Glycocalyx Biomarkers as Early Predictors of Endotheliopathy in Pediatric and Young Adult Hematopoietic Stem Cell Transplantation Patients - Summary - MDSpire

Glycocalyx Biomarkers as Early Predictors of Endotheliopathy in Pediatric and Young Adult Hematopoietic Stem Cell Transplantation Patients

  • By

  • Uchida, Kimberly

  • Mahadeo, Kris Michael

  • McArthur, Jennifer Ann

  • Avent, Yvonne

  • Hsu, Chia-Wei

  • Pan, Haitao

  • Elbahlawan, Lama

  • Hines, Melissa R

  • Sharma, Akshay

  • Tatevossian, Ruth G

  • Mahapatra, Sebabrata

  • Kumbaji, Meenasri

  • Sheikh, Irtiza

  • Li, Ying

  • Schadler, Keri

  • Ghafoor, Saad

  • April 13, 2026

  • 0 min

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Objective:

To assess the concentrations and predictive abilities of glycocalyx biomarkers for endotheliopathy during the initial 100 days after HSCT in pediatric and young adult populations.

Key Findings:
  • Syndecan-1 and Angiopoietin-2 levels differed significantly between endotheliopathy cases and controls at multiple time points in the SJCRH study.
  • Predictive values for Syndecan-1 and Angiopoietin-2 were good to excellent prior to endotheliopathy diagnosis.
  • MDACC identified a biomarker signature associated with endotheliopathy on Days 0 and 7, with TIMP-1 and IGFBP-3 showing perfect predictive performance.
Interpretation:

Glycocalyx biomarkers are promising for early prediction of endotheliopathy in pediatric and young adult HSCT patients, highlighting the importance of endothelial injury in post-transplant complications.

Limitations:
  • Limited sample size may affect generalizability of findings.
  • Further research is needed to validate results in larger populations.
Conclusion:

The studies underscore the potential of glycocalyx biomarkers as early indicators of endotheliopathy, warranting further investigation.

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