Monitoring for HHV-6 infection after renal transplantation: evaluation of risk factors for sustained viral replication.

Abstract:

BACKGROUND:Human herpesvirus-6 (HHV-6) is known to reactivate after renal transplantation and has been associated with several clinical manifestations. Risk factors for sustained viral replication, however, remain unclear. METHODS:Thirty consecutive kidney transplant patients were prospectively followed for HHV-6 replication between February 2007 and February 2008. Plasma samples for DNA detection were collected from the donor and the recipient before transplantation and from the recipient weekly for the first 2 months after transplantation and then every 2 weeks for 2 additional months. HHV-6 active infection was defined as detection of viral DNA in plasma, by polymerase chain reaction, in at least two consecutive samples over an interval of at least 1 week. RESULTS:Active viral infection was detected in 25% of the recipients before transplantation and 27% (8 of 30) of the patients after transplantation. The mean time to onset of viral replication was 28.1 days after transplantation and 7 of 8 (87.5%) were asymptomatic. Risk factors associated with active HHV-6 infection were receiving an organ from a living donor (P=0.028), recipients with IgM antibodies detected before transplantation (P=0.005), and pretransplantation recipient HHV-6 viral load more than 10,000 copies/mL plasma (P=0.034). CONCLUSIONS:Active HHV-6 infection occurs early after renal transplantation and is mostly asymptomatic. Donor or recipient infection may occur at the time of transplantation and are related to higher rates of posttransplantation infections.

journal_name

Transplantation

journal_title

Transplantation

authors

Luiz CR,Machado CM,Canto CL,Christ SC,Pestana JO,Kotton CN,Camargo LF

doi

10.1097/TP.0b013e3182807ab7

subject

Has Abstract

pub_date

2013-03-27 00:00:00

pages

842-6

issue

6

eissn

0041-1337

issn

1534-6080

journal_volume

95

pub_type

杂志文章
  • Evidence that functional deletion of donor-reactive T lymphocytes in kidney allograft recipients can occur at the level of cytotoxic T cells, IL-2-producing T cells, or both. A limiting dilution study.

    abstract::The frequencies of circulating donor-reactive cytotoxic lymphocyte precursors (CLP) and Il-2-producing helper lymphocyte precursors (HLP) were determined by limiting dilution analysis in 19 kidney allograft recipients before and at various intervals (up to 2 years) after transplantation. A significant, selective, and ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00025

    authors: Zanker B,Jooss-Rüdiger J,Franz HE,Wagner H,Kabelitz D

    更新日期:1993-09-01 00:00:00

  • Evidence for the involvement of host-derived OKT8-positive T cells in the rejection of T-depleted, HLA-identical bone marrow grafts.

    abstract::The recent introduction of a variety of techniques for removing T cells from bone marrow grafts has reduced the incidence of graft-versus-host disease (GVHD)-associated morbidity and mortality. Whether this advance will be translated into improved patient survival is unclear at present, mainly because these procedures...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198704000-00009

    authors: Bunjes D,Heit W,Arnold R,Schmeiser T,Wiesneth M,Carbonell F,Porzsolt F,Raghavachar A,Heimpel H

    更新日期:1987-04-01 00:00:00

  • Early induction of immune resistance against leukemia in mice after lethal irradiation followed by syngeneic bone marrow transplantation and injection of syngeneic leukocytes.

    abstract::BALB/cxDBA/2Wf F1 (CD2F1) mice were lethally irradiated and reconstituted with syngeneic bone marrow cells untreated or treated with 75 micrograms/ml of mafosfamide. One day after bone marrow transplantation some groups of mice were injected with syngeneic splenocytes, peripheral blood leukocytes, or thymocytes. Seven...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199104000-00020

    authors: Skórski T,Kawalec M,Kawiak J

    更新日期:1991-04-01 00:00:00

  • Long-term improvement in renal function after cyclosporine reduction in renal transplant recipients with histologically proven chronic cyclosporine nephropathy.

