异基因造血干细胞移植后血脂异常的发生机制及防治要点

The pathogenesis and prevention of dyslipidemia after allogeneic hematopoietic stem cell transplantation

  • 摘要: 异基因造血干细胞移植(allo-HSCT)是治疗多种血液系统及免疫系统疾病的有效手段,但术后存在感染、移植物抗宿主病等并发症。血脂异常是allo-HSCT后常见的并发症之一,与移植物抗宿主病、免疫抑制药应用、心血管疾病、代谢综合征等存在密切联系,allo-HSCT后造血重建与脂质代谢也有相关性。因此,本文就allo-HSCT后脂质代谢情况、allo-HSCT后影响血脂异常的机制与相关因素、血脂异常对allo-HSCT后并发症的影响、allo-HSCT后血脂异常的预防及治疗等方面进行综述,旨在探寻allo-HSCT后血脂异常的影响和意义,为allo-HSCT后血脂异常的防治提供参考。

     

    Abstract: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an effective treatment for a variety of hematopoietic and immune system diseases, but it is associated with postoperative complications such as infection and graft-versus-host disease. Dyslipidemia is one of the common complications after allo-HSCT, which is closely related to graft-versus-host disease, the use of immunosuppressants, cardiovascular diseases and metabolic syndrome, etc. Hematopoiesis reconstruction after allo-HSCT is also related to lipid metabolism. Therefore, this article reviews the lipid metabolism after allo-HSCT, the mechanisms and related factors affecting dyslipidemia after allo-HSCT, the impact of dyslipidemia on post-transplant complications, and the prevention and treatment of dyslipidemia after allo-HSCT, aiming to explore the impact and significance of dyslipidemia after allo-HSCT, and to provide references for the prevention and treatment of dyslipidemia after allo-HSCT.

     

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