Abstract:
:Allogeneic stem cell transplantation (alloSCT) is the treatment of choice in the majority of young patients with advanced stages MDS if they have a suitable donor. Since outcome of transplantation is superior for patients with a low blast percentage, this supports the use of chemotherapy prior to transplantation in patients with high blast marrow infiltration. The allogeneic transplant procedure continues to carry a high treatment-related risk, but results have improved progressively over the years. The transplantation results using phenotypically matched voluntary unrelated donors have improved impressingly, mainly due to significantly reduced transplantation-related mortality rate. The upper age limit for transplantation has moved to 65-70 years after the introduction of reduced intensity conditioning regimens (RIC). The place of RIC remains to be determined also in older patients in view of the associated higher relapse risk. For patients lacking a suitable donor the choice is ambiguous. Although the number of reports on autologous stem cell transplantation is still limited, the outcome seems similar to allogeneicSCT with donors other than HLA-identical siblings. Further development of accurate prognostic classification systems will allow a risk-adapted strategy for an individual patient.
journal_name
Blood Revjournal_title
Blood reviewsauthors
de Witte T,Oosterveld M,Muus Pdoi
10.1016/j.blre.2006.03.002subject
Has Abstractpub_date
2007-01-01 00:00:00pages
49-59issue
1eissn
0268-960Xissn
1532-1681pii
S0268-960X(06)00026-9journal_volume
21pub_type
杂志文章,评审相关文献
BLOOD REVIEWS文献大全abstract::ABVD continues to be the standard of care for patients with advanced stage Hodgkin Lymphoma (HL) although escalated BEACOPP has improved survival in one randomized controlled trial (RCT). More intensive regimens have higher rates of acute and late toxicities and this poses significant issues for patients. Consolidatio...
journal_title:Blood reviews
pub_type: 杂志文章,随机对照试验,评审
doi:10.1016/j.blre.2012.04.001
更新日期:2012-07-01 00:00:00
abstract::Drug-induced agranulocytosis is a highly individualized and unexpected reaction to specific drugs. It may be due to immunogenic or cytotoxic factors. Most instances are produced by a poorly understood immune response to immunogenic drugs. Others are associated with direct suppression of marrow committed stem cells by ...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(90)90002-a
更新日期:1990-12-01 00:00:00
abstract::Chronic lymphocytic leukemia (CLL) is a disease of older patients and median age at diagnosis is 72 years. This older group is under-represented in clinical trials, (median age 58-62 years). Here we review background data on incidence, survival, definitions of older age, fitness criteria, frailty and co-morbidities. I...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2011.09.002
更新日期:2012-01-01 00:00:00
abstract::Patients with myelodysplastic syndrome (MDS) who have more than 10% blasts in their bone marrow have a very short survival. Treatment has not improved for these patients for the past 10 years and supportive care alone is still the gold standard. Intensive chemotherapy for poor prognosis MDS has been little tried, but ...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(92)90017-k
更新日期:1992-12-01 00:00:00
abstract::Current genomic technologies have immensely improved disease classification and prognostication of major subtypes of B-cell lymphomas. This novel genetic information has not only aided in diagnosis, but has also revealed a landscape of critical molecular events that determine the biological and clinical behavior of a ...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2015.08.002
更新日期:2016-03-01 00:00:00
abstract::Myeloid neoplasms like acute myeloid leukemia (AML) originate from genomic disruption, usually in a multi-step fashion. Hematopoietic stem/progenitor cell acquisition of abnormalities in vital cellular processes, when coupled with intrinsic factors such as germline predisposition or extrinsic factors such as the marro...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2020.100760
更新日期:2020-09-22 00:00:00
abstract::This review sets out to synthesize and critically evaluate the current reported data regarding therapeutic options for the neutropenia associated with Felty syndrome (Felty neutropenia). A MEDLINE search and bibliographies from recent reviews were used to identify trials and case reports that provided sufficient data ...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/s0268-960x(96)90024-7
更新日期:1996-09-01 00:00:00
