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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Oncohematology</journal-id><journal-title-group><journal-title xml:lang="en">Oncohematology</journal-title><trans-title-group xml:lang="ru"><trans-title>Онкогематология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8346</issn><issn publication-format="electronic">2413-4023</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1056</article-id><article-id pub-id-type="doi">10.17650/1818-8346-2025-20-3-84-96</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>SUPPORTIVE THERAPY ASPECTS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АСПЕКТЫ ПОДДЕРЖИВАЮЩЕЙ ТЕРАПИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Invasive fungal diseases in recipients of allogeneic hematopoietic stem cells: current state of the problem</article-title><trans-title-group xml:lang="ru"><trans-title>Инвазивные микозы у реципиентов аллогенных гемопоэтических стволовых клеток: современное состояние проблемы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9230-6960</contrib-id><name-alternatives><name xml:lang="en"><surname>Mironova</surname><given-names>D. A.</given-names></name><name xml:lang="ru"><surname>Миронова</surname><given-names>Д. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Daria Aleksandrovna Mironova</p><p>4 Novyy Zykovskiy Proezd, Moscow 125167</p></bio><bio xml:lang="ru"><p>Дарья Александровна Миронова</p><p>125167 Москва, Новый Зыковский пр-д, 4</p></bio><email>mrnvdaria@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6201-6276</contrib-id><name-alternatives><name xml:lang="en"><surname>Kuzmina</surname><given-names>L. A.</given-names></name><name xml:lang="ru"><surname>Кузьмина</surname><given-names>Л. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Novyy Zykovskiy Proezd, Moscow 125167</p></bio><bio xml:lang="ru"><p>125167 Москва, Новый Зыковский пр-д, 4</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5973-5763</contrib-id><name-alternatives><name xml:lang="en"><surname>Klyasova</surname><given-names>G. A.</given-names></name><name xml:lang="ru"><surname>Клясова</surname><given-names>Г. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Novyy Zykovskiy Proezd, Moscow 125167</p></bio><bio xml:lang="ru"><p>125167 Москва, Новый Зыковский пр-д, 4</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">National Medical Research Center for Hematology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр гематологии» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-09-11" publication-format="electronic"><day>11</day><month>09</month><year>2025</year></pub-date><volume>20</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>84</fpage><lpage>96</lpage><history><date date-type="received" iso-8601-date="2025-09-11"><day>11</day><month>09</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-09-11"><day>11</day><month>09</month><year>2025</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://oncohematology.abvpress.ru/ongm/article/view/1056">https://oncohematology.abvpress.ru/ongm/article/view/1056</self-uri><abstract xml:lang="en"><p>Allogeneic hematopoietic stem cell transplantation is a standard treatment option for a variety of hematological disorders. In recent years, there has been observed an increase in transplantation activity worldwide as well as in use of alternative donors. Despite introduction of antifungal prophylaxis, recipients of allogeneic hematopoietic stem cells still have a high risk of invasive fungal disease.This review represents risk factors, frequency and structure of invasive fungal disease in this category of patients.</p></abstract><trans-abstract xml:lang="ru"><p>Трансплантация аллогенных гемопоэтических стволовых клеток – непременная составляющая лечения ряда гематологических заболеваний. За последние годы отмечаются рост трансплантационной активности по всему миру, увеличение доли альтернативных доноров. Несмотря на противогрибковую профилактику, у реципиентов аллогенных гемопоэтических стволовых клеток сохраняется высокий риск развития инвазивного микоза.