Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2003-3-11
pubmed:abstractText
To elucidate the relationship between treatment with granulocyte colony-stimulating factor (G-CSF) and the development of chromosomal abnormalities and clonal evolution in adult aplastic anemia (AA) patients, we performed a prospective multicenter study. Of the 104 registered patients, 91 were found by the central review committee to have the diagnosis of AA. Of the 91 patients, 84 were determined to be evaluable in this study and were treated with regimens including G-CSF (lenograstim). A time-course study (at registration and 6 and 12 months after registration) of G-banded chromosomes, fluorescence in situ hybridization (FISH) analysis for monosomy 7, and morphological assessment of bone marrow was performed with these patients during the 1-year follow-up period. G-banding analysis demonstrated the development of cytogenetic abnormalities in 10 (16.1%) of the 62 evaluable patients. The most common aberration was monosomy 7. FISH analysis demonstrated monosomy 7 in 7 (10.4%) of the 67 evaluable patients. Evolution into myelodysplastic syndrome (MDS) was observed in 5 (7.7%) of the 65 patients who underwent morphological assessment of bone marrow. All patients who developed cytogenetic abnormalities or MDS received immunosuppressive agents and/or steroids with G-CSF. This study demonstrated that some adult AA patients exhibit evolution into MDS and development of chromosomal abnormalities such as monosomy 7. Although the incidence seems to be comparable with that found in previous studies, further long-term follow-up will be necessary to confirm the relationship between G-CSF and the development of chromosomal abnormalities and MDS.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0925-5710
pubmed:author
pubmed:issnType
Print
pubmed:volume
77
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
152-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:12627850-Adolescent, pubmed-meshheading:12627850-Adult, pubmed-meshheading:12627850-Aged, pubmed-meshheading:12627850-Aged, 80 and over, pubmed-meshheading:12627850-Anemia, Aplastic, pubmed-meshheading:12627850-Chromosome Aberrations, pubmed-meshheading:12627850-Chromosomes, Human, Pair 7, pubmed-meshheading:12627850-Clone Cells, pubmed-meshheading:12627850-Cytogenetic Analysis, pubmed-meshheading:12627850-Female, pubmed-meshheading:12627850-Follow-Up Studies, pubmed-meshheading:12627850-Granulocyte Colony-Stimulating Factor, pubmed-meshheading:12627850-Humans, pubmed-meshheading:12627850-Male, pubmed-meshheading:12627850-Middle Aged, pubmed-meshheading:12627850-Monosomy, pubmed-meshheading:12627850-Myelodysplastic Syndromes, pubmed-meshheading:12627850-Prospective Studies, pubmed-meshheading:12627850-Recombinant Proteins, pubmed-meshheading:12627850-Time Factors
pubmed:year
2003
pubmed:articleTitle
Multicenter prospective study of clonal complications in adult aplastic anemia patients following recombinant human granulocyte colony-stimulating factor (lenograstim) administration.
pubmed:affiliation
First Department of Internal Medicine, Saitama Medical School, Iruma-gun, Saitama, Japan. hbesshoo@saitama-med.ac.jp
pubmed:publicationType
Journal Article, Clinical Trial, Multicenter Study