The clinical utility of whole blood versus plasma cytomegalovirus viral load assays for monitoring therapeutic response.

Abstract:

BACKGROUND:In patients with cytomegalovirus (CMV) disease, regular monitoring of viral loads and treatment until negative are recommended. However, with more sensitive polymerase chain reaction (PCR) assays and cellular peripheral sample types, detection of low-level viremia is achievable. We compared a whole blood real-time PCR with a plasma PCR assay for monitoring therapeutic response. METHODS:Patients enrolled in a trial to treat CMV disease for 21 days had regular viral load monitoring. The results of a plasma-based PCR assay were compared with a real-time PCR assay of whole blood and assessed for their ability to predict recurrence. RESULTS:In 219 evaluable patients, viral loads in plasma versus whole blood demonstrated good correlation but significant difference in absolute value and clearance kinetics. Virus was still detectable by day 21 in 154 of 219 (70.3%) patients with the whole blood versus 105 of 219 (52.1%; P<0.001) patients with the plasma assay. The positive predictive value of persistent plasma viremia at day 21 for virologic recurrence was 41.9% vs. 36.3% for the whole blood assay. In the subset of patients with a negative plasma but positive whole blood at day 21 (n = 49), the incidence of virologic recurrence was similar to that of all patients with a negative plasma assay (23.1% vs. 23.6%). CONCLUSIONS:When treating CMV disease, enhanced detection of residual viremia using a whole blood real-time PCR does not seem to offer significant clinical advantages nor allows for better prediction of recurrence of CMV viremia or disease. The treat-to-negative paradigm may not hold true when such assays are used.

journal_name

Transplantation

journal_title

Transplantation

authors

Lisboa LF,Asberg A,Kumar D,Pang X,Hartmann A,Preiksaitis JK,Pescovitz MD,Rollag H,Jardine AG,Humar A

doi

10.1097/TP.0b013e3181ff8719

subject

Has Abstract

pub_date

2011-01-27 00:00:00

pages

231-6

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

91

pub_type

杂志文章,多中心研究,随机对照试验
  • The role of endoscopic ultrasound for evaluating portal hypertension in children being assessed for intestinal transplantation.

    abstract::Intestinal transplant is an established treatment of irreversible intestinal failure, unless complicated by advanced intestinal failure-associated liver disease, when liver-bowel transplant may be necessary. Finding at least moderate hepatic fibrosis or gastroesophageal varices (GOV) at oesophago-gastroduodenoscopy (O...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181891d63

    authors: McKiernan PJ,Sharif K,Gupte GL

    更新日期:2008-11-27 00:00:00

  • Tumor necrosis factor-beta is associated with thymic apoptosis during acute rejection.

    abstract:BACKGROUND:Intrathymic events undergoing allograft rejection remain undefined. The present study investigated the role of tumor necrosis factor-beta on acute thymic involution in rat hepatic allograft recipients during rejection. METHODS:Apoptosis and cellular phenotypic changes in the thymus were studied after hepati...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810150-00014

    authors: Yamaguchi Y,Okabe K,Miyanari N,Matsumura F,Ichiguchi O,Akizuki E,Matsuda T,Liang J,Ohshiro H,Miyayama Y,Yamada S,Mori K,Ogawa M

    更新日期:1998-10-15 00:00:00

  • Abnormal B-cell regulation in highly sensitized patients with sustained serum levels of antibody to HLA class I antigens.

    abstract:BACKGROUND:There are anti-idiotypes in the sera of highly sensitized (HS) patients that stimulate B cells to produce antibody to HLA class I antigens. The purpose of this study is to determine if there is an abnormality in B cell responses to these anti-idiotypes. METHODS:Supernatants from normal and HS B cells expose...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000179640.06825.bf

    authors: Hack N,Angra S,McKnight TL,den Hollander N,Cardella CJ

    更新日期:2005-11-15 00:00:00

  • Use of steatotic graft in living-donor liver transplantation.

