Phosphatidylserine exposure and procoagulant activity in acute promyelocytic leukemia

BACKGROUND

Acute promyelocytic leukemia (APL) frequently causes disseminated intravascular coagulation that can worsen with cytotoxic chemotherapy but improve with the therapeutic differentiating agents, all trans retinoic acid (ATRA) and arsenic trioxide (As(2)O(3)). APL cells display tissue factor but the relationship of tissue factor and other procoagulant activity to phosphatidylserine (PS) exposure is largely unknown.

METHODS

Lactadherin, a milk protein with stereospecific binding to phosphatidyl-L-serine, was used as a probe for PS exposure on an immortalized APL cell line (NB4) and on the cells of eight patients with APL. PS exposure was evaluated with flow cytometry, confocal microscopy, coagulation assays, and purified prothrombinase and factor (F) Xase assays.

RESULTS

Plasma procoagulant activity of NB4 and APL cells increased approximately 15-fold after exposure to etoposide or daunorubicin and decreased 80% after treatment with ATRA or As(2)O(3). Procoagulant activity corresponded to exposed PS on viable APL cells. PS exposure decreased after treatment with ATRA or As(2)O(3) and increased after treatment with daunorubicin or etoposide. Excess lactadherin inhibited 80-85% of intrinsic FXase, FVIIa-tissue factor and prothrombinase activities on both NB4 cells and APL cells. Confocal microscopy identified membrane patches that stained with lactadherin, but not annexin V, demonstrating focal, low-level PS exposure.

CONCLUSIONS

PS is exposed on viable APL cells and is necessary for approximately 80% of procoagulant activity.

Note: Determination of effective gas diffusion coefficients of stainless steel films with differently shaped holes using a Loschmidt diffusion cell

In this work, an in-house made Loschmidt diffusion cell is used to measure the effective O(2)-N(2) diffusion coefficients through four porous samples of different simple pore structures. One-dimensional through-plane mass diffusion theory is applied to process the experimental data. It is found that both bulk diffusion coefficient and the effective gas diffusion coefficients of the samples can then be precisely determined, and the measured bulk one is in good agreement with the literature value. Numerical computation of three-dimensional mass diffusion through the samples is performed to calculate the effective gas diffusion coefficients. The comparison between the measured and calculated coefficient values shows that if the gas diffusion through a sample is dominated by one-dimensional diffusion, which is determined by the pore structure of the sample, these two values are consistent, and the sample can be used as a standard sample to test a gas diffusion measurement system.

Early Onset of Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) after Allogeneic Haematopoietic Stem Cell Transplantation: Case Report and Review of the Literature

Severe hyponatraemia and syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a rare but fatal complication following stem cell transplantation (SCT). This case report details a patient with early-onset SIADH after allogeneic haematopoietic SCT (allo-HSCT) and reviews the literature on risk factors for the development of this condition. The patient, who had chronic myelogenous leukaemia, developed acute graft-versus-host disease (GVHD) on day 5 after allo-HSCT, which was relieved promptly by steroids. On day 18, he presented with hyponatraemia, which was refractory. Despite intensive restriction of fluid and administration of hypertonic saline, his condition worsened and he died of multiple systemic organ dysfunction. A review of the literature reveals that early-onset SIADH following SCT is insidious, but progresses rapidly. The severity of the disorder is underestimated because of the non-specific clinical features and the lack of effective treatment. Myeloablative conditioning and acute GVHD are two major important predisposing factors in SIADH.

Nitrogen removal from reject water with primary sludge as denitrification carbon source

A novel system was used for nitrogen removal from reject water. This system includes one anoxic/oxic reactor for nitrification and a special reactor for denitrification in which primary sludge was added intermittently as electron donor. In denitrification reactor, sludge fermentation and denitrification reaction took place simultaneously and promoted each other. It was found that effluent recycle could improve nitrogen removal efficiency due to reclaiming of alkalinity. Under steady state conditions, the average solid retention time (SRT) in denitrification reactor was 12-15 d, a total nitrogen loading rate was 0.2 kg N/(m(3) day) and TN removal efficiency was more than 90% without extra carbon source addition. Primary sludge was degraded so that volatile suspended solid (VSS) decreased by 50%. Further investigation showed that ORP could be taken as a control parameter for sludge addition.

Increase of Mcm3 and Mcm4 expression in cervical squamous cell carcinomas

PURPOSE

To examine the relevance of expression of two proteins essential for DNA replication initiation, Mcm3 and Mcm4, in cervical squamous cell carcinoma (CSCC).

METHODS

53 cases of cervical squamous cell carcinoma, 35 cervical intraepithelial neoplasias (CIN) grade 2-3, 11 CIN I and 26 normal controls were studied. Immunohistochemistry was performed with anti-Mcm3 and anti-Mcm4 antibodies.

RESULTS

We found Mcm3 and Mcm4 protein expression had a tendency to be stronger from control to CSCC. Both Mcm3 and Mcm4 were significantly upregulated in squamous cervical carcinoma compared to the control, CIN grade 1 and grade 2-3 (p < 0.001), and Mcm3 expression was correlated with CSCC cell differentiation. However there were no independent prognosis correlations between Mcm3 and Mcm4 and clinicopathological parameters including age, stage, tumor size, invasive depth and lymph node metastasis.

CONCLUSIONS

Mcm3 and Mcm4 were highly expressed in CSCC, and these two proteins might be useful as biomolecular markers in clinical diagnosis.

Azimuthal charged-particle correlations and possible local strong parity violation

Parity-odd domains, corresponding to nontrivial topological solutions of the QCD vacuum, might be created during relativistic heavy-ion collisions. These domains are predicted to lead to charge separation of quarks along the system's orbital momentum axis. We investigate a three-particle azimuthal correlator which is a P even observable, but directly sensitive to the charge separation effect. We report measurements of charged hadrons near center-of-mass rapidity with this observable in Au + Au and Cu + Cu collisions at square root of s(NN) = 200 GeV using the STAR detector. A signal consistent with several expectations from the theory is detected. We discuss possible contributions from other effects that are not related to parity violation.