411822

The Evaluation of Inflammatory Biomarkers in Predicting the Severity and Outcome of Cytokine-Release Syndrome after Haplo-identical Transplant.

Article

Last updated: 27 Apr 2025

Subjects

-

Tags

Hematology

Abstract

Background: Haploidentical bone marrow transplantation is a life-saving procedure for patients with hematologic malignancies and other blood disorders. We aimed to assess the role of the Endothelial Activation and Stress Index (EASIX) formula, C- reactive protein (CRP), IL-6, and Ferritin in patients with cytokine release syndrome (CRS) in Haploidentical Transplants. Methods: This cohort study was performed on 49 patients aged from 10 to 60 years old, both sexes, who underwent Haplo Transplant. All patients were subjected to receiving T-cell replete haploidentical stem cell transplant utilizing post-transplant cyclophosphamide platform as graft versus host disease and graft failure prophylaxis. The conditioning regimen is reduced intensity conditioning. Results: At a cut-off point of 4.15, the specificity and sensitivity of the EASIX score in predicting the death of haploidentical bone marrow transplant (BMT) patients with CRS is 76.9 % and 60%respectively. The EASIX score, and the studied biomarkers increased significantly from baseline to day 7 of BMT (P < 0.05). There was significant difference within CRS group between EASIX score at baseline and EASIX score at CRS onset (P= 0.0003), and between serial EASIX score measurements among CRS patients (P < 0.001). Conclusions: EASIX score was a poor predictor of response to CRS severity and mortality in BMT patients. Also, inflammatory markers (IL-6, CRP and Ferritin) were not reliable to predict the response to CRS and mortality in BMT patients. EASIX score, IL-6, CRP and Ferritin have no association with outcome or CRS severity.

DOI

10.21608/arcmed.2025.355109.1086

Keywords

Cytokine-Release Syndrome, haplo-identical transplant , inflammatory biomarkers

Authors

First Name

Abdulrahman

Last Name

Habashy

MiddleName

Ahmed

Affiliation

Department of Clinical Hematology, Armed Forces College of Medicine, Cairo, Egypt.

Email

habashyafcm22@gmail.com

City

-

Orcid

0009-0002-6181-2929

First Name

Mohamed

Last Name

Khalaf

MiddleName

Hamed

Affiliation

Department of Clinical Hematology, Maadi Armed Forces Medical Compound, Cairo , Egypt.

Email

mhkhalaf@hotmail.com

City

Cairo

Orcid

-

First Name

Mervat

Last Name

Mattar

MiddleName

Mohamed

Affiliation

Department of Clinical Hematology, Armed Forces College of Medicine, Cairo, Egypt., Department of Clinical Hematology, Al Kasr Alainy Medical School, Cairo University, Cairo, Egypt.

Email

mermattar@gmail.com

City

Cairo

Orcid

-

First Name

Mahmoud

Last Name

abdelsalam

MiddleName

Salah

Affiliation

Department of Clinical Hematology, International Medical Center, Cairo, Egypt.

Email

drabdelsalam@hotmail.com

City

Cairo

Orcid

-

First Name

George

Last Name

Soryal

MiddleName

Bahig

Affiliation

Department of Clinical Hematology, Maadi Armed Forces Medical Compound, Cairo , Egypt.

Email

georgessoryal@gmail.com

City

Cairo

Orcid

-

First Name

Mohammed

Last Name

Mansour

MiddleName

Tarek

Affiliation

Department of Clinical Hematology, Armed Forces College of Medicine, Cairo, Egypt.

Email

mohammadtareq459@gmail.com

City

Cairo

Orcid

-

First Name

Sara

Last Name

Abd El-Ghani

MiddleName

El-Sayed

Affiliation

Department of Clinical Hematology, Armed Forces College of Medicine, Cairo, Egypt.

Email

sara.elsayed@kasralainy.edu.eg

City

Cairo

Orcid

0000-0003-3619-3740

Volume

3

Article Issue

1

Related Issue

55095

Issue Date

2025-04-01

Receive Date

2025-01-23

Publish Date

2025-12-01

Page Start

1

Page End

10

Online ISSN

2812-5509

Link

https://arcmed.journals.ekb.eg/article_411822.html

Detail API

http://journals.ekb.eg?_action=service&article_code=411822

Order

411,822

Type

Original Research

Type Code

2,394

Publication Type

Journal

Publication Title

ARCADEs of MEDICINE

Publication Link

https://arcmed.journals.ekb.eg/

MainTitle

The Evaluation of Inflammatory Biomarkers in Predicting the Severity and Outcome of Cytokine-Release Syndrome after Haplo-identical Transplant.

Details

Type

Article

Created At

27 Apr 2025