Safety and efficacy of subcutaneous bolus injection of deferoxamine in adult patients with iron overload.

Abstract:

:We compared 48-hour urinary iron excretion after a twice-daily subcutaneous bolus injection of deferoxamine and after 12 hours of subcutaneous continuous infusion of the drug in 27 patients with iron overload (mean age, 55.7 years). In most patients, the iron overload was due to multiple transfusions administered during chemotherapy or as part of supportive care for a hematologic or oncologic disorder. One patient had sickle cell anemia and 1 had hereditary hemochromatosis and spherocytosis. Similar urinary iron excretion was observed with the 2 methods of administration; mean +/- SD values were 6935.3 +/- 3832.3 microg/48 hours with subcutaneous bolus injection and 6630.4 +/- 3606.9 microg/48 hours with subcutaneous continuous infusion (P =.3). Twenty-six patients (96.3%) chose to continue therapy with bolus injection. The long-term efficacy of bolus injection was evaluated by measuring the serum ferritin concentration at regular intervals for a follow-up time of 20.1 +/- 4.5 months. Ferritin concentration decreased to below 1000 microg/L in 73% of the patients and to below 500 microg/L in 42% and became normal in 26%. Best results were obtained in patients who were no longer receiving blood transfusions when chelation therapy was initiated. Three of 26 patients (11.5%) had mild, transient side effects after bolus injection. Larger prospective, randomized studies must be conducted before deferoxamine bolus injection can be routinely recommended for patients with iron overload. (Blood. 2000;95:2776-2779)

journal_name

Blood

journal_title

Blood

authors

Franchini M,Gandini G,de Gironcoli M,Vassanelli A,Borgna-Pignatti C,Aprili G

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

2776-9

issue

9

eissn

0006-4971

issn

1528-0020

journal_volume

95

pub_type

临床试验,杂志文章

相关文献

BLOOD文献大全
  • Gene expression analysis uncovers similarity and differences among Burkitt lymphoma subtypes.

    abstract::Burkitt lymphoma (BL) is classified into 3 clinical subsets: endemic, sporadic, and immunodeficiency-associated BL. So far, possible differences in their gene expression profiles (GEPs) have not been investigated. We studied GEPs of BL subtypes, other B-cell lymphomas, and B lymphocytes; first, we found that BL is a u...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2010-08-301556

    authors: Piccaluga PP,De Falco G,Kustagi M,Gazzola A,Agostinelli C,Tripodo C,Leucci E,Onnis A,Astolfi A,Sapienza MR,Bellan C,Lazzi S,Tumwine L,Mawanda M,Ogwang M,Calbi V,Formica S,Califano A,Pileri SA,Leoncini L

    更新日期:2011-03-31 00:00:00

  • Quantitation of adenosine-5'-triphosphate used for phosphoinositide metabolism in human erythrocytes.

    abstract::The human erythrocyte actively phosphorylates and dephosphorylates phosphatidylinositol present in the membrane in an apparent "futile cycle." Recent reports have proposed that this phosphorylation/dephosphorylation cycle is a significant consumer of adenosine-5'-triphosphate (ATP) in the erythrocyte. This study detai...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Dale GL

    更新日期:1985-11-01 00:00:00

  • A broad T-cell repertoire diversity and an efficient thymic function indicate a favorable long-term immune reconstitution after cord blood stem cell transplantation.

    abstract::Cord blood (CB) is used increasingly as a source of hematopoietic stem cells because of a lower risk of acute and chronic graft-versus-host disease (GVHD). However, there is some concern regarding the ability to adequately reconstitute host immune response due to the immaturity and naivety of CB T cells. This study wa...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v99.4.1458

    authors: Talvensaari K,Clave E,Douay C,Rabian C,Garderet L,Busson M,Garnier F,Douek D,Gluckman E,Charron D,Toubert A

    更新日期:2002-02-15 00:00:00

  • Mutations within the Piga gene in patients with paroxysmal nocturnal hemoglobinuria.

    abstract::Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired clonal hematologic disorder with multiple and varied clinical manifestations. The biochemical defect in PNH resides in the incomplete enzymatic assembly of glycosylphosphatidylinositol (GPI) anchors used for surface protein attachment. In all patients tested thu...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Ware RE,Rosse WF,Howard TA