    abstract:BACKGROUND:The degree of fatty infiltration in hepatic grafts is known to be an important risk factor for primary graft nonfunction in cadaveric liver transplantation. However, the effect of hepatic steatosis in living-donor liver transplantation (LDLT) has not yet been well defined. In this study, we evaluated the imp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000071205.52835.A4

    authors: Soejima Y,Shimada M,Suehiro T,Kishikawa K,Yoshizumi T,Hashimoto K,Minagawa R,Hiroshige S,Terashi T,Ninomiya M,Shiotani S,Harada N,Sugimachi K

    更新日期:2003-07-27 00:00:00

  • Usefulness of Oxford classification in assessing immunoglobulin A nephropathy after transplantation.

    abstract:BACKGROUND:We explored the efficacy of the Oxford classification for assessing native immunoglobulin A nephropathy (IgAN) in posttransplantation patients compared with the glomerular injury score and Haas classification. METHODS:A total of 125 renal allograft biopsies obtained from 114 patients diagnosed with IgAN reg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318291de65

    authors: Lim BJ,Joo DJ,Kim MS,Kim YS,Kim SI,Kim Y,Huh KH,Koh MJ,Jeong HJ

    更新日期:2013-06-27 00:00:00

  • The effect of UVB irradiation on proliferative activity and cell growth potential of cord blood.

    abstract::To determine the degree of graft versus host disease (GVHD) prophylaxis that might be necessary if cord blood (CB) transplantation is more widely applied, we compared human cord blood mononuclear cell (CBMC) and adult peripheral blood mononuclear cell (PBMC) proliferative responses and stimulatory capabilities; to exa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199408270-00018

    authors: Greenfeld JI,Noizat-Pirenne F,Hardy MA,Oluwole SF,Hesdorffer CA,Preti RA,De Groote D,Franchimont P

    更新日期:1994-08-27 00:00:00

  • The role of T suppressor cells in the maintenance of spontaneously accepted orthotopic rat liver allografts.

    abstract::Orthotopic liver allografts from BN donors to LEW recipients are spontaneously accepted, and the recipients develop donor-specific immunological unresponsiveness. This unresponsiveness may be mediated by suppressor T cells. Immunomagnetically purified splenic T cells from LEW rats bearing BN liver grafts were shown to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199212000-00019

    authors: Gassel HJ,Hutchinson IV,Engemann R,Morris PJ

    更新日期:1992-12-01 00:00:00

  • Response to diphtheria and tetanus booster vaccination in pediatric renal transplant recipients.

    abstract:BACKGROUND:Although inactivated vaccines are recommended for immunocompromized patients, efficacy and safety of diphtheria and tetanus immunization in renal transplant recipients have received little attention so far. The aim of the study was to investigate the response to a standard diphtheria and tetanus booster vacc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199707270-00010

    authors: Enke BU,Bökenkamp A,Offner G,Bartmann P,Brodehl J

    更新日期:1997-07-27 00:00:00

  • Immunosuppression with a combination of the leflunomide analog, FK778, and microemulsified cyclosporine for renal transplantation in mongrel dogs.

    abstract:BACKGROUND:The leflunomide analog, FK778, is a selective pyrimidine synthesis inhibitor. In rodent models, FK778 is efficacious in the prevention of allograft and xenograft rejection, and a combination of FK778 and cyclosporine has synergistic immunosuppressive efficacy. METHODS:Heterotopic renal transplantation was p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000061789.97072.12

    authors: Kyles AE,Gregory CR,Griffey SM,Bernsteen L,Pierce J,Lilja HS,Morris RE

    更新日期:2003-04-27 00:00:00

  • Different kinetics of obliterative airway disease development in heterotopic murine tracheal allografts induced by CD4+ and CD8+ T cells.

    abstract:BACKGROUND:Both T and B cells have been shown to be implicated in the pathogenesis of bronchiolitis obliterans syndrome, which is considered to represent chronic lung allograft rejection. However, the relative contributions of T cells and alloantibodies in the pathogenesis of the disease are still unknown. In this stud...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200209150-00010

    authors: Higuchi T,Jaramillo A,Kaleem Z,Patterson GA,Mohanakumar T

    更新日期:2002-09-15 00:00:00

  • Inhibition of the pig to human xenograft reaction, using soluble Gal alpha 1-3Gal and Gal alpha 1-3Gal beta 1-4GlcNAc.