    abstract:BACKGROUND:Chronic cyclosporine (CsA) nephropathy, which has been unequivocally documented in recipients of heart, heart-lung, liver, or bone marrow transplants, as well as in nontransplant situations, usually results in a progressive deterioration of renal function. In this study, we assessed the potential reversibili...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199803150-00010

    authors: Mourad G,Vela C,Ribstein J,Mimran A

    更新日期:1998-03-15 00:00:00

  • Superiority of the two-layer method before islet isolation confirmed by in vivo viability assessment.

    abstract:BACKGROUND:Although the outcome of islet transplantation has improved, there remains a major obstacle in isolating viable islets from prolonged preserved pancreas. We previously reported that the two-layer cold storage method (TLM) improved the yield and in vitro function. In this study, we performed in vivo accurate f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000154914.34121.72

    authors: Kakinoki K,Fujino Y,Suzuki Y,Li S,Tanioka Y,Sakai T,Kuroda Y

    更新日期:2005-06-15 00:00:00

  • Acute renal injury in the interferon-gamma gene knockout mouse: effect on cytokine gene expression.

    abstract::We studied major histocompatibility complex (MHC) and cytokine mRNA induction after renal injury in the absence of interferon-gamma (IFN-gamma) using IFN-gamma gene knockout (GKO) mice. The left renal pedicle of normal (wild-type) and GKO BALB/c mice was clamped for 60 minutes; cytokine and MHC mRNA expression were mo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199560120-00031

    authors: Goes N,Urmson J,Vincent D,Halloran PF

    更新日期:1995-12-27 00:00:00

  • Severe acute renal failure after exposure to sirolimus-tacrolimus in two living donor kidney recipients.

    abstract:BACKGROUND:We began a clinical trial in African Americans comparing sirolimus-tacrolimus to standard immunosuppression. We report two African American male living donor kidney recipients who developed acute renal failure after exposure to sirolimus-tacrolimus. METHODS:Both patients received similar doses of sirolimus ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200301150-00029

    authors: Lawsin L,Light JA

    更新日期:2003-01-15 00:00:00

  • Logistics and transplant coordination activity in the GRAGIL Swiss-French multicenter network of islet transplantation.

    abstract:BACKGROUND:Since the Edmonton trial in 2000, increasing numbers of transplant centers have been implementing islet transplantation programs. Some institutions have elected to associate in multicenter networks, such as the Swiss-French GRAGIL (Groupe Rhin-Rhône-Alpes-Genève pour la Transplantation d'Ilots de Langerhans)...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000161224.67535.41

    authors: Kempf MC,Andres A,Morel P,Benhamou PY,Bayle F,Kessler L,Badet L,Thivolet C,Penfornis A,Renoult E,Brun JM,Atlan C,Renard E,Colin C,Milliat-Guittard L,Pernin N,Demuylder-Mischler S,Toso C,Bosco D,Berney T,GRAGIL gro

    更新日期:2005-05-15 00:00:00

  • Cardiovascular risk profile of patients with acute liver failure after liver transplantation when compared with the general population.

    abstract:BACKGROUND:As opposed to most solid-organ transplant recipients, patients with acute liver failure exhibit a pretransplant health status more comparable with the general population, and any posttransplant cardiovascular risk excess should thus be more attributable to transplantation-related factors alone. METHODS:This...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181bcd682

    authors: Aberg F,Jula A,Höckerstedt K,Isoniemi H

    更新日期:2010-01-15 00:00:00

  • Removal of anti-porcine natural antibodies from human and nonhuman primate plasma in vitro and in vivo by a Galalpha1-3Galbeta1-4betaGlc-X immunoaffinity column.

