Children undergoing hematopoietic stem cell transplantation(HSCT)often experience car-diopulmonary dysfunction,reduced muscle strength,and other complications due to the disease itself and treatment adverse effects.Multiple studies indicate that exercise intervention can promote immune reconstitu-tion,improve physiological functions,and enhance quality of life;however,insufficient exercise remains preva-lent among these children.This review summarizes the current status,influencing factors,exercise outcomes,and management approaches of exercise interventions for pediatric HSCT recipients,aiming to provide refer-ences for developing exercise intervention research suited to China's healthcare context.

This study was aimed to assess the effects of cyclic biaxial mechanical stimulation on the invasion capacity in vitro and on the expression of MMP-9 in the salivary adenoid cystic carcinoma (SACC) high metastatic cell lines ACC-M, and in the SACC low metastatic cell lines ACC-2. We observed the functions of mechanical stimulation in the invasion of cell in vitro and investigated the mechanism involved in the invasion of SACC. Mechanical stimuli were applied to the cells for periods of 1, 3 and 6 hours daily, lasting 2 days. The mechanical stimuli applied to the cells were 4000 micro strain and 1000 micro strain, at a frequency of three hertz. Unstrained cells were used as control. The expressions of MMP-9 on ACC-M and ACC-2 were studied with laser scanning confocal microscope and image analysis software. In vitro invasion capacity of ACC-2 and ACC-M cells was determined by Transwell. The results showed the expression of MMP-9 on the cell of ACC-M was obvious by higher than that on ACC-2. MMP-9 was closely related with the invasion and metastasis of SACC. The mechanical stimulation changed the expression of MMP-9 and the invasion capacity in different duration of mechanical stimulations. Mechanical stimulation can adjust the invasion capacity and expression of MMP-9. It can promote metastasis of the cancer. Moreover, some protein other than MMP-9 may play an important role in the metastasis of the cancer.
Carcinoma, Adenoid Cystic ; metabolism ; pathology ; Cell Line, Tumor ; Humans ; Image Processing, Computer-Assisted ; Matrix Metalloproteinase 9 ; metabolism ; Microscopy, Confocal ; Neoplasm Invasiveness ; Physical Stimulation ; Salivary Gland Neoplasms ; metabolism ; pathology ; Stress, Mechanical