    abstract::Natural anti-carbohydrate antibodies are central to hyperacute rejection in ABO-incompatible allotransplantation and in discordant xenotransplantation. ABO-incompatible rejection has been inhibited successfully using intravenous soluble carbohydrates as antibody inhibitors. The approach has been less successful previo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Cairns T,Lee J,Goldberg L,Cook T,Simpson P,Spackman D,Palmer A,Taube D

    更新日期:1995-12-15 00:00:00

  • Use of the methylxanthine derivative A802715 in transplantation immunology: I. Strong in vitro inhibitory effects on CD28-costimulated T cell activities.

    abstract:BACKGROUND:Recently, methylxanthines such as pentoxifylline (PTX) were shown to be immunosuppressive in vitro. Unfortunately, when used in transplant patients, PTX was poorly active as an immunosuppressant. Here we report that the new methylxanthine derivative A802715 not only is more active than PTX, it also suppresse...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199706270-00019

    authors: Lin Y,Goebels J,Rutgeerts O,Kasran A,Van Gool S,Ceuppens J,Schönharting M,Waer M

    更新日期:1997-06-27 00:00:00

  • Alterations in rat pulmonary macrophage function by the immunosuppressive agents cyclosporine, azathioprine, and prednisolone.

    abstract::Disturbances of the immune response of the lung induced by the action of immunosuppressive agents on the functional abilities of rat pulmonary alveolar macrophages (PAM) were analyzed following in vitro incubation or in vivo administration (for 30 days) of cyclosporinea, (CsA) azathioprine (Az) or prednisolone (Pr). T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198306000-00014

    authors: Drath DB,Kahan BD

    更新日期:1983-06-01 00:00:00

  • The enhancing and sensitizing effects of donor blood components, including dendritic cells, in a rat renal allograft model.

    abstract::In the DA-to-Lewis renal allograft model, donor whole blood enhanced renal allograft survival (14.5 +/- 7.6 days versus 6.9 +/- 0.6 days in controls [P less than 0.01]). The effect of individual cell components given in numbers equivalent to those present in the enhancing volumes of donor whole blood was studied. Immu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198409000-00003

    authors: El-Malik F,Malik ST,Varghese Z,Sweny P,Moorhead JF

    更新日期:1984-09-01 00:00:00

  • HLA-G is a crucial immunosuppressive molecule secreted by adult human mesenchymal stem cells.

    abstract::Adult bone marrow-derived mesenchymal stem cells (MSCs) are multipotential cells capable of regenerating injured tissues. In addition to their multipotency, MSCs inhibit natural killer cell cytotoxicity and T-lymphocyte alloproliferation. Several immunosuppressive mechanisms have been described, including indoleamine ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a2a4b3

    authors: Selmani Z,Naji A,Gaiffe E,Obert L,Tiberghien P,Rouas-Freiss N,Carosella ED,Deschaseaux F

    更新日期:2009-05-15 00:00:00

  • Mechanism analysis of long-term graft survival by monocarboxylate transporter-1 inhibition.

    abstract:BACKGROUND:Monocarboxylate transporter (MCT)-1, a member of a family of molecules, transports monocarboxylates such as lactate. Inhibiting MCT-1 leads to long-term graft survival in rodent heart transplantation and induces tolerance. We evaluated an MCT-1 inhibitor, AS2495674, in a rat heart transplant model and analyz...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181ff8818

    authors: Cho KS,Yamada T,Wynn C,Behanna HA,Hong IC,Manaves V,Nakanishi T,Hirose J,Abe Y,Jiang H,Tamura K,Saita Y

    更新日期:2010-12-27 00:00:00

  • Multivariate analysis of donor risk factors for graft survival in kidney transplantation.

    abstract:BACKGROUND:The results of the transplantation of marginal donor kidneys remain controversial. This study aimed to investigate the impact of donor risk factors as predictors of kidney-graft outcome. METHODS:Allograft failure risk factors were studied in 7,209 cadaveric kidney-transplant recipients reporting to the Etab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000044171.97375.61

    authors: Pessione F,Cohen S,Durand D,Hourmant M,Kessler M,Legendre C,Mourad G,Noël C,Peraldi MN,Pouteil-Noble C,Tuppin P,Hiesse C

