Littoral Cell Angioma (LCA) Associated with Liver Cirrhosis

A littoral cell angioma (LCA) is a rare benign vascular tumor of the spleen. A 60-year-old man, with multiple nodules in imaging study and liver cirrhosis graded as Child-Pugh classification class A, was transferred for splenomegaly. A thrombocytopenia was found on hematological evaluation. Because there was no evidence of hematological and visceral malignancy, a splenectomy was performed for a definitive diagnosis. The histological and immunohistochemical features of the splenic specimens were consistent with a LCA. After the splenectomy, the thrombocytopenia recovered to the normal platelet count. There has been no previous report of a LCA combined with liver cirrhosis. Herein, the first case of a LCA in Korea, diagnosed and treated by a splenectomy, is reported

Hematopoietic stem cell transplantation in children with acute leukemia: similar outcomes in recipients of umbilical cord blood versus marrow or peripheral blood stem cells from related or unrelated donors

PurposeThis study compared outcomes in children with acute leukemia who underwent transplantations with umbilical cord blood (UCB), bone marrow, or peripheral blood stem cells from a human leukocyte antigen (HLA)-matched related donor (MRD) or an unrelated donor (URD).MethodsThis retrospective study included consecutive acute leukemia patients who underwent their first allogeneic hematopoietic stem cell transplantation (HSCT) at Samsung Medical Center between 2005 and 2010. Patients received stem cells from MRD (n=33), URD (n=46), or UCB (n=41).ResultsNeutrophil and platelet recovery were significantly longer after HSCT with UCB than with MRD or URD (P<0.01 for both). In multivariate analysis using the MRD group as a reference, the URD group had a significantly higher risk of grade III to IV acute graft-versus-host disease (GVHD; relative risk [RR], 15.2; 95% confidence interval [CI], 1.2 to 186.2; P=0.03) and extensive chronic GVHD (RR, 6.9; 95% CI, 1.9 to 25.2; P<0.01). For all 3 donor types, 5-year event-free survival (EFS) and overall survival were similar. Extensive chronic GVHD was associated with fewer relapses (RR, 0.1; 95% CI, 0.04 to 0.6; P<0.01). Multivariate analysis showed that lower EFS was associated with advanced disease at transplantation (RR, 3.2; 95% CI, 1.3 to 7.8; P<0.01) and total body irradiation (RR, 2.1; 95% CI, 1.0 to 4.3; P=0.04).ConclusionSurvival after UCB transplantation was similar to survival after MRD and URD transplantation. For patients lacking an HLA matched donor, the use of UCB is a suitable alternative

The comparative efficiency of a brown algal-derived biostimulant extract (AMPEP), with and without supplemented PGRs: the induction of direct, axis shoots as applied to the propagation of vegetative seedlings for the successful mass cultivation of three commercial strains of Kappaphycus in Sabah, Malaysia

Three strains of Kappaphycus spp. (viz. K. alvarezii tambalang brown and green and K. striatus sacol green) were used in the present study to optimize the use of Ascophyllum (Acadian) marine plant extract powder (AMPEP) as a culture medium ingredient acting as a biostimulant, applied with, and without, the addition of terrestrial plant growth regulators (PGRs). This was undertaken in order to develop management tools and best practice recommendations for the mass production of new plantlets (seedlings) for industrial, nursery, and out-planting purposes in eastern Malaysia, Sabah, and Peninsular Malaysia (i.e., Langkawi, Kedah and Batu Maung, Penang). After 45 days of laboratory incubation, the three strains tested demonstrated their best performances at 3 mg L−1 of AMPEP, supplemented with PGR. This evaluation was based on the longest direct axes formed, the shortest time to their appearance, and also their highest percentage emergence. Kappaphycus alvarezii (tambalang green) had the longest direct axes (7.0 ± 0.23 mm), followed by K. alvarezii (tambalang brown) at (6.4 ± 0.48 mm) and finally K. striatus (sacol green). In terms of the highest percentage of direct axes formed, K. alvarezii (tambalang brown), K. alvarezii (tambalang green), and K. striatus (sacol green) were recorded as follows: 100 ± 0.00, 99 ± 1.34, and 98 ± 2.66, respectively. The shortest duration taken for the emergence of direct axes was observed in K. alvarezii (tambalang green) followed by tambalang brown and K. striatus (sacol green) on days 9, 10, and 15, respectively. The use of a brown seaweed-derived extract acting as a biostimulant and as the main ingredient of the culture medium for the micropropagation of three strains of Kappaphycus was highly encouraging and one which may be promoted as a protocol for the economic and commercial mass production of new plantlets (asexual seedlings) which are an urgent requirement for Malaysian seaweed farming to meet its full potential