    abstract:BACKGROUND:Natural antibodies (NAbs) against a terminal alpha1-3 galactosyl (alphaGal) epitope have been identified as the major human anti-pig NAbs. METHODS AND RESULTS:We used two synthetic alphaGal trisaccharides--type 6 (alphaGal6) and type 2(alphaGal2)--linked to an inert matrix to remove NAbs from human plasma i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199801270-00005

    authors: Xu Y,Lorf T,Sablinski T,Gianello P,Bailin M,Monroy R,Kozlowski T,Awwad M,Cooper DK,Sachs DH

    更新日期:1998-01-27 00:00:00

  • The global role of kidney transplantation.

    abstract::World Kidney Day on March 8, 2012, provides a chance to reflect on the success of kidney transplantation as a therapy for end-stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost-effectiveness. Anything that is both cheaper and better, but ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318245f186

    authors: Garcia GG,Harden P,Chapman J,World Kidney Day Steering Committee 2012.

    更新日期:2012-02-27 00:00:00

  • Kidney Transplant in the Era of Modern Therapy for Multiple Myeloma.

    abstract::Chronic kidney disease is common in patients with multiple myeloma. Historically, individuals with end-stage renal disease and multiple myeloma did poorly with renal transplantation due to higher mortality rates from the malignancy itself or associated comorbidities. However, over the past 2 decades, there have been s...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002449

    authors: Huskey JL,Heilman RL,Khamash H,Fonseca R

    更新日期:2018-12-01 00:00:00

  • Pancreatitis following liver transplantation.

    abstract::Since 1981, when the liver transplantation program was initiated at the University of Pittsburgh, we have been impressed with the prevalence of pancreatitis occurring following liver transplantation in patients transplanted for hepatitis B-related liver disease. To either confirm this clinical impression or refute it,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198806000-00012

    authors: Alexander JA,Demetrius AJ,Gavaler JS,Makowka L,Starzl TE,Van Thiel DH

    更新日期:1988-06-01 00:00:00

  • Orthotopic bone transplantation in mice. I. Technique and assessment of healing.

    abstract::A technique for orthotopic bone transplantation in mice has been developed. A section of recipient tibia was removed and replaced by a similar section from the donor animal. The graft was held in place by internal fixation. Bone healing was assessed clinically, histologically, radiologically, and by torsion testing. T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Halloran PF,Ziv I,Lee EH,Langer F,Pritzker KP,Gross AE

    更新日期:1979-06-01 00:00:00

  • Diltiazem in renal allograft recipients receiving cyclosporine.

    abstract::Of 113 cyclosporine-treated primary renal allograft recipients, 60 were randomized to receive standard therapy without diltiazem (ND) and 53 received standard therapy plus diltiazem (D). There was no difference in CsA blood levels between ND and D at all intervals between 3 and 24 months follow-up, yet the D group req...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199302000-00014

    authors: Chrysostomou A,Walker RG,Russ GR,d'Apice AJ,Kincaid-Smith P,Mathew TH

    更新日期:1993-02-01 00:00:00

  • Immune privilege in the testis. I. Basic parameters of allograft survival.

    abstract::The fate of solid tissue allografts--skin or parathyroid glands--implanted in the interstitial tissue of the testis was investigated using inbred rats. The results affirm that the testis is an immunologically privileged site despite its efficient lymphatic drainage. Skin allografts survived at least several days longe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198310000-00014

    authors: Head JR,Neaves WB,Billingham RE

    更新日期:1983-10-01 00:00:00

  • Safety and Risk Factors of Pure Laparoscopic Living Donor Right Hepatectomy: Comparison to Open Technique in Propensity Score-matched Analysis.

    abstract:BACKGROUND:The innovative pure laparoscopic living donor right hepatectomy (LLDRH) procedure for liver transplantation has never been fully compared to open living donor right hepatectomy (OLDRH). We aimed to compare the donor safety and graft results of pure LLDRH to those of OLDRH. METHODS:From May 2013 to July 2017...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002834

    authors: Park J,Kwon DCH,Choi GS,Kim SJ,Lee SK,Kim JM,Lee KW,Chung YJ,Kim KS,Lee JS,Rhu J,Kim GS,Gwak MS,Ko JS,Lee JE,Lee S,Joh JW

