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High incidence of malignancy in polyomavirus-associated nephropathy in renal transplant recipients.

Abstract：

:Human polyomaviruses (PV), including JC and BK virus, have been reported to cause polyomavirus-associated nephropathy (PVAN), in renal transplant patients. PV infection has been demonstrated to be associated with malignancies in animals; however, the association between malignancy and viral infections in humans is not clear. We retrospectively reviewed our 864 (M:F=502:362) kidney transplant patients over the past 25 years. We identified PVAN in 6 patients (0.69%), including BK nephropathy (n=5) and JC nephropathy (n=1). Three patients (50%) improved after reducing the immunosuppression, but 3 (50%) progressed to graft loss despite this reduction. Malignancy occurred in 5 out of the 6 patients (83%; P<.0001 compared with patients without PVAN), including transitional cell carcinoma (n=2), renal cell carcinoma (n=1), squamous cell carcinoma of skin (n=1) and Kaposi sarcoma (n=1). We concluded that kidney transplant patients with PVAN are at a significantly greater risk to develop malignancy. Whether this is due to a direct effect of PV infection or the result of overimmunosuppression remains to be determined in a future study.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Chen CH,Wen MC,Wang M,Lian JD,Cheng CH,Wu MJ,Yu TM,Chuang YW,Chang D,Shu KH

doi

10.1016/j.transproceed.2010.02.068

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

817-8

issue

3

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(10)00283-6

journal_volume

42

pub_type

杂志文章

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