Scientific corner

Safety and efficacy of single-needle leukocyte apheresis for treatment of ulcerative colitis

Yoichiro Shindo 1Keiichi Mitsuyama 2Hiroshi Yamasaki 1 2 3Tetsuro Imai 4Shinichiro Yoshioka 1 2Kotaro Kuwaki 1 2Ryosuke Yamauchi 1 2Tetsuhiro Yoshimura 1 2Toshihiro Araki 1 2Masaru Morita 1 2Kozo Tsuruta 1 2Sayo Yamasaki 1Kei Fukami 5Takuji Torimura, Ther Apher Dial 2020 Oct;24(5):503-510.

Single-needle (SN) apheresis may be safe and effective and may reduce patient burden during UC treatment. Nevertheless, further comparative studies are needed.

https://pubmed.ncbi.nlm.nih.gov/32526089/

Scientific corner

Factors associated with the outcomes in ulcerative colitis patients undergoing granulocyte and monocyte adsorptive apheresis as remission induction therapy: A multicenter cohort study

Yoh Ishiguro 1Toshihide Ohmori 2Ken Umemura 3Masahiro Iizuka 4 ,Ther Apher Dial 2020 Oct 7.

GMA was an effective treatment for corticosteroid-naïve patients and the efficacy sustained longer in those not receiving immunomodulators during GMA. GMA fulfills the notion that apheresis is to induce disease remission by removing from the body factors known to perpetuate disease. In therapeutic settings, these findings should help better decision making and avoid futile use of medical resources.

https://pubmed.ncbi.nlm.nih.gov/33029920/

Scientific corner

Adsorptive Granulocyte and Monocyte Apheresis Is Effective in Ulcerative Colitis Patients Both with and without Concomitant Prednisolone

Keiji Matsuda 1 2Kohei Ohno 1Yuka Okada 1Takahiro Yagi 1Mitsuo Tsukamoto 1Yoshihisa Fukushima 1Atsushi Horiuchi 1Ryu Shimada 1 2Tsuyoshi Ozawa 1 2Tamuro Hayama 1 2Takeshi Tsuchiya 1 2Junko Tamura 1Hisae Iinuma 1Keijiro Nozawa 1 2Hitoshi Aoyagi 2 3Akari Isono 2 3Koichiro Abe 2 3Shinya Kodashima 2 3Takatsugu Yamamoto 2 3Yoshitaka Kawasaki 4Yoshifuru Tamura 4Yuko Sasajima 5Fukuo Kondo 5Yojiro Hashiguchi 1 2 , Inflamm Intest Dis, 2020 Feb;5(1):36-41.

The effect of GMA with concomitant PSL (Prednisolone) and that of GMA without PSL were not different, and GMA was effective irrespective of PSL administration. The present study showed that GMA had efficacy and led many UC patients treated by PSL to be steroid free with no safety concern in the real world, although there is the possibility of recruitment bias due to the retrospective nature of the study.

https://pubmed.ncbi.nlm.nih.gov/32232053/

https://www.karger.com/Article/Pdf/505484

Scientific corner

Granulocyte apheresis for pouchitis with arthritis and pyoderma gangrenosum after restorative proctocolectomy for ulcerative colitis: a case report

Ritsuko Yanaru-FujisawaTakayuki MatsumotoShotaro NakamuraShuji KochiMitsuo IidaFutoshi KohdaMinako HirahashiTakashi YaoRyuichi Case Reports Inflamm Bowel Dis. 2005 Aug;11(8):780 DOI: 10.1097/01.mib.0000172558.39767.b7

Our case and the case of Kanekura et al8 suggest that circulating leukocytes may play an important role in the pathogenesis of PG and that GCAP in combination with corticosteroids may be a promising strategy for intractable PG. Furthermore, as has been the case for active UC, GCAP may be a choice for severe pouchitis. An accumulation of data with respect to the effect of GCAP on pouchitis seems to be warranted.

https://pubmed.ncbi.nlm.nih.gov/16043996/

https://academic.oup.com/ibdjournal/article/11/8/780/4685895

Contact UsFor more information

Contact Us