В обзоре представлено современное состояние проблемы по факторам риска, частоте и структуре инвазивных микозов у этой категории больных.</p></trans-abstract><kwd-group xml:lang="en"><kwd>allogeneic hematopoietic stem cell transplantation</kwd><kwd>invasive fungal disease</kwd><kwd>antifungal prophylaxis</kwd><kwd>invasive aspergillosis</kwd><kwd>neutropenia</kwd><kwd>graft-versus-host disease</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>трансплантация аллогенных гемопоэтических стволовых клеток</kwd><kwd>инвазивный микоз</kwd><kwd>противогрибковая профилактика</kwd><kwd>инвазивный аспергиллез</kwd><kwd>нейтропения</kwd><kwd>реакция «трансплантат против хозяина»</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Passweg J.R., Baldomero H., Chabannon C. et al. Hematopoietic cell transplantation and cellular therapy survey of the EBMT: monitoring of activities and trends over 30 years. Bone Marrow Transplant 2021;56(7):1651–64. DOI: 10.1038/s41409-021-01227-8</mixed-citation></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">Mendeleeva L.P., Savchenko V.G., Parovichnikova E.N. et al. Analysis of transplantation activity in the Russian Federation for 2018 (report of the interregional register). Gematologiya i transfuziologiya = Russian Journal of Hematology and Transfusiology 2020;65(1-S1):180. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Менделеева Л.П., Савченко В.Г., Паровичникова Е.Н. и др. Анализ трансплантационной активности в РФ за 2018 г. (отчет межрегионального регистра). Гематология и трансфузиология 2020;65(1-S1):180.</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">Vasilyeva V.A., Kuzmina L.A., Parovichnikova E.N. et al. Implementation of allogeneic hematopoietic stem cell transplantation from unrelated donors from Russian and foreign registries. Gematologiya i transfuziologiya = Russian Journal of Hematology and Transfusiology 2020;65(3):299–311. (In Russ.). DOI: 10.35754/0234-5730-2020-65-3-299-311</mixed-citation><mixed-citation xml:lang="ru">Васильева В.А., Кузьмина Л.А., Паровичникова Е.Н. и др. Выполнение трансплантаций аллогенных гемопоэтических стволовых клеток от неродственных доноров из Российского и зарубежного регистров в одном трансплантационном центре. Гематология и трансфузиология 2020;65(3):299–311. DOI: 10.35754/0234-5730-2020-65-3-299-311</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><mixed-citation>Rubinstein S.M., Culos K.A., Savani B., Satyanarayana G. Foiling fungal disease post hematopoietic cell transplant: review of prophylactic strategies. Bone Marrow Transplant 2018;53(2):123–8. DOI: 10.1038/bmt.2017.222</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Tomblyn M., Chiller T., Einsele H. et al. Guidelines for preventing infectious complications among hematopoietic cell transplantation recipients: a global perspective. Biol Blood Marrow Transplant 2009;15(10):1143–238. DOI: 10.1016/j.bbmt.2009.06.019</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Neofytos D., Horn D., Anaissie E. et al. Epidemiology and outcome of invasive fungal infection in adult hematopoietic stem cell transplant recipients: analysis of Multicenter Prospective Antifungal Therapy (PATH) Alliance registry. Clin Infect Dis 2009;4(3):265–73. DOI: 10.1086/595846</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Kontoyiennis D.P., Marr K.A., Park B.J. et al. Prospective surveillance for invasive fungal infections in hematopoietic stem cell transplant recipients, 2001–2006: overview of the Transplant- Associated Infection Surveillance Network (TRANSNET) Database. Clin Infect Dis 2010;50(8):1091–100. DOI: 10.1086/651263</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Girmenia C., Raiola A.M., Piciocchi A. et al. Incidence and outcome of invasive fungal diseases after allogeneic stem cell transplantation: a prospective study of the Gruppo Italiano Trapianto Midollo Osseo (GITMO). Biol Blood Marrow Transplant 2014;20(6):872–80. DOI: 10.1016/j.bbmt.2014.03.004</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Martino R., Subirá M., Rovira M. et al. Invasive fungal infections after