    更新日期:2019-10-01 00:00:00

  • Kidney Transplant With Low Levels of DSA or Low Positive B-Flow Crossmatch: An Underappreciated Option for Highly Sensitized Transplant Candidates.

    abstract:BACKGROUND:Avoiding donor-specific antibody (DSA) is difficult for sensitized patients. Improved understanding of the risk of low level DSA is needed. METHODS:We retrospectively compared the outcomes of 954 patients transplanted with varied levels of baseline DSA detected by single antigen beads and B flow cytometric ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001619

    authors: Schinstock CA,Gandhi M,Cheungpasitporn W,Mitema D,Prieto M,Dean P,Cornell L,Cosio F,Stegall M

    更新日期:2017-10-01 00:00:00

  • Use of (CA)n polymorphisms to determine the origin of blood cells after allogeneic canine marrow grafting.

    abstract::We have used a polymerase chain reaction-based assay measuring polymorphic (CA)n repeats, a class of simple sequence repeats, to assess the success of allogeneic canine marrow transplants. Results were compared with those obtained with karyotype analysis of dividing cells in recipients that were sex mismatched with th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Yu C,Ostrander E,Bryant E,Burnett R,Storb R

    更新日期:1994-09-27 00:00:00

  • Interaction of mycophenolate mofetil and HLA matching on renal allograft survival.

    abstract:INTRODUCTION:The importance of HLA matching for renal transplantation outcomes has been appreciated for several decades. It has been hypothesized that as pharmacologic immunosuppression becomes stronger and more specific, the impact of HLA matching may be vanishing. Mycophenolate Mofetil (MMF) has been demonstrated to ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102150-00010

    authors: Meier-Kriesche HU,Ojo AO,Leichtman AB,Magee JC,Rudich SM,Hanson JA,Cibrik DM,Kaplan B

    更新日期:2001-02-15 00:00:00

  • Azithromycin therapy for patients with bronchiolitis obliterans syndrome after lung transplantation.

    abstract:BACKGROUND:Bronchiolitis obliterans syndrome (BOS) is the leading cause of late mortality after lung transplantation. METHODS:We added azithromycin (AZI) (250 mg/day for 5 days, followed by 250 mg every other day) to the current immunosuppressive therapy in eight lung transplant recipients (mean age 36 years) with est...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000122412.80864.43

    authors: Verleden GM,Dupont LJ

    更新日期:2004-05-15 00:00:00

  • Comparison of University of Wisconsin and St Thomas' Hospital solutions on endothelium-derived hyperpolarizing factor-mediated function in coronary micro-arteries.

    abstract:BACKGROUND:It is controversial whether coronary endothelial function is impaired after cold exposure to University of Wisconsin (UW) or St. Thomas' Hospital (ST) solution during heart transplantation. We therefore examined the effects of cold storage of coronary micro-arteries with UW or ST solution on endothelium-deri...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Ge ZD,He GW

    更新日期:2000-07-15 00:00:00

  • Impact of renal posttransplantation amputation on allograft outcomes: a study of United States renal data system.

    abstract:BACKGROUND:The prevalence of renal posttransplantation amputation and its impact on allograft and patient survival have not been widely reported. METHODS:We used an incident cohort of patients who underwent renal transplantation between June 2004 and September 2009. Amputation data were obtained using Medicare institu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31828e72b4

    authors: Brar A,Jindal RM,Sumrani N,John D,Mondal Z,Tedla F,Salifu MO

    更新日期:2013-05-27 00:00:00

  • Influence of preservation solution on human islet isolation outcome.

    abstract:BACKGROUND:The influence of the preservation solution used for in situ perfusion of the donor and pancreas storage on islet isolation has received little attention. METHODS:In this prospective controlled trial, we compared the outcome of human islet isolation from pancreata perfused with University of Wisconsin (UW) s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000251723.97483.16

    authors: Hubert T,Gmyr V,Arnalsteen L,Jany T,Triponez F,Caiazzo R,Vandewalle B,Vantyghem MC,Kerr-Conte J,Pattou F

