yezoensis glycoprotein (PGP) PGP inhibited the production of NO

yezoensis glycoprotein (PGP). PGP inhibited the production of NO and ROS and expression of iNOS, COX-2. TNF-alpha and IL-1 beta, which are involved in the pathogenesis of many inflammation-associated human diseases, including septic shock, Cl-amidine concentration hemorrhagic shock and rheumatoid arthritis. Next, we determined the mechanisms behind the antioxidant and anti-inflammatory activities of PGP. We focused on the Toll-like receptor 4 (TLR4) signaling pathway because it is well-known to induce the

pro-inflammatory proteins that trigger MAPK and NF-kappa B activation in lipopolysaccharide (LPS)-induced oxidative events. POP treatment reduced the formation of the TLR4-IRAK4 and TLR4-TRIF binding complexes in response to LPS. Moreover, it inhibited LPS-induced activation and nuclear translocation of NF-kappa B by abrogating I kappa B phosphorylation. selleck chemicals llc POP also suppressed the phosphorylation of ERK1/2 and JNK in a dose-dependent manner. These results suggest that POP exerts its anti-inflammatory effects by modulating TLR4 signaling and thus in the activation of NF-kappa B and MAP kinases.”
“Ex vivo foreskin models have demonstrated that inner foreskin is more susceptible to HIV-1 infection than outer foreskin. In the present study we characterized the compartition of HIV-1 target cells and quantified these

cells in the epidermis and dermis of inner and outer foreskins using immunohistochemistry and flow cytometry. Our data showed that the epidermis of the inner foreskin was more enriched with CD4(+) T cells and Langerhans cells (LCs), with the co-expression of CCR5 and alpha 4b7 receptors, than the outer foreskin. Interestingly, Nepicastat datasheet the vast majority of CD4(+) T cells and LCs expressed CCR5, but not CXCR4, indicating that the inner foreskin might capture and transmit R5-tropic HIV strains more efficiently. In addition,

lymphoid aggregates, composed of T cells, macrophages and dendritic cells (DCs) in the dermis, were closer to the epithelial surface in the inner foreskin than in the outer foreskin. As dendritic cells are able to capture and pass HIV particles to susceptible target cells, HIV may be able to more efficiently infect the inner foreskin by hijacking the augmented immune communication pathways in this tissue. After the inoculation of HIV-1 particles in a foreskin explant culture model, the level of p24 antigen in the supernatant from the inner foreskin was slightly higher than that from the outer foreskin, although this difference was not significant. The present study is the first to employ both CCR5 and a4b7 to identify HIV target cells in the foreskin. Our data demonstrated that the inner foreskin was more enriched with HIV target immune cells than the outer foreskin, and this tissue was structured for efficient communication among immune cells that may promote HIV transmission and replication.

Micromolar concentrations of dimethyl fumarate (DMF) or diethyl f

Micromolar concentrations of dimethyl fumarate (DMF) or diethyl fumarate (DEF) lowered the cellular GSH content in a time- and concentration-dependent manner. Halfmaximal effects after 60 min of incubation were observed for 10 mu M DMF or DEF. In contrast to the

diesters, monomethyl fumarate (MMF), monoethyl fumarate (MEF) or fumarate had to be applied in concentrations of 10 mM for 60 min to significantly lower the cellular GSH content. During 60 min exposure, DMF or DEF did not significantly affect the cell viability, increase the cellular content of glutathione disulfide, nor altered the specific activities of glucose-6-phosphate dehydrogenase, glutathione reductase, or lactate dehydrogenase. After removal of DMF or DEF, cultured astrocytes restored their cellular GSH content completely within 4 h. These data demonstrate that acute exposure to fumaric acid diesters Pinometostat mw deprives astrocytes of their GSH, most likely by the reaction of the reactive alpha,beta-unsaturated diesters with GSH. (C) 2010 Elsevier Ltd. All rights reserved.”
“Background. Multidimensional preventive

home visit programs aim at maintaining health and autonomy of older adults and preventing disability and subsequent nursing home admission, but results selleck kinase inhibitor of randomized controlled trials (RCTs) have been inconsistent. Our objective was to systematically review RCTs examining the effect of home visit programs on mortality, nursing home admissions, and functional status decline.\n\nMethods. Data sources were MEDLINE, EMBASE, Cochrane CENTRAL database, and references. Studies were reviewed to identify RCTs that compared outcome data of older participants in https://www.selleckchem.com/products/ipi-145-ink1197.html preventive home visit programs with control group outcome data. Publications reporting 21 trials were included. Data on study population, intervention characteristics, outcomes, and trial quality were double-extracted. We conducted random effects meta-analyses.\n\nResults. Pooled effects estimates revealed statistically nonsignificant favorable,