Effect of Ex Vivo Culture Conditions on Immunosuppression by Human Mesenchymal Stem Cells

A microarray analysis was performed to investigate whether ex vivo culture conditions affect the characteristics of MSCs. Gene expression profiles were mainly influenced by the level of cell confluence rather than initial seeding density. The analysis showed that 276 genes were upregulated and 230 genes downregulated in MSCs harvested at ~90% versus ~50% confluence (P2). The genes that were highly expressed in MSCs largely corresponded to chemotaxis, inflammation, and immune responses, indicating direct or indirect involvement in immunomodulatory functions. Specifically, PTGES and ULBP1 were up-regulated in MSCs harvested at high density. Treatment of MSCs with PTGES or ULBP1 siRNA reversed their inhibition of T-cell proliferation in vitro. The culture conditions such as cell confluence at harvest seem to be important for gene expression profile of MSCs; therefore, the results of this study may provide useful guidelines for the harvest of MSCs that can appropriately suppress the immune response

Gene Expression Profiles of Human Adipose Tissue-Derived Mesenchymal Stem Cells Are Modified by Cell Culture Density

<div><p>Previous studies conducted cell expansion <i>ex vivo</i> using low initial plating densities for optimal expansion and subsequent differentiation of mesenchymal stem cells (MSCs). However, MSC populations are heterogeneous and culture conditions can affect the characteristics of MSCs. In this study, differences in gene expression profiles of adipose tissue (AT)-derived MSCs were examined after harvesting cells cultured at different densities. AT-MSCs from three different donors were plated at a density of 200 or 5,000 cells/cm². After 7 days in culture, detailed gene expression profiles were investigated using a DNA chip microarray, and subsequently validated using a reverse transcription polymerase chain reaction (RT-PCR) analysis. Gene expression profiles were influenced primarily by the level of cell confluence at harvest. In MSCs harvested at ∼90% confluence, 177 genes were up-regulated and 102 genes down-regulated relative to cells harvested at ∼50% confluence (<i>P</i><0.05, FC>2). Proliferation-related genes were highly expressed in MSCs harvested at low density, while genes that were highly expressed in MSCs harvested at high density (∼90% confluent) were linked to immunity and defense, cell communication, signal transduction and cell motility. Several cytokine, chemokine and growth factor genes involved in immunosuppression, migration, and reconstitution of damaged tissues were up-regulated in MSCs harvested at high density compared with MSCs harvested at low density. These results imply that cell density at harvest is a critical factor for modulating the specific gene-expression patterns of heterogeneous MSCs.</p></div

RT-PCR analysis of differentially expressed cytokine, chemokine and proliferation-associated genes in AT-MSC from different donors and different cell densities.

<p>The expression profile of selected genes from the microarray data was validated by semi-quantitative RT-PCR using independent samples harvested 7days after plating at different cell densities as distinct from that for microarray analysis. Quantitative gene expression data of each candidate gene indicates mRNA expression relative to GAPDH mRNA. Band intensity was normalized against that of GAPDH mRNA. Semi-quantitative RT-PCR analysis was independently performed using different MSC samples but the samples for microarray analysis. CC1, cultures plated with an initial cell density of 200 cells/cm² and a culture duration of 7 days; CC2, cultures plated with an initial cell density of 5,000 cells/cm² and a culture duration of 7 days.</p

Differentially expressed cytokine genes in AT-MSCs from three different donors, cultured to low or high density, as determined by microarray analysis.

<p>Viable second-passage AT-MSCs plated at 200 cells/cm² (CC1 MSCs) or 5,000 cells/cm² (CC2 MSCs) were incubated for 7 days by which time they reached ∼50% or ∼90% confluence, respectively. After harvesting, total mRNA was isolated from pooled samples of MSCs from three donors and used in the microarray analysis. Microarray data were filtered by applying two criteria for significance, P<0.05 and FC>2 between culture conditions.</p