عنوان : آيا منشاء سلولهاي CLL   همان - B  لنفوسيتهاي CD 5 +   است ؟‌

نويسندگان : دكتر منصور صالحي1 ، دكتر رسول صالحي1 ، دكتر عبدالرضا صباحي2 ، پروفسور مالكو  م  گوينز 3  

1 گروه ژنتيك و بيولوژي مولكولي ،  2 گروه علوم تشريحي – دانشكده پزشكي – دانشگاه علوم پزشكي اصفهان  - كدپستي  176 – 81744

3  انستيتو تحقيقات سرطان ، دانشگاه شفيلد ، انگلستان

 

 

باور عمومي بر اين است كه B لنفوسيتها معادل غير سرطاني سلولهاي B  در  CLL  هستند علت اين باور مرفولوژي اين سلولها و ايمنوگلوبولينهاي موجود در سطح آنها مي باشد . اكثر سلولهاي CLL ماركرهاي منحصر به سلولهاي        B - lineage   را بيان مي كنند ولي تفاوتهائي نيز بين سلولهاي CLL و  B - Cell ها نيز يافت شده است .

دراين مطالعه از ژل الكتروفورز 2 - D  براي مطالعه ميزان شباهت در بيان پروتئينها بين سلولهاي CLL  و لنفوسيتهاي غير سرطاني مورد استفاده قرار گرفت . نتايج حاصل به وضوح نشان دادند كه سلولهاي CD5+ , B  شبيه ساير لنفوسيتهاي B  بوده و با سلولهاي CLL كاملا متفاوت اند .

گر چه اطلاعات ارائه شده در اين مقاله منشاء سلولهاي CLL  را مشخص نمي كند ولي احتمال اينكه اين سلولها از لنفوسيتهاي CD5+ , B   خون محيطي منشاء گرفته باشد را رد مي كند .

 

 

TITLE : Is the origin of CLL cells CD+B-lymphosytes?

AUTHOR: M.salehi , r.salehi ,.a.r.sabahi and M.H.Goyns

Dept . of Genetics and molecular biology , dept . of anatomical sciences medical school . Isfaha university of Medical sciences , Isfahan , 81744176

Institute of cancer studies , medical school , sheffield university sheffield , England

 

Criculating B-lymphocytes are traditionally thought to be the non-malignant counterpart of B-cells CLL because of their morphology and expression of surface immunoglobulins . The majority of CLL cells express B-lineage restricted markers , but some differences between CLL and normal B-cells has also been found .

In this study 2D-gel electrophoresis were used to study similarity between protein expression id CLL cells and non-malignant lymphocyts . Our results clearly demonstrates that CD5+B-cells were similar to other B-lymphocytes and quite unlike CLL is derived , but rather cast doubt over the possibility that it originated from the CD5+B-lymphocytes in the peripheral blood .

 

 

 

TITLE : Studies on the possible changes in Haematological parameters of RBCs in the Blood Unites during the period of storage in the Blood Bank Center , ahwaz , Iran

Part I : Changes in the RBC Enzyme G6PD .

Dr. Chitnis , P. & Dr.Imam ,S,J .

Histology Dept ., Medical college , A.U.M.S & blood bank center , Ahwaz , iran .

 

Abstract :

In the blood bank centers , standard procedures are followed for the proper collection storage and distribution of Blood units . during this period of storage in the CPD  bags possible changes may occur in the various components of Blood which might attect the quality of the blood units for safe trasfusion therapy . few studies on this problem are reported . hence work is undretaken to study the morphological , physiological , and metabolic chages in the RBCs during the storage period .

 

G6PD is one of the important RBC enzyme and its defect (deficiency ) is associated with haemolytic anaemia , which affects many individuals . hence it is important to know the possible dhanges in this enzyme during the storage . In normal RBCs the stability and catalytic activity of the enzyme G6PD are slowly degraded over the life span (120 days ) of RBCs . The primary metobolic role of the enzyme G6PD in the pentose phosphate pathway is to generate NADPH which helps to maintain glutathion in reduced state for-anti- oxidant activity .

 

The blood units (bags with CPD) are randomly selected , marked andkept along with other units in the storage room (4 C) . samples for analysis are taken as follows ; (1) blood of Donors (outside bags ) to be used as control (base values ) . (2) blood samples on the 1 day and later on every 5 days , till the expiry date (28 days ) of storage . Thus 20 untis and 8 samples from each are studied .

 

For the evaluation of G6PD activity , procedures of sigma kit (U.S.A) is followed . The results are tabulated for 20 randomly selected Donors and their blood units . Mean values for 20 units (bags) over each subsequent 5-days-evaluation show that there is a rapid decline in G6PD  activity from the normal ( 1 day – 26.7 mins ) to partial deficiency ( 10 day – 50 mins ) . and almost gross deficiency ( 28 day – 90 mins ) of G6PD enzyme in RBCs . Again it is noticed that 3 of the 20 donors (15%) are found to be G6PD gross deficient subjects , prior to blood collection (i.e.outside the bags )

The significance of this study and its implication for jthe safe Transfusion therapy especially in conditinon of haemolytic anaemia , is explained . it is recommended that in areas of high prevalence of G6PD  deficiency ( or favism ) donors shuld be routinelyscreened for G6PD  enzyme status and only fresh blood should be given to G6PD dificient patients in haemolytic crisis .

 

 

 

Title : Donor mononuclear cell Infusion for the treatment of relapse after allogeneic marrow transphantation in beta thalassemia major .

 

Authors : Dr.sh.keyhanian , A.Ghavamzadeh , M jahani , b.bahar , k.alimoghaddam , SH.Key hanian . s.gholibeikian .

Hematology –Oncology & BMT Research center of shariati Hospital , Tehran university medical science , IRAN

 

We have used donor mononuclear cell infusion for treatment of relapse after bone marrow trasplantation in two patients with beta thalassemia major . Two trasfusion dependent patients with unstable mixed chimerism after BM transplantations were treated with Donor Mononuclear cell infusion . one of them was a 4 years old boy with thalassemia major class I , which received 3.5 × 108/kg cells 8 months after transplantation and the other one was a 6 years old boy with thalassenia major class III , received 4× 108 / kg cells 7 months after transphantation . At present , the first patient is transfusion independent with stable Hb level but also a sever GVHD of skin (grade IV) .The second patients received second transplantation (PBSC) 7 months after Donor mononuclear cell Infusion without engraftment and he is trasfusion dependent .