and heterogeneous effects on mortality (odds ratio [OR] 0.92, 95% confidence interval [CI], 0.80-1.05), functional status decline (OR 0.89, 95% CI, 0.77-1.03), and nursing home admission (OR 0.86, 95% CI, 0.68-1.10). A beneficial effect on mortality was seen in younger study populations (OR 0.74, 95% CI, 0.58-0.94) but not in older populations (OR 1.14, 95% CI, 0.90-1.43). Functional decline was reduced in programs including a clinical examination in the initial assessment (OR 0.64, 95% CI, 0.48-0.87) but not in other trials (OR 1.00, 95% CI, 0.88-1.14). There was no single factor explaining the heterogenous effects of trials on nursing home admissions.\n\nConclusion. Multidimensional preventive home visits have the potential to reduce disability burden among older adults when based on multidimensional assessment with clinical examination.

Using novel recursive

Using novel recursive check details algorithms, online analytical processing of this method can be achieved.\n\nResults: Four publicly-accessible sets of clinical data (Long-Term AF, MIT-BIH AF, MIT-BIH

Arrhythmia, and MIT-BIH Normal Sinus Rhythm Databases) were selected for investigation. The first database is used as a training set; in accordance with the receiver operating characteristic (ROC) curve, the best performance using this method was achieved at the discrimination threshold of 0.353: the sensitivity (Se), specificity (Sp), positive predictive value (PPV) and overall accuracy (ACC) were 96.72%, 95.07%, 96.61% and 96.05%, respectively. The other three databases are used as testing sets. Using the obtained threshold value (i.e., 0.353), for the second set, the obtained parameters were 96.89%, 98.25%, 97.62% and 97.67%, respectively; for the third database, these parameters were 97.33%, 90.78%, 55.29% and 91.46%, respectively; finally, for the fourth set, the Sp was 98.28%. The existing methods

were also employed for comparison.\n\nConclusions: Overall, in contrast to the other available techniques, the test results indicate that the newly developed approach outperforms traditional methods using these databases under assessed various experimental situations, and suggest our technique could be of practical use for clinicians in the future.”
“Starting this website an insulin regimen with insulin lispro mix 25 versus glargine insulin for type LY3039478 Stem Cells & Wnt inhibitor 2 diabetes. Information on starting insulin regimens in specific populations with type 2 diabetes (T2D) is limited. This analysis compared

efficacy and safety of two starter insulin regimens: insulin lispro mix 25 (LM25) and basal insulin glargine (GL) in patients from Argentina. This post-hoc analysis evaluated 193 insulin-naive patients who participated in the DURABLE trial 24-week initiation phase. Patients 3079 years with T2D inadequately controlled (HbA(1c) > 7.0%) with >= 2 oral antihyperglycemic medications (OAMs), were randomized to add LM25 (25% insulin lispro, 75% insulin lispro protamine suspension) twice daily or GL (basal insulin glargine) once daily to pre-study OAMs. Primary efficacy was measured by HbA(1c) at 24-week endpoint. Secondary measures included: proportion of patients achieving HbA(1c) 6.5% and <= 7.0%, body weight change, self-monitored blood glucose (BG) values, and hypoglycemia rates. LM25 demonstrated greater HbA(1c) reduction (- 2.4% +/- 0.16 vs. -2.0% +/- 0.16, P = 0.002), a higher proportion of patients achieving HbA(1c) <= 7.0% (P = 0.012), and lower BG levels after the morning (P = 0.028) and evening (P = 0.011) meals, and at 3:00AM (P = 0.005) compared with GL. Fasting BG and proportion of patients achieving HbA(1c) <= 6.5% were similar between groups.

