Thymoma followed by paroxysmal nocturnal hemoglobinuria: A unique clinical association in the context of multiorgan Autoimmunity with a potential role for CD8+T lymphocytes

被引:12
作者
Palmieri, Giovannella
Selleri, Carmine
Montella, Liliana
Bulgarelli, Goffredo
Vitiello, Laura
Merkabaoui, Ghassan
Ricci, Patrizia
Del Vecchio, Luigi
Masci, Annamaria
Racioppi, Luigi
Rotoli, Bruno
机构
[1] Univ Naples Federico II, Dept Mol & Clin Endocrinol & Oncol, I-80131 Naples, Italy
[2] Univ Naples Federico II, Dept Clin & Expt Med, I-80131 Naples, Italy
[3] Univ Naples Federico II, Dept Cellular & Mol Biol & Pathol L Califano, I-80131 Naples, Italy
[4] Univ Naples 2, Dept Expt & Clin Internal Med, Naples, Italy
[5] IRCCS San Raffaele, Rome, Italy
[6] A Cardarelli Gen Hosp, Serv Immunohematol & Transfus Med, Naples, Italy
关键词
Autoimmunity; Paroxysmal nocturnal hemoglobinuria; Thymoma;
D O I
10.1002/ajh.20699
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Seven years after a surgically resected thymoma, a female patient affected by myasthenia gravis and Good's syndrome presented with paroxysmal nocturnal hemoglobinuria (PNH). Co-culture experiments and spectratyping analyses indicated that CD8+ lymphocytes were involved in damaging hematopoietic precursors. While PNH clones have been identified in various hematological disorders, the sequential association of thymoma and PNH has been unreported so far. (c) 2006 Wiley-Liss, Inc.
引用
收藏
页码:774 / 778
页数:5
相关论文
共 11 条
[1]  
GORSKI J, 1994, J IMMUNOL, V152, P5109
[2]   Somatic mutations in paroxysmal nocturnal hemoglobinuria: A blessing in disguise? [J].
Luzzatto, L ;
Bessler, M ;
Rotoli, B .
CELL, 1997, 88 (01) :1-4
[3]  
MASAOKA A, 1981, CANCER, V48, P2485, DOI 10.1002/1097-0142(19811201)48:11<2485::AID-CNCR2820481123>3.0.CO
[4]  
2-R
[5]   Clonal expansion of CD8+ BV8 T lymphocytes in bone marrow characterizes thymoma-associated B lymphopenia [J].
Masci, AM ;
Palmieri, G ;
Vitiello, L ;
Montella, L ;
Perna, F ;
Orlandi, P ;
Abbate, G ;
Zappacosta, S ;
De Palma, R ;
Racioppi, L .
BLOOD, 2003, 101 (08) :3106-3108
[6]  
MELETIS J, 2003, MED SCI MONITOR, V9, P161
[7]   Inefficient response of T lymphocytes to glycosylphosphatidylinositol anchor-negative cells: implications for paroxysmal nocturnal hemoglobinuria [J].
Murakami, Y ;
Kosaka, H ;
Maeda, Y ;
Nishimura, J ;
Inoue, N ;
Ohishi, K ;
Okabe, M ;
Takeda, J ;
Kinoshita, T .
BLOOD, 2002, 100 (12) :4116-4122
[8]  
Rosai J., 1999, World Health Organization International Histological Classification of Tumors
[9]  
ROTOLI B, 1989, SEMIN HEMATOL, V26, P201
[10]  
Rotoli B, 1989, Baillieres Clin Haematol, V2, P113, DOI 10.1016/S0950-3536(89)80010-1