Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Correspondence
  • Published:

Hyponatremia induced by post-transplant cyclophosphamide in allogeneic hematopoietic cell transplantation

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Data availability

Data supporting this study’s findings would be available on request from the corresponding author [MQS].

References

  1. Salas MQ, Charry P, Pedraza A, Martinez-Cibrian N, Solano MT, Domenech A, et al. PTCY and Tacrolimus for GVHD prevention for older adults undergoing HLA-matched sibling and unrelated donor AlloHCT. Transpl Cell Ther. 2022;28:489 e1–e9.

    Article  Google Scholar 

  2. Nunes NS, Kanakry CG. Mechanisms of Graft-versus-Host disease prevention by post-transplantation cyclophosphamide: an evolving understanding. Front Immunol. 2019;10:2668.

    Article  CAS  Google Scholar 

  3. Clifton K, Barnett C, Martinez A, Karuturi M, Saleem S, Litton J. Severe hyponatremia following cyclophosphamide infusion in breast cancer patients. Breast J. 2018;24:691–2.

    Article  Google Scholar 

  4. Bruining DM, van Roon EN, de Graaf H, Hoogendoorn M. Cyclophosphamide-induced symptomatic hyponatraemia. Neth J Med. 2011;69:192–5.

    CAS  Google Scholar 

  5. Lee YC, Park JS, Lee CH, Bae SC, Kim IS, Kang CM, et al. Hyponatraemia induced by low-dose intravenous pulse cyclophosphamide. Nephrol Dial Transpl. 2010;25:1520–4.

    Article  CAS  Google Scholar 

  6. Teles KA, Medeiros-Souza P, Lima FAC, Araujo BG, Lima RAC. Cyclophosphamide administration routine in autoimmune rheumatic diseases: a review. Rev Bras Reumatol Engl Ed. 2017;57:596–604.

    Article  Google Scholar 

  7. Chen J, Jin Y, Li C, Li Z. Symptomatic hyponatremia induced by low-dose cyclophosphamide in patient with systemic lupus erythematosus: a case report. Medicine. 2020;99:e22498.

    Article  Google Scholar 

  8. Shepshelovich D, Schechter A, Calvarysky B, Diker-Cohen T, Rozen-Zvi B, Gafter-Gvili A. Medication-induced SIADH: distribution and characterization according to medication class. Br J Clin Pharm. 2017;83:1801–7.

    Article  CAS  Google Scholar 

  9. Park SJ, Kim JH, Shin JI. Insight on mechanism of hyponatraemia induced by low-dose intravenous pulse cyclophosphamide. Nephrol Dial Transpl. 2010;25:3453.

    Article  Google Scholar 

  10. Kim S, Jo CH, Kim GH. The role of vasopressin V2 receptor in drug-induced hyponatremia. Front Physiol. 2021;12:797039.

    Article  Google Scholar 

  11. Koo TY, Bae SC, Park JS, Lee CH, Park MH, Kang CM, et al. Water intoxication following low-dose intravenous cyclophosphamide. Electrolyte Blood Press. 2007;5:50–4.

    Article  Google Scholar 

Download references

Acknowledgements

We thank our patients and the nursing and support staff in the Hematopoietic Cell Transplant Program and the Nephrology Medical Department at Hospital Clinic de Barcelona.

Author information

Authors and Affiliations

Authors

Contributions

MG and MQS designed the study, interpreted the results, and wrote the letter. MG collected the data and did the statistical analysis. LQ, MSL, NMC, AR, SR, EC, PM, GR, IMAS, MTS, LR, JE, AUI, EC, FFA, CM and MR provided valuable input into the study and reviewed and approved the manuscript.

Corresponding author

Correspondence to Maria Queralt Salas.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gómez-Hernando, M., Quintana, L.F., Suárez-Lledo, M. et al. Hyponatremia induced by post-transplant cyclophosphamide in allogeneic hematopoietic cell transplantation. Bone Marrow Transplant 58, 212–214 (2023). https://doi.org/10.1038/s41409-022-01864-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41409-022-01864-7

Search

Quick links