Prognosis in pediatric hematologic malignancies is associated with serum concentration of mannose-binding lectin-associated serine protease-2 (MASP-2)

BACKGROUND: Mannose-binding lectin (MBL) and MBL-associated serine protease-2 (MASP-2) are key components of the lectin pathway of complement activation. Their serum concentrations show a wide interindividual variability. This study investigated whether the concentration of MBL and MASP-2 is associated with prognosis in pediatric patients with cancer. METHODS: In this retrospective multicenter study, MBL and MASP-2 were measured by commercially available ELISA in frozen remnants of serum taken at diagnosis. Associations of overall survival (OS) and event-free survival (EFS) with MBL and MASP-2 were assessed by multivariate Cox regression accounting for prognostically relevant clinical variables. RESULTS: In the 372 patients studied, median serum concentration of MBL was 2,808 microg/L (range, 2-10,060) and 391 microg/L (46-2,771) for MASP-2. The estimated 4-year EFS was 0.60 (OS, 0.78). In the entire, heterogeneous sample, MBL and MASP-2 were not significantly associated with OS or EFS. In patients with hematologic malignancies, however, higher MASP-2 was associated with better EFS in a significant and clinically relevant way (hazard ratio per tenfold increase (HR), 0.22; 95% CI, 0.09-0.54; P = 0.001). This was due to patients with lymphoma (HR, 0.11; 95% CI, 0.03-0.47; P = 0.003), but less for those with acute leukemia (HR, 0.35; 95% CI, 0.11-1.15; P = 0.083). CONCLUSION: In this study, higher MASP-2 was associated with better EFS in pediatric patients with hematologic malignancies, especially lymphoma. Whether MASP-2 is an independent prognostic factor affecting risk stratification and anticancer therapy needs to be assessed in prospective, disease-specific studies.

Influence of the magnesium aspartate hydrochloride administration to the maternal circuit on the aspartate concentration of the fetal circuit under in vitro perfusion of human placenta

OBJECTIVES: Magnesium aspartate hydrochloride (Magnesiocard, Mg-Asp-HCl) is proposed as a substitute of magnesium sulfate for the treatment of preeclampsia and premature labor. After an i.v. administration of a dose equivalent to that used in the treatment of preeclampsia to nonpregnant volunteers, a 10-fold increase of aspartic acid (Asp) over the physiological level was observed. Animal experiments have demonstrated that highly increased fetal levels of acidic amino acids such as Asp could be associated with neurotoxic damage in the fetal brain. The influence of such an elevation of Asp concentration in the maternal circuit on the fetal level, using the in vitro perfusion model of human placenta, was investigated. STUDY DESIGN: After a control phase (2h), a therapeutic dose of Mg combined with Asp (Magnesiocard, Mg-Asp-HCl) was applied to the maternal circuit approaching 10 times the physiological level of Asp. The administration was performed in two different phases simulating either a peak of maximum concentration (bolus application, 2h) or a steady state level (initially added, 4h). RESULTS: In four experiments, during experimental phases (6h) a slow increase in concentration in the fetal circuit was seen for Mg, AIB (alpha-aminoisobutyric acid, artificial amino acid) and creatinine confirming previous observations. In contrast, no net transfer of Asp across the placenta was seen. A continuous decrease in the concentration of Asp on both maternal and fetal side suggests active uptake and metabolization by the placenta. Viability control parameters remained stable indicating the absence of an effect on placental metabolism, permeability and morphology. CONCLUSION: Elevation of Asp concentration up to 10 times the physiological level by the administration of Mg-Asp-HCl to the maternal circuit under in vitro perfusion conditions of human placenta has no influence on the fetal level of Asp suggesting no transfer of Asp from the maternal to fetal compartment. Therefore, the administration of Mg-Asp-HCl to preeclamptic patients would be beneficial for the patients without any impact on placental or fetal physiology.

