• Issue

    British Journal of Haematology: Volume 203, Issue 3

    339-489, e87-e97
    November 2023

Issue Information

Free Access

Issue Information

  • Pages: 339-341
  • First Published: 23 October 2023

REVIEWS

Open Access

A comparison of the International Consensus and 5th WHO classifications of T-cell lymphomas and histiocytic/dendritic cell tumours

  • Pages: 369-383
  • First Published: 30 June 2023
A comparison of the International Consensus and 5th WHO classifications of T-cell lymphomas and histiocytic/dendritic cell tumours

The simultaneous existence of two classifications of haemato-lymphoid tumours poses problems not only for diagnosis formulation but also for patients' management and design of clinical trials.

ORIGINAL PAPERS

Haematological malignancy - Clinical

Direct oral anticoagulants versus aspirin for primary thromboprophylaxis in patients with multiple myeloma undergoing outpatient therapy: A systematic review and updated meta-analysis

  • Pages: 395-403
  • First Published: 02 August 2023
Direct oral anticoagulants versus aspirin for primary thromboprophylaxis in patients with multiple myeloma undergoing outpatient therapy: A systematic review and updated meta-analysis

Patients with multiple myeloma (MM) undergoing disease-directed therapy are at an increased risk of venous thromboembolism (VTE) compared to the general population. In this setting, current guidelines suggest low-dose direct oral anticoagulants (DOACs) as an alternative to aspirin for primary thromboprophylaxis. Our systematic review and meta-analysis of selected randomised controlled trials and observational studies demonstrated a reduced occurrence of VTE with DOACs in comparison to aspirin, with no associated rise in bleeding events. However, these results should be interpreted with caution, considering the heterogeneous baseline population characteristics and potential biases/confounders from observational studies. Further research is essential to determine the optimal thromboprophylaxis strategy, especially for high-risk individuals.

Demographic and clinical characteristics of acute myeloid leukaemia diagnosed and treated at the tertiary level in Afghanistan

  • Pages: 404-410
  • First Published: 23 August 2023
Demographic and clinical characteristics of acute myeloid leukaemia diagnosed and treated at the tertiary level in Afghanistan

The median age at diagnosis was 27 years. Housewives represented the largest subset of patients from an occupational point of view constituting 37.44% of the total sample population and 81.72% of the female population, followed by 20.69% patients who were students of which 14.77% were male and 5.91% were female, and 17.24% who were farmers, which constituted 31.81% of the male population. Similarly, 64.53% of the individuals received standard 7 + 3 induction regimen, 10.68% of those received 5 + 2 re-induction chemotherapy, 10.84% who were diagnosed with acute promyelocytic leukaemia received all-trans-retinoic acid + arsenic trioxide, while 5.42% of patients defaulted chemotherapy.

ORIGINAL PAPERS

Haematological malignancy - Biology

Tumour-derived exosomes promote the induction of monocytic myeloid-derived suppressor cells from peripheral blood mononuclear cells by delivering miR-106a-5p and miR-146a-5p in multiple myeloma

  • Pages: 426-438
  • First Published: 16 August 2023
Tumour-derived exosomes promote the induction of monocytic myeloid-derived suppressor cells from peripheral blood mononuclear cells by delivering miR-106a-5p and miR-146a-5p in multiple myeloma

The transformation of a tumour immune surveillance system into a tumour-supportive state is one of the critical events in disease development, progression, and the acquisition of therapy resistance against immunochemotherapy in multiple myeloma. In this scenario, in combination with several soluble factors secreted by myeloma cells, miR-106a-5p and miR-146a-5p contained in myeloma cell-derived exosomes play essential roles in modulating gene expression patterns, such as genes involved in interferon response, inflammation, and TNF-α signalling, and, to direct normal peripheral blood mononuclear cells to differentiate into monocytic myeloid-derived suppressor cells.

Transplantation

Impact of GVHD on lymphoma progression: Nationwide study from Japanese Society for Transplantation and Cellular Therapy

  • Pages: 446-459
  • First Published: 23 August 2023
Impact of GVHD on lymphoma progression: Nationwide study from Japanese Society for Transplantation and Cellular Therapy

The association between graft-versus-lymphoma (GVL) effect and graft-versus-host disease (GVHD)s varied between different lymphoma subtypes and their pre-transplant controls (C, D). Meanwhile, the negative impact of severe GVHDs on survival via their contribution to transplant-related mortality was still significant (A, B). Since GVL effect and GVHDs have not yet been successfully separated in the clinical settings, transplant outcomes were still a consequence of the balance between GVL and GVHDs. However, it was clear that the management of GVHDs within a limited activity should be prioritized regardless of the cases.

Haemoglobinopathies

Neurofilament light chain: A potential biomarker for cerebrovascular disease in children with sickle cell anaemia

  • Pages: 460-467
  • First Published: 15 August 2023
Neurofilament light chain: A potential biomarker for cerebrovascular disease in children with sickle cell anaemia

A sample of children with sickle cell anaemia (SCA) and sibling/family controls in Uganda were tested for four blood-based biomarkers. Neurofilament light chain (NfL) strongly correlated with SCA MRI-detected cerebral infarcts.