    更新日期:2007-02-15 00:00:00

  • Superior immunomodulatory effects of intravenous immunoglobulins on human T-cells and dendritic cells: comparison to calcineurin inhibitors.

    abstract:BACKGROUND:Prophylactic administration of anti-HBs intravenous immunoglobulins (IVIg) in hepatitis B infected-liver transplant patients protects against acute rejection. To explore the suitability of intravenous immunoglobulins (IVIg) as prophylaxis of acute rejection and graft-versus-host disease (GVHD) after allograf...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000226073.20185.b1

    authors: Tha-In T,Metselaar HJ,Tilanus HW,Boor PP,Mancham S,Kuipers EJ,de Man RA,Kwekkeboom J

    更新日期:2006-06-27 00:00:00

  • Peripheral monitoring of direct and indirect alloantigen presentation pathways in clinical heart transplant recipients.

    abstract::It has been reported that the response to alloantigens presented by the direct and indirect pathway may be of differential relevance after human kidney transplantation. Accordingly, we monitored these routes in peripheral blood mononuclear cells (PBMC) of heart transplant patients from before transplantation and up to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199601150-00033

    authors: van Besouw NM,Vaessen LM,Daane CR,Jutte NH,Balk AH,Claas FH,Weimar W

    更新日期:1996-01-15 00:00:00

  • Effect of core pancreas temperature during cadaveric procurement on human islet isolation and functional viability.

    abstract:BACKGROUND:Success of human pancreatic islet isolation depends largely on the techniques used during pancreas procurement and the quality of the gland. Warm ischemia of the pancreas of any duration during organ procurement may be detrimental to subsequent islet yield and functional viability of the islets. The aim of t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204150-00016

    authors: Lakey JR,Kneteman NM,Rajotte RV,Wu DC,Bigam D,Shapiro AM

    更新日期:2002-04-15 00:00:00

  • Hepatobiliary and pancreatic complications of cyclosporine therapy in 466 renal transplant recipients.

    abstract::Two hundred twenty-eight patients from a total of 466 (49%) receiving renal allografts under cyclosporine/prednisone (CsA/Pred) immunosuppression experienced at least one episode of posttransplant hepatotoxicity. All patients were documented to have normal serum bilirubin, serum glutamic oxaloacetic transaminase (SGOT...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00009

    authors: Lorber MI,Van Buren CT,Flechner SM,Williams C,Kahan BD

    更新日期:1987-01-01 00:00:00

  • Rapid development of subacute myelopathy in three organ transplant recipients after transmission of human T-cell lymphotropic virus type I from a single donor.

    abstract:BACKGROUND:Human T-cell lymphotropic virus type I (HTLV-I) causes a subacute myelopathy in less than 5% of chronic carriers. However, the risk of neurologic disease appears to increase in persons infected through blood transfusion. METHODS:We report three recipients of solid organ transplants who developed a subacute ...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200301150-00019

    authors: Toro C,Rodés B,Poveda E,Soriano V

    更新日期:2003-01-15 00:00:00

  • The poly(adenosine diphosphate-ribose) polymerase inhibitor PJ34 reduces pulmonary ischemia-reperfusion injury in rats.

    abstract:BACKGROUND:Ischemia-reperfusion (I/R) injury after lung transplantation causes alveolar damage, lung edema, and acute rejection. Poly(adenosine diphosphate-ribose) polymerase (PARP) is a single-stranded DNA repair enzyme that induces apoptosis and necrosis after DNA damage caused by reactive oxygen species. We evaluate...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000305

    authors: Hatachi G,Tsuchiya T,Miyazaki T,Matsumoto K,Yamasaki N,Okita N,Nanashima A,Higami Y,Nagayasu T

    更新日期:2014-09-27 00:00:00