    更新日期:1994-05-01 00:00:00

  • High incidence of alternatively spliced forms of deoxycytidine kinase in patients with resistant acute myeloid leukemia.

    abstract::Deficiency of functional deoxycytidine kinase (dCK) is a common characteristic for in vitro resistance to cytarabine (AraC). To investigate whether dCK is also a target for induction of AraC resistance in patients with acute myeloid leukemia (AML), we determined dCK messenger RNA (mRNA) expression in (purified) leukem...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Veuger MJ,Honders MW,Landegent JE,Willemze R,Barge RM

    更新日期:2000-08-15 00:00:00

  • Integrative analysis of spontaneous CLL regression highlights genetic and microenvironmental interdependency in CLL.

    abstract::Spontaneous regression is a recognized phenomenon in chronic lymphocytic leukemia (CLL) but its biological basis remains unknown. We undertook a detailed investigation of the biological and clinical features of 20 spontaneous CLL regression cases incorporating phenotypic, functional, transcriptomic, and genomic studie...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.2019001262

    authors: Kwok M,Oldreive C,Rawstron AC,Goel A,Papatzikas G,Jones RE,Drennan S,Agathanggelou A,Sharma-Oates A,Evans P,Smith E,Dalal S,Mao J,Hollows R,Gordon N,Hamada M,Davies NJ,Parry H,Beggs AD,Munir T,Moreton P,Paneesha

    更新日期:2020-02-06 00:00:00

  • Loss of circulating CD27+ memory B cells and CCR4+ T cells occurring in association with elevated EBV loads in XLP patients surviving primary EBV infection.

    abstract::Detailed longitudinal studies of patients with X-linked lymphoproliferative disease (XLP) may increase our understanding of the immunologic defects that contribute to the development of lymphoma and hypogammaglobulinemia in XLP. We describe progressive changes observed in immunoglobulin concentrations, lymphocyte subs...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-07-2525

    authors: Malbran A,Belmonte L,Ruibal-Ares B,Baré P,Massud I,Parodi C,Felippo M,Hodinka R,Haines K,Nichols KE,de Bracco MM

    更新日期:2004-03-01 00:00:00

  • Phase 1 study results of the type II glycoengineered humanized anti-CD20 monoclonal antibody obinutuzumab (GA101) in B-cell lymphoma patients.

    abstract::Whereas the chimeric type I anti-CD20 Ab rituximab has improved outcomes for patients with B-cell malignancies significantly, many patients with non-Hodgkin lymphoma (NHL) remain incurable. Obinutuzumab (GA101) is a glycoengineered, humanized anti-CD20 type II Ab that has demonstrated superior activity against type I ...

    journal_title:Blood

    pub_type: 杂志文章,多中心研究

    doi:10.1182/blood-2012-01-404368

    authors: Salles G,Morschhauser F,Lamy T,Milpied N,Thieblemont C,Tilly H,Bieska G,Asikanius E,Carlile D,Birkett J,Pisa P,Cartron G

    更新日期:2012-05-31 00:00:00

  • Endothelial induction of the T-cell chemokine CCL21 in T-cell autoimmune diseases.

    abstract::The signals that mediate T-cell infiltration during T-cell autoimmune diseases are poorly understood. The chemokine CCL21 (originally isolated by us and others as Exodus-2/6Ckine/SLC/TCA4) is highly potent and highly specific for stimulating T-cell migration. However, it is thought to be expressed only in secondary ly...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2002-05-1586

    authors: Christopherson KW 2nd,Hood AF,Travers JB,Ramsey H,Hromas RA

    更新日期:2003-02-01 00:00:00

  • Deficiency of glycosyl-phosphatidylinositol-linked membrane glycoproteins of leukocytes in paroxysmal nocturnal hemoglobinuria, description of a new diagnostic cytofluorometric assay.

    abstract::Paroxysmal nocturnal hemoglobinuria (PNH) is a disease that affects not only red cells, but other blood cells as well. The common defect is supposed to be an acquired deficiency of glycosyl-phosphatidylinositol (GPI)-anchored membrane proteins, which may be present already at the hematopoietic stem cell level. Recentl...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: van der Schoot CE,Huizinga TW,van 't Veer-Korthof ET,Wijmans R,Pinkster J,von dem Borne AE