The Role of Water Chemistry in the Concentration of Hematite Ore

Selective flocculation and dispersion processes rely on differences in the surface chemistry of fine mineral particles (<25 >ìm) to allow for the concentration of specific minerals from an ore body. The effectiveness of selective flocculation and dispersion processes for the concentration of hematite (Fe2O3) ore are strongly dependent on the ionic content of the process water. The goal of this research was to analyze the ionic content of an operating selective flocculation and dispersion type hematite ore concentrator and determine how carbon dioxide affects the filtration of the final product. A detailed water chemistry analysis of the entire process was determined to show concentration profiles throughout the process. This information was used to explain process phenomena and promote future research into this subject. A subsequent laboratory study was conducted to show how carbon dioxide affects filtration rate and relate this effect to the zeta potential of the constituents of the concentrated hematite ore.

A Study of the Concentration of a Copper-Zinc Ore.

The ore under investigation in this thesis is a copper-zinc ore which came from the state of New Mexico. The exact location is unobtainable. The purpose of the investigation was to determine the most effective means of concentration of the valuable min­erals present in the ore.

The Testing and Concentration of a Low Grade Copper-Nickel Ore.

The purpose of this thesis is to investigate the possi­bility of concentrating a low grade copper-nickel ore, to determine the most effective method of concentration, and to attempt to draw some conclusions to determine whether or not the concentrates produced would be of sufficient high grade to make the recovery of nickel and copper a profit­able enterprise.

The Testing and Concentration of a Tungsten Ore

At the present time the principal uses for tungsten lie in the manufacture of ferro-alloys and tungsten steels. Due to it’s hardening and strengthening characteristics it holds an important position among steel hardening metals. The great rush for it’s production during the World War years clearly points to it’s importance in the manufacture of armament.

The Concentration of Scheelite from the Gold Concentrates of the Jardine Mining Company

The Purpose of this thesis was to investigate the possibility of concentrating scheelite from Wilfley table gold concentrates from the mill of the Jardine Mining Company; and to determine whether such concentration is economically feasible and the product of sufficiently high grade to meet commercial specifications for such a product.

The Testing and Concentration of Lake Chelan Copper Ore

The geologic history of the Holden area and Lake Chelan district is an integral part of the history of the Cascade Mountain Range. The structure is very complex and the rocks, which have been subjected to intense metamorphic action, are portions of a roof pendant and consists of gneisses, schists and quartzites that are often difficult to correlate.

A Study of the Concentration of a Low-Grade Manganese Ore from the Ennis District

The purpose of the investigation was to determine the most effective means of concentrating the manganese in the ore. The study was that of identification of the minerals present. This showed the presence of oxides of manganese and iron, and carbonates of calcium and manganese. Methods of investigation were planned to determined whether the ore could be concentrated effectively by gravity concentration methods. ­

Testing and Concentration of a Low Grade Gold Ore from Marysville, Montana

The purpose of this thesis was to investigate and attempt to concentrate low grade cyanided tailings rejected from the old Montana Mining and milling Company's mill situated 4 miles below the town of Marysville, Montana.

Vermiculite, Occurence, Character, and Concentration of Mineral from the Pony District, Madison County, Montana

The purpose of this paper is to investigate the occurrence and character of the vermiculite deposits approximately four miles northwest of Pony; Madison County, Montana. The deposits are situated in rolling foothills at the northern end of the Tobacco Root Mountains.

Flotation Concentration of a Montana Lead-Zinc-Silver-Ore

The Mike Horse mine, in the Huddelston mining district, is fifty-two miles northwest of Helena, Montana. The mine was discovered in 1898 by Joseph Heitmiller. There was only minor production from the date of discovery until 1915; the main drawback being lack of good road.

Concentration of Manganese Dioxide from Philipsburg, Montana

Imports of manganese ore probably supply a major proportion of the needs of the United States. Domestic production is reported to be higher than pre-war levels, but does not equal that of the peak production year of 1943. In 1946, the Anaconda Copper Mining Company ac­counted for 90 percent of the total shipments of mangan­ese nodules, and this company is the largest producer of domestic metallurgical ore in the United States.