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造血前体细胞空泡化:病因多样的谜团。

Vacuolization of hematopoietic precursors: an enigma with multiple etiologies.

机构信息

Translational Hematology and Oncology Research Department, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH.

Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy.

出版信息

Blood. 2021 Jul 1;137(26):3685-3689. doi: 10.1182/blood.2021010811.

DOI:10.1182/blood.2021010811
PMID:33690844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8462399/
Abstract

Cytoplasmic vacuoles in precursors can be seen in a number of clinical settings, including copper deficiency, zinc toxicity, alcohol abuse, antibiotic treatment, myelodysplasia, and VEXAS syndrome. Gurnari et al asked how common VEXAS syndrome is in patients whose bone marrow aspirates show this distinctive feature, finding 2 diagnoses of VEXAS among 24 cases with vacuoles.

摘要

在多种临床情况下,包括铜缺乏、锌中毒、酒精滥用、抗生素治疗、骨髓增生异常和 VEXAS 综合征,可以看到前体细胞中的细胞质空泡。Gurnari 等人想知道骨髓抽吸物显示这种特征的患者中 VEXAS 综合征的常见程度,在 24 例有空泡的病例中发现 2 例 VEXAS 诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131e/8462399/e7b56711db05/bloodbld2021010811f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131e/8462399/e7b56711db05/bloodbld2021010811f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/131e/8462399/e7b56711db05/bloodbld2021010811f1.jpg

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引用本文的文献

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Vacuolated Marrow Cytopenias from Copper Deficiency to -Mutant VEXAS: Molecular Landscape, Systematic Review, and Cost-Efficient Diagnostic Algorithm.从铜缺乏到突变型VEXAS的空泡性骨髓血细胞减少症:分子格局、系统评价及经济高效的诊断算法
Int J Mol Sci. 2025 Aug 20;26(16):8044. doi: 10.3390/ijms26168044.
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Anemia Due to Unexpected Zinc-Induced Copper Deficiency.意外锌诱导铜缺乏所致贫血
Hematol Rep. 2025 Jul 17;17(4):35. doi: 10.3390/hematolrep17040035.
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Exploring patient-reported outcomes and morbidity burden of patients with VEXAS syndrome: a scoping review.

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N Engl J Med. 2020 Dec 31;383(27):2628-2638. doi: 10.1056/NEJMoa2026834. Epub 2020 Oct 27.
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Copper Levels in Patients with Unexplained Dysplastic Cytopenia.不明原因发育性血细胞减少症患者的铜水平。
Biol Trace Elem Res. 2021 Mar;199(3):825-828. doi: 10.1007/s12011-020-02203-x. Epub 2020 Jun 2.
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Unique morphologic and genetic characteristics of acute myeloid leukemia with chromothripsis: a clinicopathologic study from a single institution.
探索VEXAS综合征患者的患者报告结局和发病负担:一项范围综述
EClinicalMedicine. 2025 Jul 12;86:103354. doi: 10.1016/j.eclinm.2025.103354. eCollection 2025 Aug.
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Human neutrophils are a cellular source of apolipoprotein A-I.人类中性粒细胞是载脂蛋白A-I的细胞来源。
J Leukoc Biol. 2025 Jul 9;117(7). doi: 10.1093/jleuko/qiaf104.
5
Complex somatic mutation landscape in myeloid cells in a patient with VEXAS syndrome: First Brazilian case report.VEXAS综合征患者髓系细胞中的复杂体细胞突变图谱:首例巴西病例报告。
Hematol Transfus Cell Ther. 2025 Jan-Mar;47(1):103686. doi: 10.1016/j.htct.2024.05.013. Epub 2024 Sep 7.
6
Role of allogeneic hematopoietic cell transplantation in VEXAS syndrome.异基因造血细胞移植在 VEXAS 综合征中的作用。
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