abstract::Lymphomas cause significant morbidity and mortality worldwide. A substantial number of patients ultimately relapse after standard treatment. However, the efficacy of these therapies can be counteracted by the patients' immune system, more specifically by myeloid-derived suppressor cells (MDSC). MDSC are a heterogeneou...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2018.04.006
更新日期:2018-11-01 00:00:00
abstract::The anthracyclines are widely used in the treatment of haematological and non-haematological malignancy and there is now more than 30 years' clinical experience with these agents but despite this, their mechanism of action is incompletely understood. The anthracyclines have been shown to intercalate with DNA and indir...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/s0268-960x(97)90020-5
更新日期:1997-12-01 00:00:00
abstract::Tissue factor pathway inhibitor (TFPI) is the main inhibitor of tissue factor (TF)-mediated coagulation. In atherosclerotic plaques TFPI co-localizes with TF, where it is believed to play an important role in attenuating TF activity. Findings in animal models such as TFPI knockout models and gene transfer models are c...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2013.03.001
更新日期:2013-05-01 00:00:00
abstract::A strong association was found to exist between patterns of lymphoid malignancies and socioeconomic status. B-cell lymphomas and T-acute lymphoblastic leukemia are much more prevalent in developing countries where the chances of acquiring infections especially at a younger age are high. B-cell precursor acute lymphati...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/s0268-960x(96)90037-5
更新日期:1996-06-01 00:00:00
abstract::Platelets play a major role in primary hemostasis and thrombus formation. After vascular injury, platelets adhere to injured site and rapidly change their shape that switches the resting platelets to active state. Activated platelets aggregate and secrete biologically active intermediate substances that further potent...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2019.05.007
更新日期:2019-09-01 00:00:00
abstract::Current trends in the treatment of patients with Stages I and II Hodgkin's disease are discussed in this review. Recommendations for staging procedures and the updated staging classification are described. Long-term results with extended field radiation therapy overall and in subgroups of patients are detailed. As fol...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(93)90022-v
更新日期:1993-03-01 00:00:00
abstract::Factor X circulates as a serine protease which is converted to the active form at the point of convergence of the intrinsic and extrinsic coagulation pathways. Subsequently, the enzymatic species, factor Xa, is involved in macromolecular complex formation with its cofactor factor Va, a phospholipid surface and calcium...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(94)90007-8
更新日期:1994-03-01 00:00:00
abstract::The inherited haemoglobinopathies are large group of disorders that include the thalassaemias and sickle cell disease. Carrier detection methods must be able to detect alpha-, beta- and deltabeta-thalassaemias, HPFH disorders and haemoglobin variants. Carrier diagnosis involves the accurate measurement of MCH, MCV, Hb...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/s0268-960x(02)00061-9
更新日期:2003-03-01 00:00:00
abstract::After many unsuccessful years of searching, the first pathogenic human retrovirus, the human T-cell leukaemia lymphoma virus (HTLV-I), was reported as recently as 1980 and since that time has been causally linked to the adult T-cell leukaemia lymphoma syndrome. A second HTLV (HTLV-II) isolated shortly afterwards is le...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(88)90010-0
更新日期:1988-12-01 00:00:00
abstract::The transfusion approach to massive hemorrhage has continually evolved since it began in the early 1900s. It started with fresh whole blood and currently consists of virtually exclusive use of component and crystalloid therapy. Recent US military experience has reinvigorated the debate on what the most optimal transfu...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2009.07.003
更新日期:2009-11-01 00:00:00
abstract::The advent of highly active antiretroviral therapy (HAART) and its co-administration with chemotherapy in patients with human immunodeficiency virus (HIV)-related lymphoma has lead to the exploration of potentially curative combination chemotherapy and myeloablative therapy followed by autologous haematopoietic stem c...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/s0268-960x(03)00026-2
更新日期:2003-12-01 00:00:00
abstract::A moderate reduction of plasma antithrombin activity is an uncommon but clinically important cause of severe thromboembolic disease. In recent years the molecule responsible for the major part of this activity (antithrombin III) has been extensively characterised and the mode of inheritance of familial deficiencies wo...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(88)90013-6