allogeneic peripheral blood stem cell transplantation: incidence and risk factors in 395 patients. Br J Haematol 2002;116(2):475–82. DOI: 10.1046/j.1365-2141.2002.03259.x</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Pagano L., Caira M., Nosari A. et al. Fungal infections in recipients of hematopoietic stem cell transplants: results of the SEIFEM B-2004 study – Sorveglianza Epidemiologica Infezioni Fungine Nelle Emopatie Maligne. Clin Infect Dis 2007;45(9):1161–70. DOI: 10.1086/522189</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Nucci M., Garnica M., Gloria A.B. et al. Invasive fungal diseases in haematopoietic cell transplant recipients and in patients with acute myeloid leukaemia or myelodysplasia in Brazil. Clin Microbiol Infect 2013;19(8):745–51. DOI: 10.1111/1469-0691.12002</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Kuster S., Stampf S., Gerber B. et al. Incidence and outcome of invasive fungal diseases after allogeneic hematopoietic stem cell transplantation: a Swiss transplant cohort study. Transpl Infect Dis 2018;20(6):e12981. DOI: 10.1111/tid.12981</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Souza L., Nouér S.A., Morales H. et al. Epidemiology of invasive fungal disease in haematologic patients. Mycoses 2021;64(3):252–6. DOI: 10.1111/myc.13205</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Gao L., Sun Y., Meng F. et al. Antifungal prophylaxis of patients undergoing allogenetic hematopoietic stem cell transplantation in China: a multicenter prospective observational study. J Hematol Oncol 2016;9(1):97. DOI: 10.1186/s13045-016-0305-y</mixed-citation></ref><ref id="B15"><label>15.</label><citation-alternatives><mixed-citation xml:lang="en">Klyasova G.A., Okhmat V.A., Vasilieva V.A. et al. Invasive mycoses in patients with acute leukemia and in recipients of hematopoietic stem cells. Results of a multicenter prospective observational study in Russia (RIFI). Gematologiya i transfuziologiya = Hematology and Transfusiology 2016;61(1-S1):19. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Клясова Г.А., Охмат В.А., Васильева В.А. и др. Инвазивные микозы у больных острыми лейкозами и у реципиентов гемопоэтических стволовых клеток. Результаты многоцентрового проспективного наблюдательного исследования в России (RIFI). Гематология и трансфузиология 2016;61(1-S1):19.</mixed-citation></citation-alternatives></ref><ref id="B16"><label>16.</label><mixed-citation>Cesaro S., Tridello G., Blijlevens N. et al. Incidence, risk factors, and long-term outcome of acute leukemia patients with early candidemia after allogeneic stem cell transplantation: a study by the acute leukemia and infectious diseases working parties of European Society for Blood and Marrow Transplantation. Clin Infect Dis 2018;67(4):564–72. DOI: 10.1093/cid/ciy150</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Robin C., Cordonnier C., Sitbon K. et al. Mainly post-transplant factors are sssociated with invasive aspergillosis after allogeneic stem cell transplantation: a study from the Surveillance des Aspergilloses Invasives en France and Société Francophone de Greffe de Moelle et de Thérapie Cellulaire. Biol Blood Marrow Transplant 2019;25(2):354–61. DOI: 10.1016/j.bbmt.2018.09.028</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Martino R., Parody R., Fukuda T. et al. Impact of the intensity of the pretransplantation conditioning regimen in patients with prior invasive aspergillosis undergoing allogeneic hematopoietic stem cell transplantation: a retrospective survey of the Infectious Diseases Working Party of the European Group for Blood and Marrow Transplantation. Blood 2006;108(9):2928–36. DOI: 10.1182/blood-2006-03-008706</mixed-citation></ref><ref id="B19"><label>19.</label><citation-alternatives><mixed-citation xml:lang="en">Popova M.O., Ekushov K.A., Ayzsilnieks O.V. et al. Invasive fungal infections in recipients of allogeneic hematopoietic stem cell teens and young adults. Rossiyskiy zhurnal detskoy gematologii i onkologii = Russian Journal of Pediatric Hematology and Oncology 2016;3(1):44–51. (In Russ.). DOI: 10.17650/2311-1267-2016-3-1-44-51</mixed-citation><mixed-citation xml:lang="ru">Попова М.