Reduced Neutrophil Elastase Activity and Neutrophil Extracellular Traps in Pediatric Acute Myeloid Leukemia May Increase the Rate of Infections

被引:11
|
作者
Berger-Achituv, Sivan [1 ,2 ]
Elhasid, Ronit [1 ,2 ,3 ]
机构
[1] Tel Aviv Sourasky Med Ctr, Dept Pediat Hematooncol, Tel Aviv, Israel
[2] Tel Aviv Sourasky Med Ctr, Dana Childrens Hosp, Res Lab Pediat Hematooncol, 6 Weizmann St, IL-6423906 Tel Aviv, Israel
[3] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
关键词
acute lymphoblastic leukemia; acute myeloid leukemia; children; hydrogen peroxide; infections; myeloperoxidase; neutrophil elastase; neutrophil extracellular traps; phagocytosis; ACUTE LYMPHOBLASTIC-LEUKEMIA; CHILDHOOD; RELEASE; LEUKOCYTES; CHROMATIN; PROGRESS; DAMAGE; NETS;
D O I
10.1097/MPH.0000000000001015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Data on the production of neutrophil extracellular traps (NETs) in leukemia patients are scant. Phagocytosis, hydrogen peroxide, neutrophil elastase and myeloperoxidase enzymatic activity as well as NETs formation were studied in 10 pediatric acute lymphoblastic leukemia and 7 pediatric acute myeloid leukemia (AML) patients after induction chemotherapy. Median neutrophil elastase activity and NETs formation were lower in AML versus acute lymphoblastic leukemia (41% vs. 90%, P=0.005 and 51% vs. 94%, P=0.008, respectively). AML patients had more episodes of febrile neutropenia during the first 2 blocks of treatment (100% vs. 40%, P=0.011) and a trend for more invasive bacterial and fungal infections.
引用
收藏
页码:E248 / E252
页数:5
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