Veno-occlusive disease of the liver.
The success of high-dose cytoreductive strategies depends not only on antitumor activity but also on the tolerability of treatment. Although advances in supportive care have significantly reduced mortality due to infection and hemorrhage, regimen-related toxicities remain problematic. Hepatic veno-occlusive disease (VOD) is the most serious regimen-related toxicity after high-dose cytoreductive therapy. Risk factors for VOD are well established, but the biology of the syndrome remains poorly understood. Unfortunately, no pharmacologic approaches that clearly prevent or treat VOD have been identified. A better understanding of the pathogenesis of VOD will lead to more effective prevention and treatment strategies.
Bearman
S I
SI
Bone Marrow Transplant Program, University of Colorado Health Sciences Center, Denver 80262, USA. scott.bearman@uchsc.edu
D000970:Antineoplastic Agents / Q000009:adverse effects*; D004305:Dose-Response Relationship, Drug; D005978:Glutathione / Q000494:pharmacology; D006504:Hepatic Veno-Occlusive Disease / Q000139:chemically induced* / Q000503:physiopathology*; D006801:Humans; D008099:Liver / Q000098:blood supply; D009369:Neoplasms / Q000188:drug therapy
D000970:Antineoplastic Agents; D005978:Glutathione