    更新日期:1990-11-01 00:00:00

  • Conditioning with 8-Gy total body irradiation and fludarabine for allogeneic hematopoietic stem cell transplantation in acute myeloid leukemia.

    abstract::Seventy-one patients with acute myeloid leukemia (AML), most of them (63/71) considered ineligible for conventional allogeneic hematopoietic stem cell transplantation (HSCT), were enrolled into a phase 2 study on reduced-intensity myeloablative conditioning with fractionated 8-Gy total body irradiation (TBI) and fluda...

    journal_title:Blood

    pub_type: 临床试验,杂志文章

    doi:10.1182/blood-2005-04-1377

    authors: Stelljes M,Bornhauser M,Kroger M,Beyer J,Sauerland MC,Heinecke A,Berning B,Scheffold C,Silling G,Buchner T,Neubauer A,Fauser AA,Ehninger G,Berdel WE,Kienast J,Cooperative German Transplant Study Group.

    更新日期:2005-11-01 00:00:00

  • Copper-dependent activation of hypoxia-inducible factor (HIF)-1: implications for ceruloplasmin regulation.

    abstract::Cellular oxygen partial pressure is sensed by a family of prolyl-4-hydroxylase domain (PHD) enzymes that modify hypoxia-inducible factor (HIF)alpha subunits. Upon hydroxylation under normoxic conditions, HIFalpha is bound by the von Hippel-Lindau tumor suppressor protein and targeted for proteasomal destruction. Since...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2004-10-3980

    authors: Martin F,Linden T,Katschinski DM,Oehme F,Flamme I,Mukhopadhyay CK,Eckhardt K,Tröger J,Barth S,Camenisch G,Wenger RH

    更新日期:2005-06-15 00:00:00

  • Enhanced myeloid progenitor cell cycling and apoptosis in mice lacking the chemokine receptor, CCR2.

    abstract::Chemokines regulate hematopoiesis in part by influencing the proliferative status of myeloid progenitor cells (MPC). Human MCP-1/murine JE, a myelosuppressive chemokine, specifically binds C-C chemokine receptor 2 (CCR2). Transgenic mice containing a targeted disruption in CCR2 that prevents expression of CCR2 mRNA an...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Reid S,Ritchie A,Boring L,Gosling J,Cooper S,Hangoc G,Charo IF,Broxmeyer HE

    更新日期:1999-03-01 00:00:00

  • Local and systemic induction of CD4+CD25+ regulatory T-cell population by non-Hodgkin lymphoma.

    abstract::Regulatory T (Treg) cells contribute to immune evasion by malignancies. To investigate their importance in non-Hodgkin lymphoma (NHL), we enumerated Treg cells in peripheral blood mononuclear cells (PBMCs) and involved tissues from 30 patients. CD25(+)FoxP3(+)CD127(low)CD4(+) Treg cells were increased markedly in PBMC...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2007-08-105395

    authors: Mittal S,Marshall NA,Duncan L,Culligan DJ,Barker RN,Vickers MA

    更新日期:2008-06-01 00:00:00

  • Spatial localization of transplanted hemopoietic stem cells: inferences for the localization of stem cell niches.

    abstract::The spatial distribution of subpopulations of hemopoietic progenitor cells following syngeneic transplantation was investigated at the single-cell level. The location of infused hemopoietic progenitor cells within the femoral bone marrow of nonablated recipients was determined by 5-(and-6)-carboxyfluorescein diacetate...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v97.8.2293

    authors: Nilsson SK,Johnston HM,Coverdale JA

    更新日期:2001-04-15 00:00:00

  • Antibody-induced neutrophil activation as a trigger for transfusion-related acute lung injury in an ex vivo rat lung model.

    abstract::Transfusion-related acute lung injury (TRALI) is a hazardous complication of transfusion and has become the leading cause of transfusion-related death in the United States and United Kingdom. Although leukoagglutinating antibodies have been frequently shown to be associated with the syndrome, the mechanism by which th...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2005-04-1744

    authors: Sachs UJ,Hattar K,Weissmann N,Bohle RM,Weiss T,Sibelius U,Bux J

    更新日期:2006-02-01 00:00:00

  • Visualization of nitric oxide production by individual platelets during adhesion in flowing blood.

