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1 PNH has been considered a monogenic disease that results
2 PNH III erythrocytes circulate 6 to 60 days in vivo.
3 PNH is due to the expansion of a cell clone that has acq
4 PNH neutrophils (CD15(+)/CD66b(-)/CD16(-)) were detected
5 PNH red blood cells also were identified at a frequency
6 PNH T cells comprise mainly naive cells (CD45RA(+)CD45R0
7 PNH type III cells were completely resistant to aerolysi
10 is of natural killer (NK) cell subsets in 47 PNH patients revealed that the ratio of CD56(bright):CD5
14 ypothesis was considered that expansion of a PNH clone may be a marker of immune-mediated disease and
15 herapy; in myelodysplasia, the presence of a PNH population was strongly correlated with hematologic
23 reviously detected in CD34 cells from AA and PNH patients reveals the presence of many similarities t
24 esembles the coexistence of normal cells and PNH cells in patients with an established PNH clone.
27 ed whole-exome sequencing of paired PNH+ and PNH- fractions on samples taken from 12 patients as well
30 In view of the close relationship between PNH and idiopathic aplastic anemia (IAA), it has been su
31 We identified 30 patients as having both PNH and PMG on brain imaging, reviewed clinical data and
36 c germ-line PIGA mutations that do not cause PNH have been shown to be responsible for a condition kn
38 mily, is similar to mutations known to cause PNH as a result of PIGA dysfunction, and was absent in 4
40 studies suggest that patients with clinical PNH who are treated with eculizumab have a benign clinic
42 y, the use of aerolysin allowed us to detect PNH populations that could not be detected by standard f
43 Insights into the relevance of detecting PNH cells in PNH and other bone marrow failure disorders
46 rythrophagocytosis in samples from different PNH patients correlated well with the individual level o
47 he majority of patients with active disease, PNH B cells comprised mainly naive cells with a CD27(-)I
53 pointed; it has been suggested that existing PNH clones may have a conditional growth advantage depen
57 ow transplantation remains the only cure for PNH but should be reserved for patients with suboptimal
59 nding may guide future treatment options for PNH but also has potential implications for the descript
61 rs after the description of the Ham test for PNH, Dacie commented that "the essential basis of the di
64 e have investigated this possibility in four PNH patients by treating them with granulocyte colony-st
66 I(-) B cells in 2 patients in remission from PNH suggest that the life span of a B-cell clone can be
67 hematopoiesis, that is, a large granulocyte PNH clone, the residual normal B cells had a predominant
69 Patients with bone marrow failure who have PNH cells detected by high-sensitivity flow cytometry ha
70 ts with paroxysmal nocturnal hemoglobinuria (PNH) (18 with active disease and 1 spontaneous remitter)
72 ment of paroxysmal nocturnal hemoglobinuria (PNH) and atypical hemolytic uremic syndrome, blocks the
73 ions of paroxysmal nocturnal hemoglobinuria (PNH) and improve quality of life and overall survival, b
74 ases of paroxysmal nocturnal hemoglobinuria (PNH) and some myeloproliferative neoplasms (MPNs), and r
75 tory of paroxysmal nocturnal hemoglobinuria (PNH) and to review new therapeutic strategies for contro
76 AA and paroxysmal nocturnal hemoglobinuria (PNH) are related clinically, and glycophosphoinositol (G
78 ence of paroxysmal nocturnal hemoglobinuria (PNH) at diagnosis, with no substantial change in the ove
79 is of a paroxysmal nocturnal hemoglobinuria (PNH) case without somatic mutations in PIGA, we performe
82 ed that paroxysmal nocturnal hemoglobinuria (PNH) cells may proliferate through their intrinsic resis
83 ts with paroxysmal nocturnal hemoglobinuria (PNH) comprise a mixture of residual normal and glycosylp
84 ts with paroxysmal nocturnal hemoglobinuria (PNH) comprise variable mixtures of normal B cells produc
86 erlying paroxysmal nocturnal hemoglobinuria (PNH) has been shown to reside in PIGA, a gene that encod
87 ts with paroxysmal nocturnal hemoglobinuria (PNH) have blood cells deficient in glycosyl phosphatidyl
104 mark of paroxysmal nocturnal hemoglobinuria (PNH) is chronic intravascular hemolysis that is a conseq
