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Adipokines, Swelling, & Adiposity in HCT Survivors

Biol Blood Marrow Transplant; ePub 2017 Nov 29; Ketterl, et al

Survivors of hematopoietic cell transplantation (HCT) appear to experience unfavorable levels of inflammation, adipokines, and adiposity when compared to siblings with similar BMI, according to a study involving nearly 250 individuals. Participants included HCT survivors (n=151) and siblings (n=92). Investigators looked at inflammatory factors, adipokines, body composition, and adiposity, stratifying by radiation exposure. Among the results:

  • Compared with siblings, leptin was significantly higher and adiponectin significantly lower in HCT survivors who received total body irradiation (TBI) with or without central nervous system (CNS) irradiation.
  • Interleukin 6 was significantly higher in all groups of HCT survivors, vs siblings.
  • BMI was similar between survivors and siblings.
  • Percent fat mass was significantly higher in all groups of HCT survivors.
  • Lean body mass was lower in survivors who received TBI with and without CNS radiation.

Citation:

Ketterl T, Chow E, Leisenring W, et al. Adipokines, inflammation, and adiposity in hematopoietic cell transplant survivors. [Published online ahead of print November 29, 2017]. Biol Blood Marrow Transplant. doi:10.1016/j.bbmt.2017.11.024.