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[人疱疹病毒6型(HHV-6)感染与肾移植]

[Infection by human herpesvirus type 6 (HHV-6) and renal transplantation].

作者信息

Merlino C, Sinesi F, Messina M, Giacchino F, Negro Ponzi A

机构信息

Cattedra di Nefro-Urologia, Università degli Studi di Torino.

出版信息

Minerva Urol Nefrol. 1992 Apr-Jun;44(2):147-53.

PMID:1329241
Abstract

Human herpes virus type 6 (HHV-6) infection was serologically investigated in renal transplant recipients. Before transplantation, 75.5% of patients was seropositive for HHV-6 and no correlation with age, sex and time on dialysis was found. During the first month after transplantation 66% of patients showed a variation in serological status against HHV-6 (seroconversion or fourfold increase of antibody titer). All patients who seroconverted had received the kidney from a HHV-6 seropositive donor, furthermore, in 11/13 (84.6%) pairs of patients receiving the kidney form the same seropositive donor, both members or had HHV-6 active infection or had no infection. The frequency of HHV-6 active infection in seropositive patients is almost the same in case of seronegative or seropositive donor. Comparing HHV-6 and CMV infections, they resulted independent as CMV infection in these patients occurs in a following period (II-III month). Notwithstanding a higher frequency of kidney rejection in patients with active HHV-6 infection, no significative correlation was found.

摘要

对肾移植受者进行了人类疱疹病毒6型(HHV-6)感染的血清学调查。移植前,75.5%的患者HHV-6血清学呈阳性,未发现与年龄、性别和透析时间相关。移植后第一个月内,66%的患者HHV-6血清学状态发生变化(血清转化或抗体滴度四倍增加)。所有发生血清转化的患者均接受了来自HHV-6血清学阳性供者的肾脏,此外,在13对接受来自同一血清学阳性供者肾脏的患者中,有11对(84.6%)的两名成员要么有HHV-6活动性感染,要么没有感染。在血清学阳性患者中,无论供者血清学阴性还是阳性,HHV-6活动性感染的频率几乎相同。比较HHV-6和巨细胞病毒(CMV)感染情况,结果显示它们相互独立,因为这些患者的CMV感染发生在随后的时期(第二至三个月)。尽管HHV-6活动性感染患者的肾脏排斥反应频率较高,但未发现显著相关性。

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