105 yndrome paroxysmal nocturnal hemoglobinuria (PNH) is intimately related to aplastic anemia because ma
107 ture of paroxysmal nocturnal hemoglobinuria (PNH) is that in each patient glycosylphosphatidylinosito
109 ts with paroxysmal nocturnal hemoglobinuria (PNH) lack GPI proteins on the surface of somatically mut
110 MDS) or paroxysmal nocturnal hemoglobinuria (PNH) occurring as a late complication of AA, we studied
112 and 21 paroxysmal nocturnal hemoglobinuria (PNH) patients, in whom specific CDR3 sequences and clona
113 ytes of paroxysmal nocturnal hemoglobinuria (PNH) patients, who suffer from complement-mediated hemol
114 ts with paroxysmal nocturnal hemoglobinuria (PNH) undergoing eculizumab treatment, which are opsonize
115 nt with paroxysmal nocturnal hemoglobinuria (PNH) who does not have a mutation of PIG-A, but in whom
116 ysis in paroxysmal nocturnal hemoglobinuria (PNH), a disease that manifests after clonal expansion of
117 ment of paroxysmal nocturnal hemoglobinuria (PNH), a rare but life-threatening hematologic disease, h
119 In paroxysmal nocturnal hemoglobinuria (PNH), an acquired mutation of the PIGA gene results in t
122 In paroxysmal nocturnal hemoglobinuria (PNH), hematopoietic cells lacking glycosylphosphatidylin
123 ts with paroxysmal nocturnal hemoglobinuria (PNH), leading to deficiency of GPI-linked proteins on th
124 disease paroxysmal nocturnal hemoglobinuria (PNH), somatic mutations result in a deficiency of glycos
128 ts with paroxysmal nocturnal hemoglobinuria (PNH); the authors demonstrate that these agents reach th
129 f HLA-DR2 was found in all frankly hemolytic PNH and in PNH associated with bone marrow failure (AA/P
132 rs with periventricular nodular heterotopia (PNH) are etiologically heterogeneous, and their genetic
133 MG) and periventricular nodular heterotopia (PNH) are two developmental brain malformations that have
135 ngenital peripheral nerve hyperexcitability (PNH) is usually associated with impaired function of vol
140 T cells were significantly more abundant in PNH patients than in healthy controls; their reactivity
141 as found in all frankly hemolytic PNH and in PNH associated with bone marrow failure (AA/PNH and MDS/
145 into the relevance of detecting PNH cells in PNH and other bone marrow failure disorders are highligh
146 gest that expansion of PIGA-mutated cells in PNH marrow is due to a growth defect in nonmutated cells
147 persensitivity to complement of red cells in PNH patients, manifested by intravascular hemolysis.
149 of this hypothesis, we have demonstrated in PNH patients the presence of CD8(+) T cells reactive aga
150 pharmacodynamic (PD) study of eculizumab in PNH patients which shows that CH50 is a promising biomar
151 ion with eculizumab has a dramatic effect in PNH and has a major impact in the prevention of thrombos
154 and may account for the clonal expansion in PNH and MPNs and in gene therapy patients after vector i
158 ns, accessory genetic events are frequent in PNH, suggesting a stepwise clonal evolution derived from
162 of heterologous complement activation or in PNH patients, impaired erythrocyte DAF activity and enha
163 e phenotype of GPI-deficient T cells seen in PNH patients with active disease likely reflects the phe
167 ding of the pathophysiology of thrombosis in PNH, as well as the treatment of thrombosis, will be dis
169 sent it to the members of the International PNH Interest Group and to the physicians participating i
173 PIGA mutations have been identified in many PNH patients, it has been proposed that germline mutatio
175 ondition leads to potassium channel-mediated PNH, thus identifying them as a potential drug target to
176 proposed that distinguishes immune-mediated PNH (irrespective of whether VGKC antibodies are detecta
178 NH stem cell, absolute numbers of both naive PNH CD4(+) cells and CD8(+) cells show an inverse correl
179 wever, 6H4 detected PrPc on Western blots of PNH platelets, demonstrating that the lack of 6H4 bindin
181 ab dramatically alters the natural course of PNH, reducing symptoms and disease complications as well
183 am test and permits concomitant diagnosis of PNH in about 20% of patients with myelodysplasia (a rate
186 marrow failure who have clinical evidence of PNH at presentation will require PNH-specific therapy.