    更新日期:2003-02-15 00:00:00

  • Effect of Institutional Case Volume on In-hospital Mortality After Living Donor Liver Transplantation: Analysis of 7073 Cases Between 2007 and 2016 in Korea.

    abstract:BACKGROUND:The relationship between institutional case volume and clinical outcomes after living donor liver transplantation is not clarified. METHODS:We conducted a nationwide retrospective cohort study using the database of Korean National Healthcare Insurance Service. Between January 2007 and December 2016, 7073 ad...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002394

    authors: Yoo S,Jang EJ,Yi NJ,Kim GH,Kim DH,Lee H,Jung CW,Ryu HG

    更新日期:2019-05-01 00:00:00

  • Quality of life of liver transplant recipients. A pilot study.

    abstract::In a cross-sectional survey of the quality of life of 45 liver transplant recipients, physical and psychological status, physical complaints, capability to participate in daily life, social support, and global quality of life were assessed. The average time of follow-up was 9 months after transplantation. Nine patient...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00013

    authors: Leyendecker B,Bartholomew U,Neuhaus R,Hörhold M,Blumhardt G,Neuhaus P,Klapp BF

    更新日期:1993-09-01 00:00:00

  • Hyperhomocysteinemia in cyclosporine-treated renal transplant recipients.

    abstract::Moderate hyperhomocysteinemia, an independent cardiovascular risk factor, has been reported in renal transplant recipients. In the present study, plasma concentrations of total homocysteine were significantly increased in 120 renal transplant recipients as compared with 60 healthy controls (19.0 +/- 6.9 vs. 11.6 +/- 2...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602150-00034

    authors: Arnadottir M,Hultberg B,Vladov V,Nilsson-Ehle P,Thysell H

    更新日期:1996-02-15 00:00:00

  • Reversal of intrapulmonary arteriovenous shunting detected by two-dimensional contrast-enhanced echocardiography after liver transplantation.

    abstract:BACKGROUND:Intrapulmonary arteriovenous shunting (IPS), occasionally associated with advanced liver disease, may reverse after liver transplantation (LTx). Two-dimensional contrast-enhanced echocardiography, a convenient noninvasive study, has never been used to demonstrate disappearance of IPS after LTx. METHODS:For ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002270-00035

    authors: Hasegawa T,Kamiyama M,Azuma T,Sasaki T,Okada A,Miwatani T,Matsushita T

    更新日期:2000-02-27 00:00:00

  • Cold-storage preservation of the canine and rat pancreas prior to islet isolation.

    abstract::Cold-storage preservation of the canine pancreas prior to islet isolation has previously been noted to reduce the intrasplenic islet autograft success rate; but the mechanism of this deleterious effect has not been determined. We undertook a study in both outbred dogs and Lewis (RT1-1) rats to determine the influence ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00007

    authors: Munn SR,Kaufman DB,Field MJ,Viste AB,Sutherland DE

    更新日期:1989-01-01 00:00:00

  • Everolimus versus mycophenolate mofetil in the prevention of rejection in de novo renal transplant recipients: a 3-year randomized, multicenter, phase III study.

    abstract:BACKGROUND:This 36-month, randomized, parallel-group study compared safety and efficacy of two doses of everolimus with mycophenolate mofetil (MMF) in de novo renal-transplant recipients. METHODS:Renal-allograft recipients received 1.5 mg/day or 3 mg/day of everolimus or 2 g/day of MMF, plus full-dose cyclosporine (Cs...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.tp.0000164352.65613.24

    authors: Lorber MI,Mulgaonkar S,Butt KM,Elkhammas E,Mendez R,Rajagopalan PR,Kahan B,Sollinger H,Li Y,Cretin N,Tedesco H,B251 Study Group.