更新日期:1988-12-01 00:00:00
abstract::DNA analysis has become of practical value in the diagnosis and classification of leukaemias and lymphomas. This is exemplified by the study of lymphoproliferative disorders using immunoglobulin and T-cell receptor gene probes for the determination of clonality and cell lineage. Chromosomal analysis with DNA probes is...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(88)90028-8
更新日期:1988-06-01 00:00:00
abstract::Hemophagocytic syndromes (hemophagocytic lymphohistiocytosis, HLH) represent a severe hyperinflammatory condition with the cardinal symptoms prolonged fever, cytopenias, hepatosplenomegaly, and hemophagocytosis by activated, morphologically benign macrophages. Biochemical markers include elevated ferritin and triglyce...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2007.05.001
更新日期:2007-09-01 00:00:00
abstract::When an RhD negative mother is exposed to the RhD positive red cells (usually as transplacental haemorrhage), she develops allo-anti-D which crosses the placenta and then results in the destruction of fetal red cells. Clinical manifestations of RhD haemolytic disease (HDN) range from asymptomatic mild anaemia to hydro...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1054/blre.1999.0123
更新日期:2000-03-01 00:00:00
abstract::Fears about the risks of disease transmission through the transfusion of homologous blood, as well as problems with blood supply and cost have increased the interest in reducing perioperative bleeding. This article discusses the causes of non-surgical perioperative bleeding and attempts to reduce perioperative bleedin...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(91)90034-a
更新日期:1991-09-01 00:00:00
abstract::It is the conventional opinion that acquired aplastic anaemia is a heterogenous disease including basically different conditions, such as idiopathic or virus induced pancytopenia, toxic-allergic marrow damage or autoimmunity. Here, an alternative concept is proposed, according to which aplastic anaemia is one disease,...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(90)90032-n
更新日期:1990-06-01 00:00:00
abstract::Although hematopoietic progenitor/stem cells (HPC) have been used for autologous transplants for approximately 25 years, it is only recently that we have begun to finally understand the factors which play important roles in causing these cells to leave their marrow niches and circulate in the blood. Still less is unde...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2005.06.001
更新日期:2006-01-01 00:00:00
abstract::Four decades ago, two staging systems were developed to help stratify CLL into different prognostic categories. These systems, the Rai and the Binet staging, depended entirely on abnormal exam findings and evidence of anemia and thrombocytopenia. Better understanding of biologic, genetic, and molecular characteristics...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2017.10.003
更新日期:2018-03-01 00:00:00
abstract::In this review, salient molecular, biochemical and functional features of human interleukin 2 (IL-2), its membrane receptor, and its clinical relevance are outlined. We also describe experimental systems, where observed biological or pharmacological effects of IL-2 could be applied to corresponding clinical situations...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(87)90027-0
更新日期:1987-12-01 00:00:00
abstract::The improvement in supportive care and the introduction of new therapeutic agents, including lenalidomide and hypomethylating agents, in myelodysplastic syndromes have improved patients' outcomes; however, at the same time, the frequency and epidemiology of infections have changed. Therefore, the great strides in the ...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2018.10.002
更新日期:2019-03-01 00:00:00
abstract::Autophagy is a well-known cellular process involved in many physiological and pathological processes. During erythropoiesis, autophagy plays an important role participating in the clearance of unnecessary organelles such as ribosomes and mitochondria (mitophagy) allowing the correct formation of mature red blood cells...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/j.blre.2017.04.001
更新日期:2017-09-01 00:00:00
abstract::Advances in molecular genetic understanding of disease processes has been extended to a number of phagocytic disorders. Most of these disorders were extensively characterized at the functional and protein level prior to cloning of the relevant genes. Nucleotide sequence data has been essential for establishing the mec...
journal_title:Blood reviews
pub_type: 杂志文章,评审
doi:10.1016/0268-960x(89)90004-0
更新日期:1989-06-01 00:00:00