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Journal of Clinical and Experimental Hematology
ISSN: 2834-3328
Volume 3, Issue 1, p1-82
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
Taking BAFF-R targeting CAR T-cells on the road
Chimeric antigen receptor (CAR) T cells were first clinically tested in trials against metastatic solid tumors without therapeutic benefit; however, these efforts established the necessary domains that are required for a functional CAR T-cell. With the characterization of cells within the immune system, the expression of CD19 was found to dictate B cell lineage that remains present on normal and malignant B cells.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p1-3 | DOI: 10.46439/hematol.3.010
Commentary: Three-dimensional transvaginal ultrasound diagnosis of interstitial ectopic pregnancy in a unicornuate uterus: A case report
Unicornuate uterus represents a congenital uterine anomaly, with an incidence of approximately 0.1%-0.4%. The discourse surrounding the administration of interstitial pregnancy persists as a subject of contention. This uncommon malady is on the rise in terms of frequency, encompassing approximately 2%-6.8% of all instances of ectopic gestations and comprising 2%-4% of tubal ectopic pregnancies.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p4-7 | DOI: 10.46439/hematol.3.011
Commentary on “Ultrasmall polyvinylpyrrolidone-modified iridium nanoparticles with antioxidant and anti-inflammatory activity for acute pancreatitis alleviation”
Acute pancreatitis (AP) can lead to severe body damage, including a systemic inflammatory response and multiorgan failure, and current therapies rely heavily on symptomatic treatment and supportive care, with a lack of targeted therapeutic strategies for specific pathologic processes.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p8-13 | DOI: 10.46439/hematol.3.012
Gender disparity in the reticulocyte count of HIV-positive patients on HAART management in Ilorin
Reticulocytes are immature red blood cells (RBCs). In the process of erythropoiesis (red blood cell formation), reticulocytes develop and mature in the bone marrow and then circulate for about a day in the bloodstream before developing into mature red blood cells.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p22-28 | DOI: 10.46439/hematol.3.014
The tip of the reproductive screening iceberg: ‘Every mother and every fetus matters’
The basic maternity preventive, diagnostic, and treatment services support for the ‘beginning of life’ are routinely offered, as outlined in the ‘Every Mother and Every Fetus Matters’ manuscript. The routine maternity screening tests are important and necessary but if the fetal screening or imaging procedures identifies fetal pathology, the routine maternal screening tests are only the tip of the screening and diagnostic iceberg.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p29-34 | DOI: 10.46439/hematol.3.015
An overview of clinical, molecular, and therapeutic approaches to Niemann-Pick disease
In animal cells (especially humans), there is an enzyme called acid sphingomyelinase (ASM) (EC 3.1.4.12) which can break the large molecule of sphingomyelin and convert it into smaller structures of ceramide and phosphorylcholine.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p35-39 | DOI: 10.46439/hematol.3.016
How effective are antioxidants without fetal hemoglobin in tackling oxidative stress in sickle cell disease?
Sickle cell disorder (SCD) remains a disease of public interest, accounting for a significant number of deaths, especially in low and middle-income countries in Africa. Despite years of intensive studies, its cure remains a subject of ongoing investigation.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p40-43 | DOI: 10.46439/hematol.3.017
Acquired cutis laxa: Hematological insights and therapeutic implications in a paraneoplastic context
Acquired cutis laxa (ACL) is a rare dermatological disorder characterized by loose, sagging, and inelastic skin due to the progressive degradation of elastic fibers within the dermis. Unlike the congenital form of cutis laxa, which is present from birth and often linked to genetic mutations, ACL typically develops later in life and can be associated with various underlying conditions.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p44-53 | DOI: 10.46439/hematol.3.018
Commentary on “Beyond infantile hemangiomas: A glimpse into overlapping rare syndromes emphasizing the vigilant screening for PHACE and LUMBAR syndromes”
Due to their complex etiology and pathogenesis, hemangioma-related syndromes, such as LUMBAR and PHACE, present diagnostic and therapeutic challenges. Despite advances, standardized diagnostic criteria, screening protocols, and treatment options still need to be developed. We report a rare case of a 1-month-old patient with nonspecific symptoms, including failure to thrive and poor feeding, associated with lumbosacral ulcers.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p54-59 | DOI: 10.46439/hematol.3.019
Artificial intelligence in hematology: A critical perspective
The increasing prevalence of drug-resistant pathogens has highlighted the need for innovative approaches in drug discovery, including drug re-purposing. Artificial intelligence (AI) has emerged as a transformative tool in this endeavor, with the potential to revolutionize not only drug re-purposing for infectious diseases but also the field of hematology.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p60-66 | DOI: 10.46439/hematol.3.020
Cardiac toxicities of Bruton's tyrosine kinase inhibitors: The risk of pericarditis and cardiac tamponade
Nearly a decade since the introduction of first-generation Bruton’s tyrosine kinase (BTK) inhibitors in the treatment of chronic lymphocytic leukaemia (CLL), their use has expanded with the second-generation agents zanubrutinib and acalabrutinib. These agents show high efficacy particularly in patients with TP53 mutations or del(17p).