Qualitative assessment of myocardial ischemia by stress cardiovas

Qualitative assessment of myocardial ischemia by stress cardiovascular magnetic resonance imaging (CMR) has gained widespread selleck clinical acceptance and utility. Despite the high diagnostic and prognostic performance of qualitative stress CMR, the ability to quantitatively assess myocardial perfusion reserve and absolute myocardial blood flow remains an important and ambitious goal for non-invasive imagers. Quantitative perfusion by stress CMR remains a research technique that has yielded

progressively more encouraging results in more recent years. The ability to safely, rapidly, and precisely procure quantitative myocardial perfusion data would provide clinicians with a powerful tool that may substantially alter clinical practice and improve downstream patient outcomes and the cost effectiveness of healthcare delivery. This may also provide a surrogate endpoint for clinical trials, reducing study population sizes and costs through increased power. This review will cover emerging

quantitative CMR techniques for myocardial perfusion assessment by CMR, including novel methods, such as 3-dimensional quantitative myocardial Dinaciclib molecular weight perfusion, and some of the challenges that remain before more widespread clinical adoption of these techniques may take place. (C) 2015 Elsevier Inc. All rights reserved.”
“Fyn-related kinase (Frk) was first identified using human breast cancer cells. It shares 51% identity with c-Src. Like all members of the Src family, Frk

is thought to cause several cancers via dysregulations in signal transduction from cell-surface receptors. AZD2014 cell line The excess activity of Frk on beta-cells has a crucial role in type-I diabetes. A silent mutation at Ile229 conferred a bacterial expression system on the kinase domains of Frk, which allowed for the quick expression and purification of one unphosphorylated and two monophosphorylated kinase domains. The C-terminal catalytic segment of the human Frk kinase conjugating hexahistidine purification tag (His-tag) was expressed in Escherichia coli. After first-step purification utilizing the His-tag, an anion-exchange chromatogram yielded three major peaks that had distinguishable phosphorylation characteristics as judged by Western blot analysis and measurement of kinase activity. This result of active protein production should promote drug discovery studies, including highthrough-put screening and structure-based drug design.”
“Measuring the three-dimensional (3D) force-moment (F/M) systems applied for correcting tooth malposition is highly desirable for accurate spatial control of tooth movement and for reducing traumatic side effects such as irreversible root resorption. To date, suitable tools for monitoring the applied F/M system during therapy are lacking.

Conclusions Based on our findings we cannot conclude that the tri

Conclusions Based on our findings we cannot conclude that the triage system reduced length of

stay, but we can conclude that it does not increase the number of readmissions as some have feared.”
“To identify mixed acid-base disorders, clinicians must estimate the value of partial pressure of carbonic dioxide (pCO(2)), complying with the reduced plasma bicarbonate concentration (HCO3). What is the most appropriate equation relating the two quantities in chronic hemodialysis patients remains unknown. Chronic hemodialysis patients remains unknown, which motivates our study. Among a large database of blood gas analysis from chronic hemodialysis patients, we selected 291 blood samples showing HCO3 smaller than 24 mmol/L and, among these, we further selected a buy EVP4593 subset of samples claimed for pure metabolic acidosis. A linear approximation based upon the least-square criterion was adopted to derive the best-fit equation. The differences between Fer-1 cost this and other commonly used formulas were computed in terms of root mean square (RMS) errors. In chronic hemodialysis patients, the reduction in pCO(2) due to metabolic acidosis is better predicted

multiplying by 1.2 the reduction in HCO3, or by using the expression pCO(2) = HCO3 + 15; the two approaches lead to almost the same results. In contrast, the equation pCO(2) = 1.5 x HCO3 + 8, known as Winters’ formula, exhibits larger errors. The easy-to-use expression pCO(2) = HCO3 + 15 seems suitable for the daily clinical practice in hemodialysis patients. However, if HCO3 value is lower than 12 mmol/L, a threshold at which different formulas return almost the same value, also Winters’ formula, derived in the 60′s from patients with low values of HCO3, could be used.”
“Background: The Democratic Republic of the Congo (DRC) has the highest number of severe malaria cases in the world. In early 2012, the National Malaria Control Programme (NMCP) changed the policy for treating severe malaria in children and adults from injectable quinine to injectable artesunate. To inform the scaling up of injectable

artesunate nationwide, operational research is needed to identify constraints and challenges in the DRC’s specific setting. Methods: The implementation of injectable quinine treatment in 350 patients aged 2 months or older FG-4592 molecular weight in eight health facilities from October 2012 to January 2013 and injectable artesunate in 399 patients in the same facilities from April to June 2013 was compared. Since this was an implementation study, concurrent randomized controls were not possible. Four key components were evaluated during each phase: 1) clinical assessment, 2) time and motion, 3) feasibility and acceptability, and 4) financial cost. Results: The time to discharge was lower in the artesunate (median = 2, 90 % central range 1-9) compared to the quinine group (3 (1-9) days; p smaller than 0.001).

