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JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE ›› 2026, Vol. 28 ›› Issue (2): 293-299.DOI: 10.3969/j.issn.1671-2587.2026.02.023

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Progress in Mechanisms and Therapy of Chemotherapy-induced Thrombocytopenia

ZHOU Zaixin, QIAN Baohua, GU Haihui   

  1. Department of Transfusion Medicine, The First Affiliated Hospital of Naval Medical University, Shanghai 200433
  • Received:2025-07-24 Accepted:2025-08-27 Online:2026-04-20 Published:2026-04-22

Abstract: Platelet is one of the important components involved in the hemostatic process of the body, and chemotherapy-induced thrombocytopenia is one of the common side effects in the treatment of tumor patients. If PLT count cannot be recovered to 100×109/L, the next chemotherapy course often has to be interrupted, which seriously affects the therapeutic benefit. When the more severe grade 3~4 thrombocytopenia occurs, patients are at risk of severe bleeding, even life-threatening. Transfusion of apheresis platelets, human recombinant interleukin-11, and thrombopoietin have been widely used in the treatment of chemotherapy-induced thrombocytopenia, but the effectiveness of these strategies is not effective due to the patients' own underlying conditions. In this article, we review the latest clinical status, mechanism, and therapeutic benefits of chemotherapy-induced thrombocytopenia in recent years, we hope to explore more updated prevention and treatment techniques and measures.

Key words: Chemotherapy, Thrombocytopenia, Pathogenesis, Therapeutic measures

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