KITD816V+ systemic mastocytosis associated with KITD816V+ acute erythroid leukaemia: first case report with molecular evidence for same progenitor cell derivation

Toll-like receptor (TLR)-9 recognizes CpG motifs in microbial DNA. TLR9 signalling stimulates innate antimicrobial immunity and modulates adaptive immune responses including autoimmunity against chromatin, e.g., in systemic lupus erythematosus (SLE). This review summarizes the available data for a role of TLR9 signalling in lupus and discusses the following questions that arise from these observations: 1) Is CpG-DNA/TLR9 interaction involved in infection-induced disease activity of lupus? 2) What are the risks of CpG motifs in vaccine adjuvants for lupus patients? 3) Is TLR9 signalling involved in the pathogenesis of lupus by recognizing self DNA

Aligning Synthetic Medical Images with Clinical Knowledge using Human Feedback

Generative models capable of capturing nuanced clinical features in medical images hold great promise for facilitating clinical data sharing, enhancing rare disease datasets, and efficiently synthesizing annotated medical images at scale. Despite their potential, assessing the quality of synthetic medical images remains a challenge. While modern generative models can synthesize visually-realistic medical images, the clinical validity of these images may be called into question. Domain-agnostic scores, such as FID score, precision, and recall, cannot incorporate clinical knowledge and are, therefore, not suitable for assessing clinical sensibility. Additionally, there are numerous unpredictable ways in which generative models may fail to synthesize clinically plausible images, making it challenging to anticipate potential failures and manually design scores for their detection. To address these challenges, this paper introduces a pathologist-in-the-loop framework for generating clinically-plausible synthetic medical images. Starting with a diffusion model pretrained using real images, our framework comprises three steps: (1) evaluating the generated images by expert pathologists to assess whether they satisfy clinical desiderata, (2) training a reward model that predicts the pathologist feedback on new samples, and (3) incorporating expert knowledge into the diffusion model by using the reward model to inform a finetuning objective. We show that human feedback significantly improves the quality of synthetic images in terms of fidelity, diversity, utility in downstream applications, and plausibility as evaluated by experts

Vitamin C in Haemopoiesis

Twenty one cases of severe vitamin C deficiency, including thirteen cases of scurvy, are studied. The blood and bone marrow pictures and the effects of treatment are considered. Theories as to whether or not vitamin C is an erythropoietic factor are discussed. Reasons are given for concluding that the vitamin does not play a specific part in erythropoiesis

Acute transitory erythroblastopenia in kwashiokor

No Abstract

Erythrocyte Morphology and Its Disorders

Blood cell morphology is a key tool in laboratory haematology. Erythrocyte morphology points to possible aetiopathogenetic events in several primary and secondary haemopathies. Despite advances in medical technology and laboratory automation, red cell morphology remains a basic aspect of haematological evaluation. The human erythrocytes are discoid (bi-concave), about 7–8 μm (size of the nucleus of a small lymphocyte) in diameter, with a central area of pallor (which occupies a third of the red cell diameter) and is well haemoglobinised in the outer two thirds of the red cell diameters, without any inclusions. Deviations from the normal in terms of size, shape, colour, distribution or presence of inclusion bodies suggests possible disease processes. This chapter is therefore dedicated to morphologic description of the human erythrocytes, a study of possible abnormalities, its underlying pathophysiology and the associated differential diagnosis in humans

Speciation in the baboon and its relation to gamma-chain heterogeneity and to the response to induction of HbF by 5-azacytidine

In the baboon (Papio species), the two nonallelic gamma-genes produce gamma-chains that differ at a minimum at residue 75, where isoleucine (I gamma-chain) or valine (V gamma) may be present. This situation obtains in baboons that are sometimes designated as Papio anubis, Papio hamadryas, and Papio papio. However, in Papio cynocephalus, although the I gamma-chains are identical with those in the above mentioned types, the V gamma-chains have the substitutions ala----gly at residue 9 and ala----val at residue 23. The V gamma-chains of P. cynocephalus are called V gamma C to distinguish them from the V gamma A-chains of P. anubis, etc. A single cynocephalus animal has been found to have only normal I gamma-chains and I gamma C-chains (that is, glycine in residue 9, valine in 23, and isoleucine in 75). When HbF is produced in response to stress with 5-azacytidine, P. anubis baboons respond with greater production than do P. cynocephalus, and hybrids fall between. Minimal data on P. hamadryas and P. papio suggest an even lower response than P. cynocephalus. As HbF increases under stress, the ratio of I gamma to V gamma-chains changes from the value in the adult or juvenile baboon toward the ratio in the newborn baboon. However, it does not attain the newborn value. The V gamma A and V gamma C-genes respond differently to stress. In hybrids, the production of V gamma A- chains exceeds that of V gamma C-chains. A controlling factor in cis apparently is present and may be responsible for the species-related extent of total HbF production. It may be concluded that the more primitive the cell in the erythroid maturation series that has been subjected to 5-azacytidine, the more active is the I gamma-gene

INFLUENCE OF A HETEROGENEOUS HIGH-POLYMER DNA UPON ERYTHROPOIESIS

No abstrac