Results showed that the (GATA)(n) sequence is involved in the dif

Results showed that the (GATA)(n) sequence is involved in the differentiation of the W chromosome female-specific region of Parodontidae and that it is accumulated in diverse autosomes. The (TTAGGG)(n) repeat is part of the vertebrate telomere, and the presence of interstitial telomeric sites may help to identify chromosome re-arrangements. However, in Parodontidae, no interstitial telomeric sites were detected. This study shows plasticity

in the amount of the (GATA)(n) repeat in Parodontidae that may be involved in chromatin modifications and transcriptional control of the W chromosome, and the role of repetitive DNAs in genomic diversification in this fish family is discussed. (C) 2015 S. Karger AG, Basel”
“The ciliate parasite Ichthyophthirius multifiliis (Ich) infects many freshwater fish, causing white spot disease that leads to heavy economic Tariquidar in vitro losses to aquaculture and ornamental industries. Despite its economic importance,

molecular studies examining fundamental processes such as life stage regulation and infectivity have been scarce. In this study, we developed an oligo microarray platform using all available I. multi:Pis expressed sequence tag (EST) information as well as probes designed through comparative genomics to other protozoa. Gene expression profiling for developmental and virulence factors was conducted using this platform. For the developmental CCI-779 nmr study, the microarray was used to examine gene expression profiles between the three major life stages of Ich: infective theront, parasitic trophont, and reproductive tomont. A total of 135 putative I. multifiliis genes were found to be differentially expressed among all three life-stages.

Examples of differentially expressed transcripts among life stages include immobilization antigens and epiplasmin, as well as various other transcripts involved in developmental regulation and host-parasite interactions. I. multifiliis selleck compound has been shown to lose infectivity at later cell divisions potentially due to cellular senescence. Therefore, the microarray was also used to explore expression of senescence-associated genes as related to the passage number of the parasite. In this regard, comparison between tomont early and late passages yielded 493 differently expressed genes: 1478 differentially expressed genes were identified between trophont early and late passages. The EST-derived oligo microarray represents a first generation array of this ciliate and provided reproducible expression data as validated by quantitative RT-PCR. (C) 2011 Elsevier Inc. All rights reserved.”
“BACKGROUND AND PURPOSE The amphibian peptide Bv8 induces potent nociceptive sensitization in rodents. Its mammalian homologue, prokineticin 2 (PROK2), is strongly up-regulated in inflamed tissues and is a major determinant in triggering inflammatory pain.

Relative 5-year survival (1997-99) was 54 3% for all cancers

\n\nRelative 5-year survival (1997-99) was 54.3% for all cancers (males: 50.0%, females: 59.8%). Survival figures for all sites changed slightly over the 7-year period, from 53.2% for the first 4 years of the study (1993-96) to 54.3% for the last 3 years (1997-99), however, a major improvement was observed in several

Cilengitide price primary sites. Some overall survival was lower in Japan than in the USA, but similar to that in European countries. Specifically, survival for uterine cancer, prostate cancer, testis cancer, lymphoma and leukemia was much lower in Japan than in other countries. However, survival was better in Japan mainly for cancers of the esophagus, stomach, colon, liver and gallbladder.\n\nThe study suggests an improvement in cancer survival in several primary sites in Japan, which is consistent with the development of treatments and early detection.”
“Polarization

may be sensed by imaging modules. This is done in various engineering systems as well as in biological systems, specifically by insects and some marine species. However, polarization per pixel is usually not the direct variable of interest. Rather, polarization-related data serve as a cue for recovering task-specific scene information. How should polarization-picture post-processing (P-4) be done for the best scene understanding? Answering this question is not only helpful for advanced engineering (computer vision), but also to prompt hypotheses as to the processing occurring within AZD8186 mouse biological systems. In various important cases, the answer is found by a principled expression of scene recovery as an inverse problem. Such an expression relies directly on a physics-based model of effects in the scene. The model includes

