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Status: Bibliographieeintrag

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Verfasst von:Jiang, Sihe [VerfasserIn]   i
 Penack, Olaf [VerfasserIn]   i
 Terzer, Tobias [VerfasserIn]   i
 Schult, David [VerfasserIn]   i
 Majer-Lauterbach, Joshua [VerfasserIn]   i
 Radujković, Aleksandar [VerfasserIn]   i
 Blau, Igor W. [VerfasserIn]   i
 Bullinger, Lars [VerfasserIn]   i
 Müller-Tidow, Carsten [VerfasserIn]   i
 Dreger, Peter [VerfasserIn]   i
 Luft, Thomas [VerfasserIn]   i
Titel:Predicting sinusoidal obstruction syndrome after allogeneic stem cell transplantation with the EASIX biomarker panel
Verf.angabe:Sihe Jiang, Olaf Penack, Tobias Terzer, David Schult, Joshua Majer-Lauterbach, Aleksandar Radujkovic, Igor W. Blau, Lars Bullinger, Carsten Müller-Tidow, Peter Dreger and Thomas Luft
Jahr:2021
Jahr des Originals:2020
Umfang:8 S.
Fussnoten:Pre-published: January 23, 2020 ; Gesehen am 08.04.2021
Titel Quelle:Enthalten in: Haematologica
Ort Quelle:Pavia : Ferrata Storti Foundation, 2014
Jahr Quelle:2021
Band/Heft Quelle:106(2021), 2, Seite 446-453
ISSN Quelle:1592-8721
Abstract:No biomarker panel is established for prediction of sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD), a major complication of allogeneic stem cell transplantation (alloSCT). We compared the potential of the Endothelial Activation and Stress Index (EASIX), based on lactate dehydrogenase, creatinine, and thrombocytes, with that of the SOS/VOD CIBMTR clinical risk score to predict SOS/VOD in two independent cohorts. In a third cohort, we studied the impact of endothelium-active prophylaxis with pravastatin and ursodeoxycholic acid (UDA) on SOS/VOD risk. The cumulative incidence of SOS/VOD within 28 days after alloSCT in the training cohort (Berlin, 2013-2015, n=446) and in the validation cohort (Heidelberg, 2002-2009, n=380) was 9.6% and 8.4%, respectively. In both cohorts, EASIX assessed at the day of alloSCT (EASIX-d0) was significantly associated with SOS/VOD incidence (p<0.0001), overall survival (OS) and non-relapse mortality (NRM). In contrast, the CIBMTR score showed no statistically significant association with SOS/VOD incidence, and did not predict OS and NRM. In patients receiving pravastatin/UDA, the cumulative incidence of SOS/VOD was significantly lower at 1.7% (p<0.0001, Heidelberg, 2010-2015, n=359) than in the two cohorts not receiving pravastatin/UDA. The protective effect was most pronounced in patients with high EASIX-d0. The cumulative SOS/VOD incidence in the highest EASIX-d0 quartiles were 18.1% and 16.8% in both cohorts without endothelial prophylaxis as compared to 2.2% in patients with pravastatin/UDA prophylaxis (p<0.0001). EASIX-d0 is the first validated biomarker for defining a subpopulation of alloSCT recipients at high risk for SOS/VOD. Statin/UDA endothelial prophylaxis could constitute a prophylactic measure for patients at increased SOS/VOD risk.
DOI:doi:10.3324/haematol.2019.238790
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.3324/haematol.2019.238790
 Volltext: https://haematologica.org/article/view/9631
 DOI: https://doi.org/10.3324/haematol.2019.238790
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1753251826
Verknüpfungen:→ Zeitschrift

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