    abstract::Nitric oxide (NO) exerts vasodilatatory, antiplatelet, antioxidant, and antiproliferative effects. Endothelium-derived NO has been shown to be of crucial importance in cardiovascular protection, whereas evidence that NO is synthesized by platelets and regulates platelet function is still controversial. By using a sens...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2014-06-579474

    authors: Cozzi MR,Guglielmini G,Battiston M,Momi S,Lombardi E,Miller EC,De Zanet D,Mazzucato M,Gresele P,De Marco L

    更新日期:2015-01-22 00:00:00

  • Correlation between antiphospholipid antibodies that recognize domain I of beta2-glycoprotein I and a reduction in the anticoagulant activity of annexin A5.

    abstract::The paradoxical correlation between thrombosis and the lupus anticoagulant (LAC) effect is an enigmatic feature of the antiphospholipid (aPL) syndrome. The Dutch authors previously reported that thrombosis-related anti-beta2-glycoprotein I (beta2GPI) antibodies recognize domain I and cause LAC. The American authors re...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2006-07-030148

    authors: de Laat B,Wu XX,van Lummel M,Derksen RH,de Groot PG,Rand JH

    更新日期:2007-02-15 00:00:00

  • Found: a cellular activating ligand for NKp44.

    abstract::In this issue of Blood, Baychelier et al identify a ligand for a major natural killer (NK) cell receptor that mediates natural cytotoxicity toward tumor cells, thus ending a search that lasted well over a decade. ...

    journal_title:Blood

    pub_type: 评论,杂志文章

    doi:10.1182/blood-2013-09-523696

    authors: Rajagopalan S,Long EO

    更新日期:2013-10-24 00:00:00

  • Isolated follicular lymphoma cells are resistant to apoptosis and can be grown in vitro in the CD40/stromal cell system.

    abstract::Low-grade follicular non-Hodgkin's lymphomas are characterized by the presence of a t(14;18) chromosomal translocation that results in deregulation of the B-cell lymphoma (Bcl-2) gene. Studies in cell lines and transgenic animal models have suggested that this results in the suppression of apoptotic cell death in germ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Johnson PW,Watt SM,Betts DR,Davies D,Jordan S,Norton AJ,Lister TA

    更新日期:1993-09-15 00:00:00

  • Atorvastatin enhances bone marrow endothelial cell function in corticosteroid-resistant immune thrombocytopenia patients.

    abstract::The pathogenesis of corticosteroid-resistant immune thrombocytopenia (ITP), a clinically challenging condition in which patients exhibit either no response to corticosteroids or are corticosteroid-dependent, remains poorly understood. Murine studies suggest that bone marrow (BM) endothelial progenitor cells (EPCs) pla...

    journal_title:Blood

    pub_type: 临床试验,杂志文章

    doi:10.1182/blood-2017-09-807248

    authors: Kong Y,Cao XN,Zhang XH,Shi MM,Lai YY,Wang Y,Xu LP,Chang YJ,Huang XJ

    更新日期:2018-03-15 00:00:00

  • Survivin regulates hematopoietic progenitor cell proliferation through p21WAF1/Cip1-dependent and -independent pathways.

    abstract::The cyclin-dependent kinase inhibitor p21WAF1/Cip1 and Survivin enhance granulocyte macrophage colony-forming unit (CFU-GM) cell cycle and proliferation and have been implicated as antiapoptotic proteins. We investigated the relationships between p21 and Survivin in primary CFU-GM and c-kit+, lineage-negative (Lin-) c...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-05-1756

    authors: Fukuda S,Mantel CR,Pelus LM

    更新日期:2004-01-01 00:00:00

  • Telomere length correlates with histopathogenesis according to the germinal center in mature B-cell lymphoproliferative disorders.

    abstract::In this study we investigated telomere restriction fragment (TRF) length in a panel of mature B-cell lymphoproliferative disorders (MBCLDs) and correlated this parameter with histology and histopathogenesis in relation to the germinal center (GC). We assessed 123 MBCLD samples containing 80% or more tumor cells. TRF l...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-12-4412

    authors: Ladetto M,Compagno M,Ricca I,Pagano M,Rocci A,Astolfi M,Drandi D,di Celle PF,Dell'Aquila M,Mantoan B,Vallet S,Pagliano G,De Marco F,Francese R,Santo L,Cuttica A,Marinone C,Boccadoro M,Tarella C

