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March 3, 2026Transplantation and Cellular TherapyOpen Access

Lower Isn't Better: Baseline LDL-C Identifies Endothelial Vulnerability and Outcomes after HSCT

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Authors

JKJane KooLLLucille LangenbergEWEllen Walter

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Overview

Observational analysis reveals baseline LDL-C predicts poor outcomes in HSCT recipients, suggesting valuable risk stratification.

Key Points

  • Low baseline LDL-C is a significant predictor of both transplant-associated thrombotic microangiopathy and overall survival in HSCT recipients, indicating its clinical relevance.
  • Patients with baseline LDL-C <72 mg/dL exhibited a 50% incidence of TA-TMA, markedly higher than the 24% in those with LDL-C ≥72 mg/dL (p=0.01).
  • Lipid profiles showed fluctuations post-transplant, with significant increases in LDL-C and oxLDL, and notable decreases in HDL-C and triglycerides, highlighting metabolic changes.
  • Dynamic analysis indicated correlations between changes in LDL-C and oxLDL, supporting the need for further research on lipids as risk factors for HSCT outcomes.

Cite This Study

Koo et al. (2026) studied this question.

synapsesocial.com/papers/69a75fffc6e9836116a2c653https://doi.org/10.1016/j.jtct.2025.12.888
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