Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology

Endothelial dysfunction (ED) is frequently encountered in transplant medicine. ED is an argument of high complexity, and its understanding requires a wide spectrum of knowledge based on many fields of basic sciences such as molecular biology, immunology, and pathology. After hematopoietic stem cell...

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Main Authors: Giuseppe Milone, Claudia Bellofiore, Salvatore Leotta, Giulio Antonio Milone, Alessandra Cupri, Andrea Duminuco, Bruno Garibaldi, Giuseppe Palumbo
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/3/623
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author Giuseppe Milone
Claudia Bellofiore
Salvatore Leotta
Giulio Antonio Milone
Alessandra Cupri
Andrea Duminuco
Bruno Garibaldi
Giuseppe Palumbo
author_facet Giuseppe Milone
Claudia Bellofiore
Salvatore Leotta
Giulio Antonio Milone
Alessandra Cupri
Andrea Duminuco
Bruno Garibaldi
Giuseppe Palumbo
author_sort Giuseppe Milone
collection DOAJ
description Endothelial dysfunction (ED) is frequently encountered in transplant medicine. ED is an argument of high complexity, and its understanding requires a wide spectrum of knowledge based on many fields of basic sciences such as molecular biology, immunology, and pathology. After hematopoietic stem cell transplantation (HSCT), ED participates in the pathogenesis of various complications such as sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD), graft-versus-host disease (GVHD), transplant-associated thrombotic microangiopathy (TA-TMA), idiopathic pneumonia syndrome (IPS), capillary leak syndrome (CLS), and engraftment syndrome (ES). In the first part of the present manuscript, we briefly review some biological aspects of factors involved in ED: adhesion molecules, cytokines, Toll-like receptors, complement, angiopoietin-1, angiopoietin-2, thrombomodulin, high-mobility group B-1 protein, nitric oxide, glycocalyx, coagulation cascade. In the second part, we review the abnormalities of these factors found in the ED complications associated with HSCT. In the third part, a review of agents used in the treatment of ED after HSCT is presented.
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spelling doaj.art-127ea3127eba40bd9ad5bf48c711dd722023-11-23T16:51:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111362310.3390/jcm11030623Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on PhysiopathologyGiuseppe Milone0Claudia Bellofiore1Salvatore Leotta2Giulio Antonio Milone3Alessandra Cupri4Andrea Duminuco5Bruno Garibaldi6Giuseppe Palumbo7Divisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyDivisione di Ematologia e Unita’ di Trapianto di Midollo, Azienda Ospedaliera Universitaria Policlinico-San Marco, 95124 Catania, ItalyEndothelial dysfunction (ED) is frequently encountered in transplant medicine. ED is an argument of high complexity, and its understanding requires a wide spectrum of knowledge based on many fields of basic sciences such as molecular biology, immunology, and pathology. After hematopoietic stem cell transplantation (HSCT), ED participates in the pathogenesis of various complications such as sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD), graft-versus-host disease (GVHD), transplant-associated thrombotic microangiopathy (TA-TMA), idiopathic pneumonia syndrome (IPS), capillary leak syndrome (CLS), and engraftment syndrome (ES). In the first part of the present manuscript, we briefly review some biological aspects of factors involved in ED: adhesion molecules, cytokines, Toll-like receptors, complement, angiopoietin-1, angiopoietin-2, thrombomodulin, high-mobility group B-1 protein, nitric oxide, glycocalyx, coagulation cascade. In the second part, we review the abnormalities of these factors found in the ED complications associated with HSCT. In the third part, a review of agents used in the treatment of ED after HSCT is presented.https://www.mdpi.com/2077-0383/11/3/623endothelial dysfunctiontransplant-associated thrombotic microangiopathyliver sinusoidal obstructive syndrome/veno-occlusive diseasecapillary leak syndromeidiopathic pneumonia syndromeengraftment syndrome
spellingShingle Giuseppe Milone
Claudia Bellofiore
Salvatore Leotta
Giulio Antonio Milone
Alessandra Cupri
Andrea Duminuco
Bruno Garibaldi
Giuseppe Palumbo
Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
Journal of Clinical Medicine
endothelial dysfunction
transplant-associated thrombotic microangiopathy
liver sinusoidal obstructive syndrome/veno-occlusive disease
capillary leak syndrome
idiopathic pneumonia syndrome
engraftment syndrome
title Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
title_full Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
title_fullStr Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
title_full_unstemmed Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
title_short Endothelial Dysfunction after Hematopoietic Stem Cell Transplantation: A Review Based on Physiopathology
title_sort endothelial dysfunction after hematopoietic stem cell transplantation a review based on physiopathology
topic endothelial dysfunction
transplant-associated thrombotic microangiopathy
liver sinusoidal obstructive syndrome/veno-occlusive disease
capillary leak syndrome
idiopathic pneumonia syndrome
engraftment syndrome
url https://www.mdpi.com/2077-0383/11/3/623
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