analysis that depends on the different polarization components, thus facilitating the use of these components during the inversion, in a proper, even if non-trivial, manner. We describe several examples for this approach. These include automatic removal of path radiance in haze or underwater, overcoming partial semireflections and visual reverberations; three-dimensional recovery and distance-adaptive denoising. The resulting inversion algorithms rely Selleck ALK inhibitor on signal-processing methods, such as independent component analysis, deconvolution and optimization.”
“BACKGROUND: Beta tricalcium phosphate (B-TCP) is increasingly used to supplement lamina autograft to perform posterolateral lumbar-instrumented arthrodesis. PURPOSE: To determine the radiographic arthrodesis and pseudarthrosis rates after multisegment lumbar laminectomies and one- or two-segment posterolateral instrumented fusion using lamina autograft and an artificial bone graft expander B-TCP (Vitoss; Orthovita, Malvern, PA, USA).\n\nSTUDY DESIGN/SETTING: To document radiographic arthrodesis/pseudarthrosis rates using lamina autograft and B-TCP.

ObjectiveTo assess whether molecular allergy diagnostics for gras

ObjectiveTo assess whether molecular allergy diagnostics for grass pollen allergens could help with predicting

provocation test outcomes and serve as a basis for future component-resolved specific immunotherapy. MethodsSera of 101 adults with grass pollen allergy was analysed for IgE against timothy grass pollen (Phleum pratense), rPhl p 1, rPhl p 2, nPhl p 4, rPhl p 5b, rPhl p 6, rPhl p 7, rPhl p 11 and rPhl p12 and correlated with the individuals’ outcome in Sotrastaurin the nasal and conjunctival provocation tests and investigated in regard to a potential component-resolved specific immunotherapy. ResultsAn increasing number of sensitizations to timothy grass allergens was correlated to a positive reaction LY2090314 price in the conjunctival (4.9 vs. 3.6, P=0.003) and nasal provocation

tests (4.5 vs. 2.2, P=0.0175). In molecular sensitization profiles, a substantial heterogeneity was detected, with none of the patients exactly matching the allergen composition of a previously published component-resolved specific immunotherapy containing Phl p 1, Phl p 2, Phl p 5a/b and Phl p 6. The results indicate that in 95% of the patients, a proportion of 50% of timothy-IgE would be targeted with such a specific immunotherapy, while in 50% and 10% of patients, 80% and 90% of timothy-IgE would be targeted, respectively. Conclusion and Clinical RelevanceMolecular allergy diagnostics is a prerequisite for future component-resolved specific immunotherapy due to the high heterogeneity of sensitization profiles. However, of current clinical relevance is the observed correlation between the number of sensitizations IPI145 and provocation test outcome.”
“At present, only eight cases

of tracheal adenoid cystic carcinomas (ACCs) mimicking thyroid tumors have been reported. Since there are no guidelines available regarding their diagnosis and treatment, they present a significant clinical challenge. In the present study, patient treatment was analyzed to deliver the first concise summary of treatment options in patients with ACC mimicking a thyroid tumor. In addition, all available data regarding molecular abnormalities of this disease have been discussed. The current study presents a case of a 17-year-old patient with a tracheal ACC mimicking a thyroid tumor. The patient was diagnosed in 2007 with a pathological mass between the left lobe of the thyroid and the trachea, and underwent surgery and radiotherapy. In 2010, multiple lesions in the lungs were diagnosed and pulmonary metastasectomy was performed. Following surgery, the patient has been disease-free for almost 30 months. Thyroid tumor biopsy may reveal ACCs. This pathological report requires further investigation of the head and neck in order to confirm if the disease is of tracheal origin.

In addition, intraspecies specific sequence variations in Candida

In addition, intraspecies specific sequence variations in Candida albicans and Candida glabrata were detected. Pyrosequencing of 40 nucleotides in ITS2 is reliable for species identification of yeast. This methodology can contribute to the high quality management of patients with fungal infections.”
“Background The autoimmune thyroid disease (AITD) is an organ-specific autoimmune disease characterized by the breakdown of self-tolerance to thyroid antigens. Some lymphocytes have HDAC inhibitors cancer been identified to be related notably to the pathogenesis of AITD. This article evaluated the distribution of the lymphocytic subpopulation in thyroid

