Mengping Zhang

Recombinant human thrombopoietin (rh-TPO) for the prevention of severe thrombocytopenia induced by high-dose cytarabine: a prospective, randomized, self-controlled study

Abstract The aim of this randomized phase II study was to investigate the optimal timing of the administration of thrombopoietin to prevent cytarabine-induced thrombocytopenia. Fifty-two patients who were scheduled for high-dose cytarabine treatment were randomly assigned to receive either the standard prophylactic mode (starting thrombopoietin, 15,000 units/day on days 2–11) or the pre-chemo mode (starting thrombopoietin, 15,000 units/day on days -4, -2, and 2–9) during the first cycle of chemotherapy with a switch to the other mode in the second cycle. The thrombocytopenia rate in the standard mode and the pre-chemo mode were PLT < 50 × 109/L, 67.3% versus 46.2% (p = .001); and PLT < 25 × 109/L, 48.1% versus 26.9% (p = .001). The platelet transfusion rate was reduced in pre-chemo mode, with 7 patients requiring 10 units of platelets, whereas 13 patients required 24 units in standard mode (p = .038). Grade III/IV thrombopoietin-related toxicity was not observed. The prophylactic use of thrombopoietin was effective and safe. Trial registration: ChiCTR-OPB-15007591.

Surgical resection followed by chemotherapy may be an effective treatment strategy for primary gastrointestinal natural killer/T-cell lymphoma: A single center experience

Extranodal natural killer (NK)/T-cell lymphoma (ENKTL) is a rare and severe malignancy. ENKTL is primarily located in the upper aerodigestive tract; the nasal/nasopharyngeal localization represents 75% of cases, and other sites involved include the skin, gastrointestinal (GI) tract, testis, bone marrow and spleen [1]. Patients with NK/T-cell lymphoma outside the upper aerodigestive tract tend to present with more aggressive clinical features and have a more unfavorable prognosis. To date, little information regarding primary GI NK/T-cell lymphomas (GINKTLs) is available. Previous studies have reported that the incidence of GINKTL is less than 0.1 cases per 100 000 persons per year [2,3]. Treatment strategies for nodal non-Hodgkin lymphoma (NHL) are well established; however, much debate and controversy remain regarding the optimal approach in GINKTL. Due to the rarity of primary GINKTL, empirical standards in the treatment of GINKTL, consisting of surgical resection of the primary tumor mass followed by chemotherapy or radiotherapy (or both), have not been evaluated prospectively. Hence we initiated a retrospective study to investigate the clinical features of GINKTL, analyze the impact of surgical resection on outcome and delineate its major prognostic factors.

SH3BGRL as a novel prognostic biomarker is down-regulated in acute myeloid leukemia.

Abstract Phosphatase PRL-3 expression is positively associated to acute myeloid leukemia (AML) progression and drug resistance. SH3-domain-binding glutamic acid-rich protein-like protein (SH3BGRL), a downstream effector of PRL-3, plays a tumor suppressive role in solid tumors, but it remains elusive in AML. Here, we followed up and validated the relevance of SH3BGRL expression to AML progression in 116 cases. Results showed that SH3BGRL is down-regulated in 62.37% AML cases with poor prognosis. Cases with positive response to therapy accompanies with SH3GRL expression restoration. Mechanistically, SH3BGRL down-regulation promotes AML cell cycle progression and enhances the anti-apoptotic ability to drug cytotoxicity. While ectopic SH3BGRL blocks AML cell cycle and proliferation to sensitize them to therapeutic drugs via apoptosis. Xenograft assays further confirmed the suppressive role of SH3BGRL in leukemogenesis. Thus, our results demonstrated that SH3BGRL is a novel crucial player in AML progression and could be both a potential diagnostic and prognostic marker.