188 Here, we show that ectopic expression of PNH on the abaxial (lower) sides of lateral organs resul
189 insic growth advantage, but some features of PNH argue that there are intrinsic drivers of clonal exp
190 Schwartz-Jampel syndrome (SJS) is a form of PNH that is due to hypomorphic mutations of perlecan, th
191 by standard assays) from non-immune forms of PNH that include toxins, anterior horn cell degeneration
193 mab inhibits the intravascular haemolysis of PNH, reduces transfusion requirements, stabilises haemog
194 chors; therefore, the phenotypic hallmark of PNH cells is an absence or marked deficiency of all GPI-
195 haemolysis that is the clinical hallmark of PNH is a consequence of deficiency of the complement inh
196 r and C3-mediated extravascular hemolysis of PNH erythrocytes and warrants consideration for the trea
197 bits in a dose-dependent manner hemolysis of PNH erythrocytes in a modified extended acidified serum
204 [PEG]-Cp40) on hemolysis and opsonization of PNH erythrocytes in an established in vitro system.
205 ely prevent hemolysis and C3 opsonization of PNH erythrocytes, and are excellent, and potentially cos
213 , no evidence for a decreased sensitivity of PNH cells to T-cell-mediated immunity was observed.
215 ndent predictors of response but the size of PNH clone did not correlate with improvement in blood co
218 ss complement inhibitor for the treatment of PNH validates the concept of complement inhibition as an
223 vestigate in an in vitro model the effect on PNH erythrocytes of a novel therapeutic strategy for mem
225 xamined the impact of alloimmune pressure on PNH and normal cells in the clinical setting of nonmyelo
229 e performed whole-exome sequencing of paired PNH+ and PNH- fractions on samples taken from 12 patient
239 These in vitro and in vivo studies show PNH cells can be immunologically eradicated following no
241 aboratory evidence of hemolysis (subclinical PNH), expansion of the clone to a size sufficient to pro
245 extravascular hemolysis and demonstrate that PNH erythrocytes from anti-C5-treated patients are phago
246 ssue of the JCI, Shen et al. discovered that PNH is in fact a complex genetic disorder orchestrated b
251 n utero electroporation approach showed that PNH-related mutants and excess wild-type NEDD4L affect n
252 in Schwann cell physiology and suggest that PNH in SJS originates distally from synergistic actions
258 topoiesis was predominantly derived from the PNH stem cell, absolute numbers of both naive PNH CD4(+)
259 , we now have identified cells that have the PNH phenotype, at an average frequency of 22 per million
260 logical inhibitors, we demonstrated that the PNH is mediated by the decreased activity of K(v)1-chann
262 rved; and in a significant proportion, their PNH erythrocytes become opsonized with complement C3.
265 y of TT30 derives from its direct binding to PNH erythrocytes; if binding to the erythrocytes is disr
266 ited the binding of both factors B and C3 to PNH and rabbit erythrocytes and blocked the ability of f
268 n of the encoded E3 ubiquitin ligase lead to PNH associated with toe syndactyly, cleft palate and neu
270 re highlighted, and indications for treating PNH patients with bone marrow transplantation and eculiz
273 e completely resistant to aerolysin, whereas PNH type II cells displayed intermediate sensitivity.
274 isruption of Dab1 and mTORC1 pathways, while PNH-related mutations are associated with deregulation o
275 marrow mononuclear cells from a patient with PNH, and myeloid/erythroid colonies and erythroid cells
276 e (TK-14(-)) established from a patient with PNH, as well as peripheral blood (PB) mononuclear cells
279 cts of eculizumab treatment in patients with PNH are applicable to a broader population of PNH patien
280 cacy of eculizumab in pregnant patients with PNH by examining the birth and developmental records of
282 Eleven transfusion-dependent patients with PNH received infusions of eculizumab (600 mg) every week
284 erize the long-term outcome of patients with PNH treated with eculizumab and to define the relationsh
285 creased by more than 2-fold in patients with PNH, compared with controls (28% +/- 19.6% vs 11.4% +/-
286 ss in the TCR BV repertoire of patients with PNH, compared with controls (R(2) values 0.82 vs 0.91, P
287 c of those classically seen in patients with PNH, including an increased sensitivity toward complemen
288 gene, we have found that in 5 patients with PNH, mu ranged from 1.24 x 10(-7) to 11.2 x 10(-7), agai
289 iled phenotypic analysis of 29 patients with PNH, this study shows consistent phenotypic differences
297 to solicit data on pregnancies in women with PNH and sent it to the members of the International PNH
298 Eculizumab provided benefit for women with PNH during pregnancy, as evidenced by a high rate of fet
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