Table 1 Select studies on endothelial biomarkers in three endothelial complications after alloSCT.

From: Endothelial cell dysfunction: a key determinant for the outcome of allogeneic stem cell transplantation

Endothelial injury syndrome

Biomarker

Association direction

Specimen

Time point

Application

No. of patients

References

SOS/VOD

       
 

Soluble TM, P-selectin

Increased

Blood plasma

d0 to d + 52

Prediction

25

Catani et al. 1996 [12]

 

Soluble TM

Increased

Blood plasma

day+15

Prediction

45

Testa et al. 1996 [16]

 

Soluble TM, PAI-1

Increased

Blood plasma

d + 14

ns

28

Nurnberger et al. 1998 [14]

 

VWF

Increased

Blood plasma

day0, day+7, day+14

Prognosis

24

Palomo et al. 2010 [15]

 

VWF, soluble TM, soluble ICAM-1

Increased

Blood plasma and serum

day-1, day+7

Predictionb

38

Cutler et al. 2010 [13]

 

5-marker panel: L-ficolin, HA, soluble ST2, ANG2, VCAM-1

Increased

Blood plasma

Onset of symptoms, d0

Diagnosis, prognosis (3-marker panel)

45, 35c

Akil et al. 2015 [11]

TA-TMA

 

VWF

Increased

Blood plasma

After engraftment

ns

66

Holler et al. 1989 [19]

VWF, t-PA

Increased

Blood plasma

d + 19

ns

25

Seeber et al. 1992 [25]

VWF

Increased

Blood plasma

d + 50

ns

84

Kalhs et al. 1995 [22]

VWF, soluble TM

Increased

Blood plasma

Onset of symptoms

Diagnosis

52

Zeigler et al. 1996 [26]

VWF, soluble TM, t-PA

Increased

Blood plasma

d + 14

Prediction

16

Kanamori et al. 1998 [23]

CFH autoantibodies

Increased

Blood plasma

After diagnosis

ns

3 a

Jodele et al. 2013 [21]

Soluble terminal complement complex (C5b-9)

Increased

Blood serum

Onset of symptoms

Diagnosis, prognosis

90d

Jodele et al. 2014 [20]

Soluble ST2

Increased

Blood serum

Pre-transplant

Prediction

771

Zeisbrich et al. 2017 [27]

Soluble ST2

Increased

Blood plasma and serum

d + 14

Prediction

95c,d, 110c,d, 107c,d

Rotz et al. 2017 [24]

Acute GVHD

 

VWF

Increased

Skin biopsye

Onset of aGVHD

Diagnosis

55

Dumler et al. 1989 [33]

VWF

Increased

Skin biopsye

Onset of aGVHD

ns

44

Sviland et al. 1991 [45]

ICAM-1

Increased

Duodenal biopsy

Onset of aGVHD

ns

18

Roy et al. 1993 [42]

VWF, VCAM-1

Increased

Skin biopsye

Onset of aGVHD

Diagnosis

23

Shen et al. 1994 [44]

VWF, soluble TM

Increased

Blood plasma

Onset of aGVHD

ns

50

Salat et al. 1997 [43]

Soluble ICAM-1, E-selectin

Increased

Blood plasma and serum

d + 30

Prediction

49

Matsuda et al. 2001 [37]

ANG2, EMP

Increased

Blood plasma and serum

d + 28

Prognosis

26

Nomura et al. 2008 [41]

ANG2

Increased

Blood serum

Pre-transplant, onset of aGVHD

Prognosis

48

Luft et al. 2011 [35]

Endothelial TM

Decreased

Colon biopsyf

Onset of aGVHD

Diagnosis

51

Andrulis et al. 2012 [31]

ANG2

Increased

Blood serum

Pre-transplant

Prognosis

331

Dietrich et al. 2013 [32]

Bone marrow microvessel density

Increased

Bone marrow

Onset of aGVHD

ns

26

Medinger et al. 2013 [38]

Soluble ST2

Increased

Blood plasma

d + 14 and start of treatment

Prognosis

381, 296c, 302c, 75c

Van der Lugt et al. 2013 [47]

Follistatin, PlGF

Increased

Blood plasma and serum

Onset of aGVHD, d + 28

Prognosis

34, 105c, 158c, 53c

Holtan et al. 2015 [34]

4-marker panel: ANG2, soluble TM, D-dimer, CRP

Increased

Blood plasma

Onset of aGVHD

Prognosis

188

Tatekawa et al. 2016 [46]

VWF

Increased

Blood plasma

d + 7

Prediction

44

Mir et al. 2017 [39]

Soluble ST2, REG3α

Increased

Blood plasma and serum

d + 14

Prognosisg

225

Nomura et al. 2017 [40]

CEC

Increased

Whole blood

Onset of aGVHD

Diagnosis

90

Almici et al. 2017 [30]

Soluble ST2, REG3α

Increased

Blood plasma and serum

1 week after start of aGVHD treatment

Prognosis

236, 142c, 129c

Major-Monfried et al. 2018 [36]

  1. aGVHD acute graft-versus-host disease, ANG2 angiopoietin 2, CEC circulating endothelial cells, CFH complement factor H, CRP C-reactive protein, HA hyaluronic acid, EMP endothelial cell-derived microparticles, ICAM-1 intercellular adhesion molecule 1, ns not specified, PAI-1 plasminogen activator inhibitor type-1, PlGF placental growth factor, SOS/VOD sinusoidal obstruction syndrome/venoocclusive disease, ST2 suppression of tumorigenicity 2, TA-TMA transplant-associated thrombotic microangiopathy, TM thrombomodulin, t-PA tissue-type plasminogen activator, VCAM-1 vascular cell adhesion molecule-1, VWF von Willebrand factor.
  2. aIn patients receiving sirolimus.
  3. bValidation cohort(s).
  4. cPediatric patients.
  5. dPatient age 0–30 years.
  6. ePerivascular extravasation of VWF.
  7. fLoss of endothelial TM expression.
  8. gPatients treated with recombinant soluble thrombomodulin.