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p67-70 | DOI: 10.46439/hematol.3.021
Assessment of quality of life in people living with hemophilia: A case study of Yaoundé Hemophilia Treatment Centre, Cameroon
Hemophilia is a rare, sex-linked congenital bleeding disorder caused by a mutation in the genes responsible for production of coagulation factor VIII (hemophilia A) or factor IX (hemophilia B), resulting in the inability of blood to clot. According to Stonbraker et al., hemophilia occurs in approximately 1 in 10,000 births, with hemophilia A being more common, representing 80-85% of cases.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p71-78 | DOI: 10.46439/hematol.3.022
Methionine adenosyltransferase 2A (MAT2A) inhibitors as single agents or in combination strategy for cancer therapy
Methionine adenosyltransferase 2A (MAT2A), one of the rate-limiting enzymes in the methionine cycle, primarily catalyzes methionine into S-adenosylmethionine (SAM). SAM is the global methyl-donor for transmethylation and biosynthesis reactions, which protein arginine N-methyltransferase 5 (PRMT5) utilizes for symmetric dimethylarginine (SDMA) posttranslational modifications.
J Clin Exp Hematol, 2024, Volume 3, Issue 1, p79-82 | DOI: 10.46439/hematol.3.023
Lung ultrasound: a new standard for diagnosis of ventilator associated pneumonia?
As the soft tissue- air interface is virtually impenetrable to ultrasound, its utility for evaluating lung pathologies was historically thought to be unfeasible [1]. However, the observation of different artifacts and novel research into their interpretations has helped transform this dogma and develop lung ultrasound as a valuable diagnostic tool in pulmonary diseases.
Detection of some synthetic cannabinoids (FUB-AMB and AB-FUBINACA) in blood and urine using Gas Chromatography-mass spectrometry liquid–liquid extraction
In recent years, various types of synthetic cannabinoids have become widely distributed and are causing social and health problems in most parts of the world. Synthetic cannabinoids are currently the largest group of new psychoactive substances. Those that have been subjected to legal control are replaced by newer controlled and uncontrolled substances.
The role of computed tomography angiography and digital subtraction angiography in the diagnosis and management of gunshot wounds to the head
Introduction: Traumatic intracranial pseudoaneurysms (TICAs) and penetrating cerebrovascular injuries (PCVI) complicate gunshot wounds to the head (GSWH) and other forms of penetrating traumatic brain injury (pTBI). Recent developments in neuroimaging have allowed early detection of these lesions in the minutes and hours following the initial injury. CT angiography (CTA) and digitally subtracted angiography (DSA) have different sensitivity, periprocedural risks, and logistical limitations. Growing evidence is defining their role in clinical practice.
Harnessing innovation for the future of breast cancer management
Breast cancer is the most commonly diagnosed cancer and the second leading cause of cancerrelated mortality in women worldwide. Incidence rates continue to rise globally. Breast cancer encompasses a heterogeneous group of tumors with varying molecular features, clinical behaviors, and responses to therapy. While survival rates have improved, challenges persist such as invasive cancers, recurrent metastatic disease, and mortality among subgroups.
A scoping review of outcome measures in ovarian cancer clinical trials
The incorporation of patient-reported outcomes (PROs) is essential for assessing whether a cancer treatment enhances overall patient well-being, beyond merely extending survival. This scoping review aimed to identify and analyze the use of PROs in ovarian cancer clinical trials.
Significance of BRCA genetic testing for preoperative breast cancer patients
Examining BRCA mutations in preoperative breast cancer patients is very important when selecting a surgical procedure. Although there are advantages and disadvantages associated with knowing about the presence of genetic mutations, including for the patient’s family, there are many benefits for the patient. BRCA genetic testing should be recommended for patients who are strongly suspected of being positive for a BRCA mutation.
Molecular signatures of aggressive pediatric liver cancer
Liver masses account for 5 to 6% of pediatric cancer, which includes hepatoblastoma (HBL) along with rare cases of hepatocellular carcinoma (HCC). The most dangerous form of pediatric liver cancer is aggressive HBL, which can be characterized by chemo-resistance and multiple nodules or metastases at diagnosis, all correlating with worse clinical prognosis. Despite intensive studies and a significant improvement in overall outcomes, very little is known about the key molecular pathways which determine the aggressiveness of pediatric liver cancer.
Dexmedetomidine’s influence on autophagy and its possible link to the cholinergic anti-Inflammatory pathway
Anesthesia and surgical interventions may induce cognitive impairments, such as postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) [1]. These dysfunctions particularly affect the elderly population [2] and increase morbidity and mortality thus representing a major burden for the healthcare system [1].
Deregulation of Slug/Snail2 and TGF-β crosstalk in airway epithelial stem/progenitor cells: A key link between COPD and lung cancer?
