遗传 ›› 2015, Vol. 37 ›› Issue (9): 865-872.doi: 10.16288/j.yczz.15-195

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针对骨髓移植病患中铁过载的去铁治疗研究进展

李士伟1, 李想2, 关锋1   

  1. 1. 江南大学生物工程学院,无锡 214122;
    2. 江南大学无锡医学院,无锡 214122
  • 收稿日期:2015-05-06 修回日期:2015-07-22 出版日期:2015-09-20 发布日期:2015-09-20
  • 通讯作者: 李想,博士,副教授,研究方向:骨髓微环境对造血干细胞的发育以及分化的影响。E-mail: xiangli@jiangnan.edu.cn
    关锋,博士,教授,研究方向:糖生物学研究。E-mail: fengguan@jiangnan.edu.cn
  • 作者简介:李士伟,博士生,专业方向:生物制药。E-mail: 289920680@qq.con
  • 基金资助:
    国家自然科学基金面上项目(编号:81470294)资助

Progress of iron-chelating therapy for iron overload in patients after bone marrow transplantation

Shiwei Li1, Xiang Li2, Feng Guan1   

  1. 1. School of Biotechnology, Jiangnan University, Wuxi 214122, China;
    2.Wuxi Medical School, Jiangnan University, Wuxi 214122, China
  • Received:2015-05-06 Revised:2015-07-22 Online:2015-09-20 Published:2015-09-20

摘要: 骨髓移植是临床上治疗恶性造血系统疾病的常见手段。而铁过载是临床上常见的并发症之一,对病患的造血功能和治疗后恢复有极大的抑制作用。了解铁过载产生的分子或遗传机制能帮助优化去铁化方案,提高去铁化治疗的效率。本文总结了骨髓移植前后铁过载现象发生机制的最新研究进展,并阐述了临床上多种去铁治疗的方案,以期为该类病患铁过载的预防和治疗提供参考。

关键词: 骨髓移植, 铁过载, 去铁治疗

Abstract: Bone marrow transplantation (BMT) is commonly used to treat hematopoietic system malignant diseases. Iron overload, which is one of the most common complications in patients undergoing BMT, has a negative impact on survival after allogeneic transplantation. Better understanding of molecular mechanisms of iron overload can improve the treatment regime and improve the efficiency for iron-chelating therapy. In this review, we summarize the mechanisms of iron overload in various conditions and the progression of iron-chelating strategies in patients undergoing BMT. This review will provide insights into the prevention and treatment of patients with iron overload after BMT.

Key words: bone marrow transplantation, iron overload, iron-chelating therapy