    更新日期:2005-07-27 00:00:00

  • Epidemiology of BK virus in renal allograft recipients: independent risk factors for BK virus replication.

    abstract:BACKGROUND:Identification of risk factors for BK virus (BKV) replication may improve transplant outcome. We investigated the impact of immunosuppressive drugs on the prevalence of BKV replication in recipients of human renal allografts. METHODS:One hundred twenty renal allograft recipients were studied prospectively a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31817c6447

    authors: Dadhania D,Snopkowski C,Ding R,Muthukumar T,Chang C,Aull M,Lee J,Sharma VK,Kapur S,Suthanthiran M

    更新日期:2008-08-27 00:00:00

  • Characterization of naturally occurring CD4+CD25+ regulatory T cells in rhesus monkeys.

    abstract:BACKGROUND:Translational research in a relevant preclinical model is recommended before Treg-inducing protocols can be implemented in humans. We have characterized rhesus monkey CD25 cells phenotypically and functionally. METHODS:The phenotype of CD4(+)CD25(high) cells was determined by FACS, focusing on established m...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816b15b9

    authors: Haanstra KG,van der Maas MJ,'t Hart BA,Jonker M

    更新日期:2008-04-27 00:00:00

  • Twenty-four-hour hypothermic preservation of rat liver with Euro-Collins and UW solutions. A comparative evaluation by 31P NMR spectroscopy, biochemical assays, and light microscopy.

    abstract::A comparative study of 24 hr preservation at 4 degrees C of excised rat livers with Euro-Collins and hydroxyethyl starch-free University of Wisconsin (UWm) solutions has been conducted based on the assessment of (1) the cellular energy status determined by 31P NMR spectroscopy and (2) cellular injury estimated from th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199210000-00006

    authors: Gulian JM,Dalmasso C,Desmoulin F,Scheiner C,Cozzone PJ

    更新日期:1992-10-01 00:00:00

  • TNF-alpha signaling is not required for in vivo transcriptional reactivation of latent murine cytomegalovirus.

    abstract:BACKGROUND:Reactivation of cytomegalovirus (CMV) is frequently observed in recipients of solid organs and bone marrow transplants and is associated with increased risk of acute and chronic allograft rejection, opportunistic infection, graft failure, and patient mortality. The molecular mechanisms by which reactivation ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b242a7

    authors: Zhang Z,Li Z,Yan S,Wang X,Abecassis M

    更新日期:2009-09-15 00:00:00

  • Pancreas after living donor kidney versus simultaneous pancreas-kidney transplant: an analysis of the organ procurement transplant network/united network of organ sharing database.

    abstract:BACKGROUND:One of the alternative options to simultaneous pancreas-kidney transplantation (SPKT) for type I diabetics with renal failure is sequential transplant of a living donor kidney followed by a deceased donor pancreas transplant (pancreas after living donor kidney transplant [PALK]). We retrospectively compared ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181dd3587

    authors: Poommipanit N,Sampaio MS,Cho Y,Young B,Shah T,Pham PT,Wilkinson A,Danovitch G,Bunnapradist S

    更新日期:2010-06-27 00:00:00

  • Inability of isolated soluble interleukin-2 receptor levels to predict biopsy rejection scores after heart transplantation.

    abstract::Successful cardiac transplantation requires suppression of rejection, and endomyocardial biopsy is generally used to quantify this and guide immunotherapy. Biopsy, however, is an invasive, costly, cardiac catheterization with repetition limited. Since rejection requires lymphocyte activation, an alternative method of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00018

    authors: Young JB,Windsor NT,Smart FW,Kleiman NS,Weilbaecher DG,Noon GP,Nelson DL,Lawrence EC

    更新日期:1991-03-01 00:00:00

  • Thymoglobulin versus ATGAM induction therapy in pediatric kidney transplant recipients: a single-center report.

    abstract:BACKGROUND:Induction immunosuppressive therapy with the anti-T-cell antibody Thymoglobulin decreases the incidence of acute rejection in adult kidney transplant (KTx) recipients, but limited data are available for pediatric KTx recipients. METHODS:We conducted a historical cohort study to compare rates of survival, re...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000158325.12837.a2

    authors: Khositseth S,Matas A,Cook ME,Gillingham KJ,Chavers BM

    更新日期:2005-04-27 00:00:00