Endocrinopathies after Allogeneic and Autologous Transplantation of Hematopoietic Stem Cells

Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem cell transplant (HSCT). This review summarizes main endocrine disorders reported in literature and observed in our center as consequence of aut...

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Published inTheScientificWorld Vol. 2014; no. 2014; pp. 1 - 13
Main Authors Selleri, Carmine, Tauchmanovà, Libuse, Ferrara, Idalucia, Giudice, Valentina, Sessa, Mariarosaria, Serio, Bianca, Palomba, S., Muscogiuri, Giovanna, Orio, Francesco, Colao, Annamaria
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2014
John Wiley & Sons, Inc
Wiley
Subjects
Age
Amenorrhea
Blood diseases
Chemotherapy
Drug dosages
Endocrine system
Endocrine System Diseases - etiology
Female
Graft versus host disease
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Humans
Hypothalamic Diseases - etiology
Immune system
Infertility - etiology
Irradiation
Leukemia
Lymphoma
Male
Ovaries
Quality of life
Radiation
Review
Risk Factors
Sex Factors
Stem cell transplantation
Stem cells
Thyroid
Thyroid Diseases - etiology
Transplantation
Transplantation, Autologous - adverse effects
Transplantation, Homologous - adverse effects
Womens health
Italy
Online AccessGet full text
ISSN2356-6140
1537-744X
1537-744X
DOI10.1155/2014/282147

