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排序方式: 共有767条查询结果,搜索用时 46 毫秒
91.
92.
Wenjing Yang Yoshiyuki Wakabayashi Louis DePalma Young‐Tae Chang Weiqun Peng Jun Zhu Robert G. Hawley 《American journal of hematology》2013,88(4):265-272
Multiple myeloma (MM) is characterized by the malignant expansion of differentiated plasma cells. Although many chemotherapeutic agents display cytotoxic activity toward MM cells, patients inevitably succumb to their disease because the tumor cells become resistant to the anticancer drugs. The cancer stem cell hypothesis postulates that a small subpopulation of chemotherapy‐resistant cancer cells is responsible for propagation of the tumor. Herein we report that efflux of the pluripotent stem cell dye CDy1 identifies a subpopulation in MM cell lines characterized by increased expression of P‐glycoprotein, a member of the ABC (ATP‐binding cassette) superfamily of transporters encoded by ABCB1. We also demonstrate that ABCB1‐overexpressing MM cells are resistant to the second‐generation proteasome inhibitor carfilzomib that recently received accelerated approval for the treatment of therapy‐refractive MM by the U.S. Food and Drug Administration. Moreover, increased resistance to carfilzomib in sensitive MM cells following drug selection was associated with upregulation of ABCB1 cell‐surface expression which correlated with increased transporter activity as measured by CDy1 efflux. We further show that chemosensitization of MM cells to carfilzomib could be achieved in vitro by cotreatment with vismodegib, a hedgehog pathway antagonist which is currently in MM clinical trials. CDy1 efflux may therefore be a useful assay to determine whether high expression of ABCB1 is predictive of poor clinical responses in MM patients treated with carfilzomib. Our data also suggest that inclusion of vismodegib might be a potential strategy to reverse ABCB1‐mediated drug resistance should it occur. Am. J. Hematol. 88:265–272, 2013. © 2013 Wiley Periodicals, Inc. 相似文献
93.
SR Adair D Elamin S Tharmaratnam 《The journal of maternal-fetal & neonatal medicine》2013,26(4):275-278
Placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. We report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and Doppler assessment, followed by interval manual removal of placenta. 相似文献
94.
95.
Over the past 7 years, eight patients with splanchnic artery aneurysms and pseudoaneurysms were studied and treated. Transcatheter embolization resulted in occlusion of the lesions in all eight patients. Potentially risky and difficult surgery was avoided completely in four patients. Three patients had elective surgery at a later date when their condition was more stable. The remaining patient had definitive surgery after embolization. Transcatheter embolization should be the initial treatment of choice in splanchnic artery aneurysms and pseudoaneurysms. 相似文献
96.
Bone marrow disorders: characterization with quantitative MR imaging 总被引:10,自引:0,他引:10
Thirty patients with various hematologic disorders and 15 healthy control subjects underwent quantitative magnetic resonance (MR) imaging of the lumbar spine with spin-echo techniques. Images of patients with infiltrative bone marrow disorders showed significantly more prolonged T1 times than those of control subjects (P less than .001). It was not possible to distinguish different diffuse infiltrative bone marrow disorders on the basis of T1 values. Aplastic anemia could be distinguished from normality because of significantly shortened T1 (P less than .001). A significant correlation was seen between T1 and bone marrow cellularity (r = .74, P less than .001). T2 was of no value in the characterization of bone marrow disorders. Quantitative MR imaging dose not improve the diagnostic potential of bone marrow imaging in the detection of diffuse marrow infiltrates. 相似文献
97.
Murakami T; Baron RL; Peterson MS; Oliver JH rd; Davis PL; Confer SR; Federle MP 《Radiology》1996,200(1):69
98.
The elbow: MR features of nerve disorders 总被引:3,自引:0,他引:3
99.
Recruitment and screening policies and procedures used to establish a paid donor oocyte registry 总被引:3,自引:2,他引:1
We have reviewed the demographic characteristics of, and report
abnormalities noted in, the de-novo growth and development of a paid oocyte
donation programme. The personal profiles of all prospective oocyte donors
were reviewed. Acceptance or rejection of candidates was based upon
screening the results of medical, genetic and psychological testing. A
total of 603 candidates initially responded to our advertisement. From this
pool, 313 individuals were considered suitable and contacted by telephone.
Following further conversation, 176 women were scheduled an entry
interview. On completion of the formal screening process, 17.6% (n = 31) of
those actually interviewed were denied entry. Thus, from the initial
interested parties, only 23% of women wishing to participate in oocyte
donation were considered suitable candidates. Given the high attrition
rate, we concluded that the need for rigorous and thorough medical,
psychological and genetic testing is mandatory for the establishment of a
donor registry. Furthermore, professional counselling of prospective donors
with respect to the results of tests and the implications of test results
with respect to their future medical and reproductive health, are important
parts of providing comprehensive care.
相似文献
100.
d,l-15(R)-15-Methyl-PGF2α methyl ester 11-trimethylsilyl ether(II)wasprepared from selective monosilylation of d,l-15(R)-15-methyl-PGF2αmethyl ester(I) withtrimethylsilyldiethylamine in acetone. Oxidation of(II ) with Collin's reagent gave d,l-15(R)-15-methyl-PGE2 methyl ester 11-trimethylsilyl ether(III)which,without purification,was converted to d,l-15(R)-15-methyl-PGE2 methyl ester(IV)under mild acidic conditions. 相似文献