一位健康的外周血干细胞捐赠者的急性肺损伤,其次是粒细胞殖民地刺激因子的管理:一个病例报告
Nihar Desai1,2, Tommy Alfaro Moya1,2, Michele Heffering-Cardwell1
1Hans Messner Allogeneic Blood and Marrow Transplant Program Division of Medical Oncology and Hematology Princess Margaret Hospital Toronto Canada.
EJHaem
|July 11, 2025
概括
颗粒细胞殖民地刺激因子 (G-CSF) 在健康的干细胞供体中可能导致罕见但严重的肺损伤. 对这种风险的认识至关重要,特别是对于肥胖或吸烟等因素的捐赠者来说.
科学领域:
- 血液学 血液学 血液学
- 肺部病理学 肺部病理学
- 移植医学 移植医学
背景情况:
- 颗粒细胞殖民地刺激因子 (G-CSF) 是外围血液干细胞 (PBSC) 在全源造血干细胞移植中的调动的标准.
- 在健康的捐赠者中,G-CSF通常会引起轻微的,短暂的不良影响.
- 在这种人群中,G-CSF给药后的肺部并发症非常罕见.
研究的目的:
- 在G-CSF给药后,报告一个健康捐赠者的罕见急性肺损伤病例.
- 为了强调严重的G-CSF诱导的肺毒性的潜力.
- 在PBSC动员中提高对罕见G-CSF不良事件的认识.
主要方法:
- 一个健康的捐赠者经历了G-CSF后对PBSC动员产生不良影响的案例报告.
- 临床观察和治疗急性肺损伤.
- 对与G-CSF相关的肺毒性进行审查.
主要成果:
- 一位健康的捐赠者在G-CSF给药后出现了急性肺损伤.
- 患者需要住院和接受皮质类固醇治疗.
- 这一事件强调了严重的G-CSF肺毒性的可能性.
结论:
- G-CSF可能导致罕见但严重的肺部并发症.
- 诸如肥胖和吸烟之类的诱导因素可能会增加风险.
- 提高对G-CSF潜在不良影响的认识对于供体安全至关重要.
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