. signifi cant differences among the three patterns of ALDH1 expression with survival.