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移植受者中的人类疱疹病毒6型和7型

[Human herpesvirus type 6 and type 7 in transplant recipients].

作者信息

Benito Natividad, Moreno Asunción, Pumarola Tomás, Marcos M Angeles

机构信息

Servicio de Infecciones. Institut Clínic d'Infeccions i Inmunologia. Hospital Clínic Universitari-IDIBAPS. Barcelona. España.

出版信息

Enferm Infecc Microbiol Clin. 2003 Oct;21(8):424-32. doi: 10.1016/s0213-005x(03)72980-2.

Abstract

Recent years have witnessed a growing interest in the role of human herpesvirus (HHV) type 6 and type 7 as emerging pathogens or copathogens in transplant recipients. Both HHV-6 and HHV-7 belong to the beta-herpesvirus family and are closely related to another member of the family, cytomegalovirus. After the primary infection, these viruses remain latent in the human host and can reactivate after transplantation. Various clinical processes such as fever, rash, pneumonitis, encephalitis, hepatitis, and myelosuppression have been described in association with herpesvirus. Moreover, a growing body of evidence suggests that the major impact of HHV-6 and HHV-7 reactivation in transplantation is related to indirect effects, such as their association with cytomegalovirus disease, increased opportunistic infections, and graft dysfunction and rejection. The pathogenesis of HHV-6 and HHV-7 during the post-transplantation period, the methods used for their diagnosis, and the evaluation of antiviral drugs and strategies for their prevention and treatment are now the subject of extensive research.

摘要

近年来,人们越来越关注人类疱疹病毒6型(HHV-6)和7型(HHV-7)作为移植受者中新出现的病原体或共病原体所起的作用。HHV-6和HHV-7都属于β疱疹病毒科,并且与该科的另一个成员巨细胞病毒密切相关。初次感染后,这些病毒在人类宿主中保持潜伏状态,并可在移植后重新激活。与疱疹病毒相关的各种临床过程,如发热、皮疹、肺炎、脑炎、肝炎和骨髓抑制等已被描述。此外,越来越多的证据表明,HHV-6和HHV-7在移植中重新激活的主要影响与间接效应有关,例如它们与巨细胞病毒疾病的关联、机会性感染增加以及移植物功能障碍和排斥反应。移植后阶段HHV-6和HHV-7的发病机制、用于诊断它们的方法以及抗病毒药物的评估和预防治疗策略现在是广泛研究的主题。

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