Non-transferrin-bound iron during allogeneic stem cell transplantation

被引:120
作者
Sahlstedt, L
Ebeling, F
von Bonsdorff, L
Parkkinen, J
Ruutu, T
机构
[1] Univ Helsinki, Cent Hosp, Dept Med, FIN-00029 Helsinki, Finland
[2] Finnish Red Cross, Blood Transfus Serv, Helsinki, Finland
关键词
NTBI; iron; transferrin saturation; stem cell transplantation; bleomycin-detectable iron;
D O I
10.1046/j.1365-2141.2001.02820.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hydroxyl radical formation catalysed by non-transferrin-bound iron (NTBI) might contribute to transplantation-related complications. The occurrence of NTBI in 10 adult allogeneic stem cell transplantation (SCT) patients was followed for 20 d. The transferrin saturation reached 99% on d -4 and remained >80% thereafter. NTBI, measured as bleomycin-detectable iron, was detected for 6-18 d in all patients with a peak on d -4. High transferrin saturation levels were associated with the appearance of NTBI with a threshold at 80% saturation. Prevention of the potential deleterious effects of NTBI might reduce transplantation-related morbidity.
引用
收藏
页码:836 / 838
页数:3
相关论文
共 10 条
[1]   Non-transferrin-bound iron induced by myeloablative chemotherapy [J].
Bradley, SJ ;
Gosriwitana, I ;
Srichairatanakool, S ;
Hider, RC ;
Porter, JB .
BRITISH JOURNAL OF HAEMATOLOGY, 1997, 99 (02) :337-343
[2]  
BULLEN JJ, 1981, REV INFECT DIS, V3, P1127
[3]   PRESENCE OF IRON CATALYTIC FOR FREE-RADICAL REACTIONS IN PATIENTS UNDERGOING CHEMOTHERAPY - IMPLICATIONS FOR THERAPEUTIC MANAGEMENT [J].
CARMINE, TC ;
EVANS, P ;
BRUCHELT, G ;
EVANS, R ;
HANDGRETINGER, R ;
NIETHAMMER, D ;
HALLIWELL, B .
CANCER LETTERS, 1995, 94 (02) :219-226
[4]   Nontransferrin-bound iron in serum of patients receiving bone marrow transplants [J].
Durken, M ;
Nielsen, P ;
Knobel, S ;
Finckh, B ;
Herrnring, C ;
Dresow, B ;
Kohlschutter, B ;
Stockschlader, M ;
Kruger, WH ;
Kohlschutter, A ;
Zander, AR .
FREE RADICAL BIOLOGY AND MEDICINE, 1997, 22 (07) :1159-1163
[5]  
EVANS PJ, 1994, METHOD ENZYMOL, V233, P82
[6]   SEQUENTIAL-CHANGES IN SERUM IRON AND FERRITIN IN PATIENTS UNDERGOING HIGH-DOSE CHEMOTHERAPY AND RADIATION WITH AUTOLOGOUS BONE-MARROW TRANSPLANTATION - POSSIBLE IMPLICATIONS FOR TREATMENT RELATED TOXICITY [J].
GORDON, LI ;
BROWN, SG ;
TALLMAN, MS ;
RADEMAKER, AW ;
WEITZMAN, SA ;
LAZARUS, HM ;
KELLEY, CH ;
MANGAN, C ;
RUBIN, H ;
FOX, RM ;
CREGER, RJ ;
WINTER, JN .
FREE RADICAL BIOLOGY AND MEDICINE, 1995, 18 (03) :383-389
[7]   Quantification of non-transferrin-bound iron in the presence of unsaturated transferrin [J].
Gosriwatana, I ;
Loreal, O ;
Lu, S ;
Brissot, P ;
Porter, J ;
Hider, RC .
ANALYTICAL BIOCHEMISTRY, 1999, 273 (02) :212-220
[8]  
McCord JM, 1998, SEMIN HEMATOL, V35, P5
[9]   INTESTINAL AND HEPATIC COMPLICATIONS OF HUMAN-BONE MARROW TRANSPLANTATION .1. [J].
MCDONALD, GB ;
SHULMAN, HM ;
SULLIVAN, KM ;
SPENCER, GD .
GASTROENTEROLOGY, 1986, 90 (02) :460-477
[10]  
Ruutu T, 2000, BLOOD, V96, P2391