Use of Vitamin E and Glutamine in the Successful Treatment of Severe Veno-Occlusive Disease Following Bone Marrow Transplantation
1995
Nattakom, Thomas V. | Charlton, Angela | Wilmore, Douglas W. (Douglas Wayne)
Veno-occlusive disease of the liver is a common complication following the administration of conditioning regimens to patients undergoing bone marrow transplantation. Free-radical damage to the liver is believed to be the cause of the hepatic outflow occlusion, and maintenance of adequate antioxidant stores of glutathione and vitamin E may be a means of counteracting the hepatotoxicity. We report the case of a 44-year-old woman who developed severe veno-occlusive disease after bone marrow transplantation and was treated with vitamin E, the major antioxidant of the cell membrane, and glutamine, a precursor of glutathione. The administration of this therapy was associated with reversal of the clinical and biochemical signs of severe hepatic dysfunction.
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