Using cluster analysis with principal component analysis to study the iron metabolism in polycythemia vera

Background. Iron deficiency is a common complication in patients with polycythemia vera (PV). Unfortunately, little is known about the pathomechanisms of iron deficiency in PV. There have been no studies in the last decade documenting iron disorders in PV, despite progress in understanding the iron metabolism and new laboratory techniques measuring iron parameters.Objectives. The aim of this study was to assess the relationships between iron metabolism parameters, haematological and biochemical factors and clinical attributes in polycythemia vera patients with the use of cluster analysis (CA) and principal component analysis (PCA).Patients and methods. The study was performed on 60 patients (F/M 26/34) aged 38–84 (66 ± 10) years. The following parameters were determined in blood samples: hepcidin, prohepcidin, iron, total iron binding capacity (TIBC), unsaturated iron binding capacity (UIBC), ferritin, soluble transferrin receptor (sTfR), transferrin saturation (TfS), complete blood cell count, erythropoietin (Epo), uric acid, lactate dehydrogenase (LDH).Results. The CA divided all the 17 parameters into three clusters and showed that hepcidin concentrationis related to the duration of hydroxyurea therapy. PCA also revealed a positive correlation between hepcidin and therapy duration.Conclusions. We demonstrated that CA and PCA are efficacious methods for assessing the relationship between iron metabolism parameters and clinical attributes in PV patients

Reduced pollen viability and achene development in Solidago ×niederederi Khek from Poland

Pollen and achene characters of natural interspecific hybrid Solidago ×niederederi Khek were analyzed and compared with putative parental species S. virgaurea L. and S. canadensis L. to estimate the level of disturbances in generative reproduction resulting from its hybrid nature. Pollen viability (stainability) of Solidago ×niederederi from one newly discovered locality in NE Poland was evidently reduced to ~65% in both viability tests (acetocarmine and Alexander). The diameter of viable pollen (median 21.11 µm) fell between S. canadensis (median 19.52 µm) and S. virgaurea (median 23.48 µm). Both parental species produced normally developed achenes with high frequency (~90%) whereas in the hybrid, the seed set was dramatically low (6%). The results clearly indicated that sexual reproduction of hybridogenous taxon S. ×niederederi is disturbed, and its potential impact as an invasive species depends mainly on vegetative propagation

Ability to determine the nontransferrin-bound iron and total iron in the human placenta using high-performance liquid chromatography method

Iron is one of the most important microelements in the human body. It is a component of haemoglobin, which transports oxygen to all cells in the organism. It is also used in the synthesis of myelin, neurotrans-mitters, and DNA and transfers electrons in biochemical reactions. Iron is also responsible for regular development of the foetus’ central nervous system. Furthermore, as a result of Fenton reactions, iron leads to formation of toxic free radicals. The existence of non-transferrin-bound iron (NTBI) and its part desfer-rioxamine-chelatable iron (DCI) can be used to assess this element in the body. The placenta is an organ transition that is formed during pregnancy in the female organism. It has a dense web of blood vessels in which dynamic exchange of blood between mother and foetus takes place. As a result, a fraction of NTBI may be present in the placenta. The main goal of this work was to develop a method for determining total iron and desferrioxamine-chelatable iron in solid tissues - the human placenta.Iron is one of the most important microelements in the human body. It is a component of hemoglobin which transports oxygen to all cells in the organism. It is also used in a synthesis of myelin, neurotransmitters and DNA, and transfers electrons in the biochemical reactions. Iron is also responsible for regular development of a fetus central nervous system. Furthermore, as a result of Fenton reactions, iron leads to formation of toxic free radicals. Existence of non-transferrin-bound iron (NTBI) and its part - desferrioxamine-chelatable iron (DCI) can be used for assess this element in a body. Placenta is an organ transition which is formed during pregnancy in a female organism. It has a dense web of blood vessels where dynamic exchange of blood between mother and fetus takes place. As a result, fraction of NTBI may be present in the placenta. The main goal of this work was to develop a method for determination of total iron and desferrioxamine-chelatable iron in solid tissues - a human placent

Neutrophil-to-Lymphocyte Ratio Predicts Early Neurological Deterioration after Endovascular Treatment in Patients with Ischemic Stroke

The worsening of neurological status that occurs early after acute ischemic stroke (AIS) remains a serious issue, and the inflammatory response plays a key role in stroke pathobiology. Recently, endovascular treatment (EVT) has revolutionized the management and outcome of patients with AIS due to either extracranial carotid disease or intracranial disease. The neutrophil-to-lymphocyte ratio (NLR) represents an easily available inflammatory biomarker. The aim of the study was to assess the relationship between the NLR at admission and the occurrence of early neurological deterioration (END) in patients with AIS who underwent EVT. Patients with AIS and proximal arterial occlusion in the anterior circulation undergoing EVT were retrospectively identified. Absolute neutrophil count (ANC) and absolute lymphocyte count (ALC) were collected from admission blood work to calculate the NLR. The study outcome was END defined as an increase in at least 4 points in NIHSS score or death between baseline and 24 h after the ischemic event. Patients included were 211, and END occurred in 30 (14.2%). Patients with older age (OR = 1.07, 95% CI: 1.02-1.13), higher serum glucose (OR = 1.01, 95% CI: 1.01-1.02), and higher NLR (OR = 1.011, 95% CI: 1.04-1.18) had an increased risk of END. The best predictive cut-off value of NLR was 6.4, and END occurred in 24.1% and 3.9% of the patients with NLR ≥ 6.4 and <6.4, respectively (p < 0.001). In patients with AIS undergoing EVT, higher NLR values predicted a higher risk of END. Biomarkers able to identify inflammatory mechanisms might identify novel treatment targets and enhance proof-of-concept trials of immunomodulation in stroke

Large Extracellular Vesicles: Have We Found the Holy Grail of Inflammation?