    更新日期:2004-06-15 00:00:00

  • The FLT3 ligand is a direct and potent stimulator of the growth of primitive and committed human CD34+ bone marrow progenitor cells in vitro.

    abstract::The present studies investigated the effects of the recently cloned flt3 ligand (FL) on the in vitro growth and differentiation of primitive and committed subsets of human CD34+ bone marrow (BM) progenitor cells. FL alone was a weak growth stimulator of CD34+ BM cells, but synergistically and directly enhanced colony ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Rusten LS,Lyman SD,Veiby OP,Jacobsen SE

    更新日期:1996-02-15 00:00:00

  • Molecular analysis of the structure and expression of the RH locus in individuals with D--, Dc-, and DCw- gene complexes.

    abstract::Rh blood group antigens of the D, C/c, and E/e series are carried by at least three red cell membrane polypeptides encoded by two highly related genes, RHD and RHCE. Homozygous individuals carrying the D--, Dc-, and DCw- gene complexes are characterized by a total or partial lack of expression of the RHCE-encoded anti...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Chérif-Zahar B,Raynal V,D'Ambrosio AM,Cartron JP,Colin Y

    更新日期:1994-12-15 00:00:00

  • Specific accumulation of circulating monocytes and polymorphonuclear leukocytes on platelet thrombi in a vascular injury model.

    abstract::The adhesion of leukocytes to platelets deposited at the site of vascular injury may represent an important mechanism by which leukocytes contribute to hemostasis and thrombosis. In this study, we examined whether, in comparison with their distribution in circulating blood, certain leukocyte types are enriched at site...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Kirchhofer D,Riederer MA,Baumgartner HR

    更新日期:1997-02-15 00:00:00

  • Dangerous small B-cell clones.

    abstract::The detection of a monoclonal immunoglobulin in serum or urine usually raises concerns about the size of the underlying B-cell-derived clone and possible systemic effects caused by its expansion. However, a small clone can synthesize a very toxic protein, producing devastating systemic damage and protean clinical pres...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:10.1182/blood-2006-03-001164

    authors: Merlini G,Stone MJ

    更新日期:2006-10-15 00:00:00

  • 14-3-3 proteins in platelet biology and glycoprotein Ib-IX signaling.

    abstract::Members of the 14-3-3 family of proteins function as adapters/modulators that recognize phosphoserine/phosphothreonine-based binding motifs in many intracellular proteins and play fundamental roles in signal transduction pathways of eukaryotic cells. In platelets, 14-3-3 plays a wide range of regulatory roles in phosp...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:10.1182/blood-2017-09-742650

    authors: Chen Y,Ruggeri ZM,Du X

    更新日期:2018-05-31 00:00:00

  • The contact activation mechanism in human plasma: activation induced by dextran sulfate.

    abstract::Incubation of normal human plasma with dextran sulfate for 7 min at 4 degrees C generates kallikrein amidolytic activity. No kallikrein activity is generated in factor XII or prekallikrein-deficient plasma and only small amounts (8%) in high molecular weight (HMW) kininogen-deficient plasma. Addition of specific antis...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: van der Graaf F,Keus FJ,Vlooswijk RA,Bouma BN

    更新日期:1982-06-01 00:00:00

  • SDF-1 involvement in endothelial phenotype and ischemia-induced recruitment of bone marrow progenitor cells.

    abstract::Chemokine stromal derived factor 1 (SDF-1) is involved in trafficking of hematopoietic stem cells (HSCs) from the bone marrow (BM) to peripheral blood (PB) and has been found to enhance postischemia angiogenesis. This study was aimed at investigating whether SDF-1 plays a role in differentiation of BM-derived c-kit(+)...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-12-4423

    authors: De Falco E,Porcelli D,Torella AR,Straino S,Iachininoto MG,Orlandi A,Truffa S,Biglioli P,Napolitano M,Capogrossi MC,Pesce M

    更新日期:2004-12-01 00:00:00