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Updated: Aug 8, 2026

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation
Published on: July 10, 2012
[Pulmonary complications occurring after allogeneic bone marrow transplantation]
1Institute of Hematology, People's Hospital, Beijing Medical University, Beijing 100044.
Objective:
To explore the risk factors for and pathogenesis of pulmonary complications (PC) occurred after allogeneic bone marrow transplantation (allo-BMT).
Methods:
The PC in 185 patients undergone allo-BMT were analyzed.
Results:
Ninety-three PC episodes were observed in 89 patients and most of them were due to infections, including bacterial pneumonia (n = 27), interstitial pneumonia (n = 7), pulmonary fungus disease (n = 16), tuberculosis (n = 4), obstructive lung disease (n = 2), pulmonary edema (n = 2), lung abscess (n = 1) and 34 episodes caused by two or more pathogens. The overall mortality for PC was 12.43% (23/185).
Conclusion:
The risk factors for PC occurred after allo-BMT were not related to age and sex of recipients, bone marrow status before BMT, conditioning regimen and pulmonary function. Graft-versus-host-disease significantly increased the morbidity and mortality of PC after allo-BMT.
Insights
Pulmonary complications (PC) after allogeneic bone marrow transplantation (allo-BMT) are primarily caused by infections. Graft-versus-host disease significantly increases PC risk and mortality in allo-BMT patients.
Area of Science:
- Hematology
- Transplant Immunology
- Pulmonology
Context:
- Allogeneic bone marrow transplantation (allo-BMT) is a life-saving procedure for various hematologic malignancies and other diseases.
- Pulmonary complications (PC) represent a significant cause of morbidity and mortality following allo-BMT.
- Understanding the risk factors and pathogenesis of PC is crucial for improving patient outcomes.
Purpose:
- To investigate the risk factors associated with the development of pulmonary complications (PC) after allogeneic bone marrow transplantation (allo-BMT).
- To elucidate the pathogenesis of PC in patients undergoing allo-BMT.
- To analyze the incidence, causes, and mortality rates of PC in a cohort of allo-BMT recipients.
Summary:
- A study analyzed 185 patients undergoing allo-BMT, observing 93 PC episodes in 89 patients.
- Infections were the leading cause of PC, including bacterial pneumonia, interstitial pneumonia, fungal infections, and tuberculosis.
- The overall mortality rate for PC was 12.43%, with graft-versus-host disease identified as a significant risk factor for increased morbidity and mortality.
Impact:
- Identifies graft-versus-host disease as a critical factor exacerbating pulmonary complications post-allo-BMT.
- Highlights the predominant role of infections in the etiology of PC after allo-BMT.
- Provides data to inform clinical strategies for preventing and managing pulmonary complications in allo-BMT recipients.
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