This commentary focuses on two recent publications showing deregulation of the transcription factor Slug/Snail2 and TGF-β function in primary bronchial basal/progenitor cells of patients with Chronic Obstructive Pulmonary Disease (COPD) and the impact on proliferation and the expression of genes involved in stem cell maintenance. We discuss the molecular mechanisms related to the exhaustion of airway basal stem/progenitor cells in tobacco smoke-induced COPD, as well as putative links between COPD and lung cancer at the molecular level.
Utilization of electronic health records for the assessment of adiponectin receptor autoantibodies during the progression of cardio-metabolic comorbidities
Diabetes is a complex, multi-symptomatic disease whose complications drives increases in healthcare costs as the diabetes prevalence grows rapidly world-wide. Real-world electronic health records (EHRs) coupled with patient biospecimens, biological understanding, and technologies can characterize emerging diagnostic autoimmune markers resulting from proteomic discoveries.
Nemo-like kinase as a potential target for treatment of Diamond Blackfan Anemia
Diamond Blackfan Anemia (DBA) is a congenital bone marrow failure syndrome characterized by hypoproliferative anemia, in which the major defect is ineffective erythropoiesis. Over 70% of patients with DBA have mutations in ribosomal protein subunits, although the precise molecular mechanisms contributing to the pathogenesis of DBA are not well understood.
The significance of triple-capsid-mutant AAV8 for treatment of Sanfilippo Syndrome Type B
Sanfilippo Syndrome Type-B remains an untreatable childhood neurodegenerative disease with great burden for both patient and caregiver. Very few clinical trials have been undertaken to treat the disease, and none of these have yet yielded clinically obtainable products for patients. Caused by a simple enzyme function deficiency, Sanfilippo Syndrome Type-B has been considered a great prospect for gene-therapy interventions.
Considering Taguchi method as a feature selection method in agent-based models of cancer disease: A mini-review
Cancer biology involves complex dynamics and interactions between cells and the tissue environment. Mathematical modeling and computer simulation can provide a powerful instrument for considering this complexity. Agent-based modeling is a particular discrete hybrid modeling method.
The tumor dose sensitivity matrix and stem cells in head and neck cancer
Radiation therapy (RT) is one of the pillars of locally advanced head and neck cancer (HNSCC) treatment in combination with cisplatin or epidermal growth factor receptor inhibitors. Despite a very high local tumor control rate, approximately 50% of patients with locally advanced disease will develop a recurrence.
Is blood type “O” associated with a higher risk of post-partum hemorrhage and hemostasis disorders? A retrospective study
Background: Maternal hemorrhage represents the most prevalent complication and primary cause of mortality during childbirth. Extensive studies have elucidated noteworthy correlations between ABO blood type and cardiovascular disease risk in both genders. Notably, individuals with blood type O exhibit a substantial variation in the formation of the platelet plug on vascular lesions, accompanied by a reduction in von Willebrand factor.
Drought treatment: A new tool for dissecting XA21 signaling in rice
Microbial infection can cause cell damage in both plants and animals, as well as triggering stress responses commonly induced by environmental (abiotic) cues.
From observation to diagnosis: Implications of calcified sclero-choroidal choristomas in mosaic RASopathies
The identification of calcified sclero-choroidal choristomas (CaSCCs) in patients with mosaic RASopathies introduces a new dimension to understanding ocular manifestations in these genetic disorders.
Ocular cystinosis – A review of disease, diagnosis, and future treatment options
Cystinosis is a rare autosomal recessive lysosomal storage disorder, characterised by the intra-lysosomal accumulation of cystine. Cystinosis results from a defect in the CTNS protein, a lysosomal transport protein for cystine. There are three subtypes of cystinosis: infantile nephropathic cystinosis, juvenile nephropathic cystinosis and ocular non-nephropathic cystinosis.
Bevacizumab (Avastin) in treatment of maculopathy secondary to proliferative diabetic retinopathy (PDR) in Afghanistan
This is a clinical study which assessed the safety and efficacy of Bevacizumab (Avastin), manufactured by Genentech, in the treatment of maculopathy secondary to Proliferative Diabetic Retinopathy (PDR). All of the patients suffered from Type II Diabetes Mellitus.
A total of 174 (97 male, 77 female) patients (308 study eyes in total) took part in the clinical study with an average age of 57 years (range 27-80 years). 56 patients (32%) in the study were insulin dependent diabetics. Bevacizumab was given to patients by monthly intra-vitreal injections at a dose of 50 µL per treatment. The Visual Acuity (VA) was assessed using the Snellen technique before and after the Bevacizumab injection and with Optical Coherence Tomography (OCT).
A comprehensive review of enteric duplication cysts, their pathophysiology, presentation, and treatment
Enteric duplication cysts are rare congenital malformations of the gastrointestinal tract that can be found anywhere along the entire alimentary canal. Duplication cysts share a muscular layer with the adjacent bowel and contain their own mucosal lining which may be that of any part of the alimentary tract.