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Abstract Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem cell transplant (HSCT). This review summarizes main endocrine disorders reported in literature and observed in our center as consequence of auto- and allo-HSCT and outlines current options for their management. Gonadal impairment has been found early in approximately two-thirds of auto- and allo-HSCT patients: 90–99% of women and 60–90% of men. Dysfunctions of the hypothalamus-pituitary-growth hormone/insulin growth factor-I axis, hypothalamus-pituitary-thyroid axis, and hypothalamus-pituitary-adrenal axis were documented as later complicances, occurring in about 10, 30, and 40–50% of transplanted patients, respectively. Moreover, overt or subclinical thyroid complications (including persistent low-T3 syndrome, chronic thyroiditis, subclinical hypo- or hyperthyroidism, and thyroid carcinoma), gonadal failure, and adrenal insufficiency may persist many years after HSCT. Our analysis further provides evidence that main recognized risk factors for endocrine complications after HSCT are the underlying disease, previous pretransplant therapies, the age at HSCT, gender, total body irradiation, posttransplant derangement of immune system, and in the allogeneic setting, the presence of graft-versus-host disease requiring prolonged steroid treatment. Early identification of endocrine complications can greatly improve the quality of life of long-term survivors after HSCT.
AbstractList Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem cell transplant (HSCT). This review summarizes main endocrine disorders reported in literature and observed in our center as consequence of auto- and allo-HSCT and outlines current options for their management. Gonadal impairment has been found early in approximately two-thirds of auto- and allo-HSCT patients: 90-99% of women and 60-90% of men. Dysfunctions of the hypothalamus-pituitary-growth hormone/insulin growth factor-I axis, hypothalamus-pituitary-thyroid axis, and hypothalamus-pituitary-adrenal axis were documented as later complicances, occurring in about 10, 30, and 40-50% of transplanted patients, respectively. Moreover, overt or subclinical thyroid complications (including persistent low-T3 syndrome, chronic thyroiditis, subclinical hypo- or hyperthyroidism, and thyroid carcinoma), gonadal failure, and adrenal insufficiency may persist many years after HSCT. Our analysis further provides evidence that main recognized risk factors for endocrine complications after HSCT are the underlying disease, previous pretransplant therapies, the age at HSCT, gender, total body irradiation, posttransplant derangement of immune system, and in the allogeneic setting, the presence of graft-versus-host disease requiring prolonged steroid treatment. Early identification of endocrine complications can greatly improve the quality of life of long-term survivors after HSCT.
Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem cell transplant (HSCT). This review summarizes main endocrine disorders reported in literature and observed in our center as consequence of auto- and allo-HSCT and outlines current options for their management. Gonadal impairment has been found early in approximately two-thirds of auto- and allo-HSCT patients: 90-99% of women and 60-90% of men. Dysfunctions of the hypothalamus-pituitary-growth hormone/insulin growth factor-I axis, hypothalamus-pituitary-thyroid axis, and hypothalamus-pituitary-adrenal axis were documented as later complicances, occurring in about 10, 30, and 40-50% of transplanted patients, respectively. Moreover, overt or subclinical thyroid complications (including persistent low-T3 syndrome, chronic thyroiditis, subclinical hypo- or hyperthyroidism, and thyroid carcinoma), gonadal failure, and adrenal insufficiency may persist many years after HSCT. Our analysis further provides evidence that main recognized risk factors for endocrine complications after HSCT are the underlying disease, previous pretransplant therapies, the age at HSCT, gender, total body irradiation, posttransplant derangement of immune system, and in the allogeneic setting, the presence of graft-versus-host disease requiring prolonged steroid treatment. Early identification of endocrine complications can greatly improve the quality of life of long-term survivors after HSCT.Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem cell transplant (HSCT). This review summarizes main endocrine disorders reported in literature and observed in our center as consequence of auto- and allo-HSCT and outlines current options for their management. Gonadal impairment has been found early in approximately two-thirds of auto- and allo-HSCT patients: 90-99% of women and 60-90% of men. Dysfunctions of the hypothalamus-pituitary-growth hormone/insulin growth factor-I axis, hypothalamus-pituitary-thyroid axis, and hypothalamus-pituitary-adrenal axis were documented as later complicances, occurring in about 10, 30, and 40-50% of transplanted patients, respectively. Moreover, overt or subclinical thyroid complications (including persistent low-T3 syndrome, chronic thyroiditis, subclinical hypo- or hyperthyroidism, and thyroid carcinoma), gonadal failure, and adrenal insufficiency may persist many years after HSCT. Our analysis further provides evidence that main recognized risk factors for endocrine complications after HSCT are the underlying disease, previous pretransplant therapies, the age at HSCT, gender, total body irradiation, posttransplant derangement of immune system, and in the allogeneic setting, the presence of graft-versus-host disease requiring prolonged steroid treatment. Early identification of endocrine complications can greatly improve the quality of life of long-term survivors after HSCT.
Audience Academic
Author Giudice, Valentina
Selleri, Carmine
Ferrara, Idalucia
Muscogiuri, Giovanna
Serio, Bianca
Sessa, Mariarosaria
Colao, Annamaria
Orio, Francesco
Palomba, S.
Tauchmanovà, Libuse
AuthorAffiliation 3 Department of Clinical Medicine and Surgery, University Federico II Naples, 80131 Naples, Italy
2 Sterile Techniques SSD, AOU “S. Giovanni di Dio e Ruggi d'Aragona” Salerno, Salerno, Italy
1 Department of Sports Science and Wellness, University “Parthenope” Naples, 80133 Naples, Italy
5 Hematology and Hematopoietic Stem Cell Transplant Center, Department of Medicine and Surgery, University of Salerno, 84131 Salerno, Italy
4 Unit of Obstetrics and Gynaecology, “Arcispedale Santa Maria Nuova”, IRCCS, 42123 Reggio Emilia, Italy
AuthorAffiliation_xml – name: 4 Unit of Obstetrics and Gynaecology, “Arcispedale Santa Maria Nuova”, IRCCS, 42123 Reggio Emilia, Italy
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– name: 2 Sterile Techniques SSD, AOU “S. Giovanni di Dio e Ruggi d'Aragona” Salerno, Salerno, Italy
– name: 1 Department of Sports Science and Wellness, University “Parthenope” Naples, 80133 Naples, Italy
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/24883377$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2014 Francesco Orio et al.
COPYRIGHT 2014 John Wiley & Sons, Inc.
Copyright © 2014 Francesco Orio et al. Francesco Orio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © 2014 Francesco Orio et al. 2014
Copyright_xml – notice: Copyright © 2014 Francesco Orio et al.
– notice: COPYRIGHT 2014 John Wiley & Sons, Inc.
– notice: Copyright © 2014 Francesco Orio et al. Francesco Orio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
– notice: Copyright © 2014 Francesco Orio et al. 2014
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Issue 2014
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Snippet Early and late endocrine disorders are among the most common complications in survivors after hematopoietic allogeneic- (allo-) and autologous- (auto-) stem...
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StartPage 1
SubjectTerms Age
Amenorrhea
Blood diseases
Chemotherapy
Drug dosages
Endocrine system
Endocrine System Diseases - etiology
Female
Graft versus host disease
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Humans
Hypothalamic Diseases - etiology
Immune system
Infertility - etiology
Irradiation
Leukemia
Lymphoma
Male
Ovaries
Quality of life
Radiation
Review
Risk Factors
Sex Factors
Stem cell transplantation
Stem cells
Thyroid
Thyroid Diseases - etiology
Transplantation
Transplantation, Autologous - adverse effects
Transplantation, Homologous - adverse effects
Womens health
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Title Endocrinopathies after Allogeneic and Autologous Transplantation of Hematopoietic Stem Cells
URI https://search.emarefa.net/detail/BIM-1049060
https://dx.doi.org/10.1155/2014/282147
https://www.ncbi.nlm.nih.gov/pubmed/24883377
https://www.proquest.com/docview/1547777851
https://www.proquest.com/docview/1543680618
https://www.proquest.com/docview/1611641370
https://pubmed.ncbi.nlm.nih.gov/PMC4032698
https://doaj.org/article/328e9c778dbd49598497e471e7f64787
Volume 2014
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