О., Екушов К.А., Айзсилниекс О.В. и др. Инвазивные микозы у реципиентов аллогенной трансплантации гемопоэтических стволовых клеток подросткового возраста и молодых взрослых. Российский журнал детской гематологии и онкологии 2016;3(1):44–51. DOI: 10.17650/2311-1267-2016-3-1-44-51</mixed-citation></citation-alternatives></ref><ref id="B20"><label>20.</label><mixed-citation>Busca A., Cinatti N., Gill J. et al. Management of invasive fungal infections in patients undergoing allogeneic hematopoietic stem cell transplantation: the Turin experience. Front Cell Infect Microbiol 2022;11:805514. DOI: 10.3389/fcimb.2021.805514</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Papanicolaou G.A., Chen M., He N. et al. Incidence and impact of fungal infections in post-transplantation cyclophosphamidebased graft-versus-host disease prophylaxis and haploidentical hematopoietic cell transplantation: a Center for International Blood and Marrow Transplant research analysis. Transplant Cell Ther 2023;30(1):114.e1–16. DOI: 10.1016/j.jtct.2023.09.017</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Penack O., Tridello G., Salmenniemi U. et al. Influence of invasive aspergillosis during acute leukaemia treatment on survival after allogeneic stem cell transplantation: a prospective study of the EBMT Infectious Diseases Working Party. eClinicalMedicine 2023;67:102393. DOI: 10.1016/j.eclinm.2023</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Cornely O.A., Hoenigl M., Lass-Flörl C. et al. Defining breakthrough invasive fungal infection – position paper of the Mycoses Study Group Education and Research Consortium (MSG-ERC) and the European Confederation of Medical Mycology (ECMM). Mycoses 2019;62(9):716–29. DOI: 10.1111/myc.12960</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Van Burik J.H., Leisenring W., Myerson D. et al. The effect of prophylactic fluconazole on the clinical spectrum of fungal diseases in bone marrow transplant recipients with special attention to hepatic candidiasis. An autopsy study of 355 patients. Medicine (Baltimore) 1998;77(4):246–54. DOI: 10.1097/00005792-199807000-00003</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Lamoth F., Chung S.J., Damonti L., Alexander B.D. Changing epidemiology of invasive mold infections in patients receiving azole prophylaxis. Clin Infect Dis 2017;64(11):1619–21. DOI: 10.1093/cid/cix130</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Trifilio S., Singhal S., Williams S. et al. Breakthrough fungal infections after allogeneic hematopoietic stem cell transplantation in patients on prophylactic voriconazole. Bone Marrow Transplant 2007;40(5):451–6. DOI: 10.1038/sj.bmt.1705754</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Bergamasco M.D., Pereira C.A.P., Arrais-Rodrigues C. et al. Epidemiology of invasive fungal diseases in patients with hematologic malignancies and hematopoietic cell transplantation recipients managed with an antifungal diagnostic driven approach. J Fungi 2021;7(8):588. DOI: 10.3390/jof7080588</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Roth R.S., Masouridi-Levrat S., Chalandon Y. et al. Invasive mold infections in allogeneic hematopoietic cell transplant recipients in 2020: have we made enough progress? Open Forum Infect Dis 2021;9(1):ofab596. DOI: 10.1093/ofid/ofab596</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Sun Y., Meng F., Han M. et al. Epidemiology, management, and outcome of invasive fungal disease in patients undergoing hematopoietic stem cell transplantation in China: a multicenter prospective observational study. Biol Blood Marrow Transplant 2015;21(6):1117–26. DOI: 10.1016/j.bbmt.2015.03.018</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Posteraro B., De Carolis E., Criscuolo M. et al. Candidaemia in haematological malignancy patients from a SEIFEM study: epidemiological patterns according to antifungal prophylaxis. Mycoses 2020;63(9):900–10. DOI: 10.1111/myc.13130</mixed-citation></ref></ref-list></back></article>