glands in order to develop the immunospecific forms of therapy for AITD. Methods Damaged thyroid specimens were obtained from 18 Graves’ disease (GD) and 17 Hashimoto’s thyroiditis (HT) patients. Normal thyroid specimens were obtained from unaffected glands of 17 patients who underwent parathyroidectomy. Selleck S3I-201 We evaluated the distribution of lymphocytic subpopulation by analyzing the expression difference and correlationship among CD4+ T lymphocyte, CD8+ T lymphocyte, CD20+ B lymphocyte as well as regulatory T cells(Tregs)’

marker FoxP3 in the thyroid tissues via immunohistochemistry. Results Our research uncovered that no distinct lymphocyte infiltrated in the normal thyroid specimens. Scarcely any lymphocyte infiltration could be found in half of the totally 18 GD thyroid specimens. For the rest 9 GD specimens, CD8+ T cells and CD20+ B cells were expressed more or less in all of them, FoxP3+ Tregs were detected in 7 of them https://www.selleckchem.com/products/S31-201.html and CD4+ T cells were weakly expressed in only 2 of them. For the 17 HT thyroid specimens, CD20+ B cells were stained strongly in all of them, CD4+, CD8+ T cells were expressed more or less in most of them

and FoxP3+ Tregs could be detected in 9 of them. Conclusion Based on CD20+ B cells predominantly infiltrating in all HT thyroid tissues we suggested CD20 antibody might be of help for HT treatment. Furthermore based on FoxP3+ Tregs abundantly infiltrating in some of the AITD thyroid specimens, we considered that activating the Tregs’ function in comparison to increasing the Tregs’ number only, may be a more effective approach to the treatment of AITD in some cases.”
“Background: Cataract surgery has been shown to improve quality of life and household economy in the short term. However, it is unclear whether these benefits are sustained over time. This study aims to assess the six year impact of cataract surgery on health related quality of life (HRQoL), daily activities and economic poverty in Bangladesh and The Philippines. Methods and Findings: This was a longitudinal study.

In addition to describing current and projected

prevalenc

In addition to describing current and projected

prevalence estimates of substance abuse among older adults, the present review discusses how aging affects brain systems involved in drug abuse, and explores the potential impact of drug abuse on the aging brain. Future directions for substance abuse research among older adults will also be considered.”
“Aim. The onset of posttransplant diabetes mellitus (PTDM) among kidney recipients is associated with an increased risk of graft failure and death. Minimizing the risk of PTDM is a priority for long-term improvement in survival rates. We sought to evaluate the prevalence of PTDM and impaired fasting glucose (IFG) among a population of kidney transplant recipients to identify the risk factors FDA-approved Drug Library nmr and to evaluate graft and patient survivals.\n\nMethods. We analyzed 250 consecutive Caucasian patients who received kidney allografts in our center between May 2000 and December 2005, with a median follow-up of 32 months (range, 1.-78 months).\n\nResults. We observed altered glucose metabolism in 17% of patients; specifically, the prevalences of PTDM and IFG were 12.2% and 4.8%, respectively. Patients who 2 developed PTDM or IFG were overweight (BMI, 26.4 +/- 3.4

and 28.1. +/- 3.4 kg/m(2) respectively), whereas the normal glucose learn more (NG) group’s BMI was 23.8 +/- 3.5 kg/m(2) (P = .002 and P = .004, respectively). Prevalence of acute rejection was higher in the PTDM and IFG patients compared with the NG patients (60.7%, 63.6%, and 32.1%, respectively; C59 Wnt chemical structure P = .006; P < .04), while no difference was observed in terms of graft and patient overall survival.\n\nConclusion. In our series of patients, we showed that being overweight represents a major risk factor for the development of PTDM, which results in an increased acute rejection

rate. These results confirmed the importance of appropriate weight control among patients undergoing kidney transplantation, which should also be strictly monitored for all risk factors associated with the development of impaired glucose metabolism.”
“Standard first-line therapy for older patients with high-risk myelodysplastic syndrome (MDS) includes hypomethylating agents, such as azacitidine (AZA). However, the only approach with curative potential remains allogeneic hematopoietic cell transplantation (HCT). To date, no direct comparison of both strategies has been reported. The outcomes of 2 well-balanced cohorts of patients with high-risk MDS defined by age (60-70 years), performance status (Eastern Cooperative Oncology Group score <= 2), and donor availability (yes/no) were compared, including 103 patients undergoing HCT and 75 patients without this option who received AZA.