The terms microparticles (MPs) and microvesicles (MVs) refer to large extracellular vesicles (EVs) generated from a broad spectrum of cells upon its activation or death by apoptosis. The unique surface antigens of MPs/MVs allow for the identification of their cellular origin as well as its functional characterization. Two basic aspects of MP/MV functions in physiology and pathological conditions are widely considered. Firstly, it has become evident that large EVs have strong procoagulant properties. Secondly, experimental and clinical studies have shown that MPs/MVs play a crucial role in the pathophysiology of inflammation-associated disorders. A cardinal feature of these disorders is an enhanced generation of platelets-, endothelial-, and leukocyte-derived EVs. Nevertheless, anti-inflammatory effects of miscellaneous EV types have also been described, which provided important new insights into the large EV-inflammation axis. Advances in understanding the biology of MPs/MVs have led to the preparation of this review article aimed at discussing the association between large EVs and inflammation, depending on their cellular origin

EVs as Potential New Therapeutic Tool/Target in Gastrointestinal Cancer and HCC

For more than a decade, extracellular vesicles (EVs) have been in focus of science. Once thought to be an efficient way to eliminate undesirable cell content, EVs are now well-accepted as being an important alternative to cytokines and chemokines in cell-to-cell communication route. With their cargos, mainly consisting of functional proteins, lipids and nucleic acids, they can activate signalling cascades and thus change the phenotype of recipient cells at local and systemic levels. Their substantial role as modulators of various physiological and pathological processes is acknowledged. Importantly, more and more evidence arises that EVs play a pivotal role in many stages of carcinogenesis. Via EV-mediated communication, tumour cells can manipulate cells from host immune system or from the tumour microenvironment, and, ultimately, they promote tumour progression and modulate host immunity towards tumour’s favour. Additionally, the role of EVs in modulating resistance to pharmacological and radiological therapy of many cancer types has become evident lately. Our understanding of EV biology and their role in cancer promotion and drug resistance has evolved considerably in recent years. In this review, we specifically discuss the current knowledge on the association between EVs and gastrointestinal (GI) and liver cancers, including their potential for diagnosis and treatment

Moral Christianology in Light of Selected Polish Language Commentary on St. Paul’s Epistle to the Ephesians

One of the aims of St. Paul’s epistles is to provide his addressees with moral instruction. There is such content related to morality in the apostle’s epistles, providing a basis and justification for moral norms. This study deals with elements of Christianology in St. Paul’s Epistle to the Ephesians. The former term “anthropology,” used in St. Paul’s vision of the Christian, has been replaced by the term called “Christianology.” Saint Paul’s material on Christianology is very rich; therefore, this study is limited to the most important aspects of following Jesus Christ based on selected Polish language commentary on St. Paul the Apostle’s Epistle to the Ephesians. This epistle contains specific guidelines on how to follow Christ

Coronavirus Disease 2019 (COVID–19): A Short Review on Hematological Manifestations

Infection with severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) is a rapidly spreading and devastating global pandemic. Many researchers are attempting to clarify the mechanisms of infection and to develop a drug or vaccine against the virus, but there are still no proven effective treatments. The present article reviews the common presenting hematological manifestations of coronavirus disease 2019 (COVID–19). Elucidating the changes in hematological parameters in SARS–CoV–2 infected patients could help to understand the pathophysiology of the disease and may provide early clues to diagnosis. Several studies have shown that hematological parameters are markers of disease severity and suggest that they mediate disease progression

Neutrophil-to-Lymphocyte Ratio and Symptomatic Hemorrhagic Transformation in Ischemic Stroke Patients Undergoing Revascularization

Objectives: Symptomatic hemorrhagic transformation (sHT) is a life-threatening complication of acute ischemic stroke (AIS). The early identification of the patients at increased risk of sHT can have clinically relevant implications. The aim of this study was to explore the validity and accuracy of the neutrophil-to-lymphocyte ratio (NLR) in predicting sHT in patients with AIS undergoing revascularization. Methods: Consecutive patients hospitalized for AIS who underwent intravenous thrombolysis, mechanical thrombectomy or both were identified. The NLR values were estimated at admission. The study endpoint was the occurrence of sHT within 24 h from stroke treatment. Results: Fifty-one patients with AIS were included, with a median age of 67 (interquartile range, 55-78) years. sHT occurred in 10 (19.6%) patients. Patients who developed sHT had higher NLR at admission. NLR was an independent predictor of sHT and showed good discriminatory power (area under the curve 0.81). In a multivariable analysis, NLR and systolic blood pressure were independently associated with sHT. Conclusions: NLR at admission can accurately predict sHT in patients with AIS undergoing revascularization