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肝供体活检中的人类疱疹病毒 6 和巨细胞病毒 DNA 及其与 HLA 配型和急性细胞排斥的相关性。

Human herpesvirus-6 and cytomegalovirus DNA in liver donor biopsies and their correlation with HLA matches and acute cellular rejection.

机构信息

Faculty of Medical Science, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

Unit of Liver Transplantation, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

出版信息

Braz J Infect Dis. 2014 Mar-Apr;18(2):220-4. doi: 10.1016/j.bjid.2013.07.007. Epub 2013 Nov 22.

DOI:10.1016/j.bjid.2013.07.007
PMID:24275367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9427445/
Abstract

UNLABELLED

Herpesvirus reactivation is common after liver transplantation.

OBJECTIVE

Analyze the presence of cytomegalovirus (HCMV) and human herpesvirus-6 (HHV-6) DNA in liver donor biopsies, seeking to better understand issues involving human donor leukocyte antigens (HLA)-A, B and DR, as well as correlations with acute cellular rejection.

METHODS

Fifty-nine liver transplantation patients were investigated for the presence of HCMV and HHV-6 DNA in liver donor biopsies, using the Nested-PCR technique. The clinical donor information and HLA matches were obtained from the São Paulo State Transplant System. The recipients' records regarding acute cellular rejection were studied.

RESULTS

Seven (11.8%) biopsies were positive for HCMV DNA and 29 (49%) were positive for HHV-6 DNA. In 14 donors with HLA-DR 15 nine had HHV-6 DNA positive liver biopsy with a tendency for significant association (p=0.09), 22 recipients developed acute cellular rejection and 9/22 were positive for HLA-DR 15 (p=0.03; χ(2)=4.51), which was statistically significant in univariate analysis and showed a tendency after multivariate analysis (p=0.08).

CONCLUSION

HHV-6 DNA was prevalent in liver donors studied as well as HLA-DR 15. These findings suggest that patients with HLA-DR 15 in liver donor biopsies develop more rejection after liver transplantation.

摘要

未标注

肝移植后疱疹病毒再激活很常见。

目的

分析肝供体活检中巨细胞病毒(CMV)和人类疱疹病毒-6(HHV-6)DNA 的存在情况,以期更好地了解与人类供体白细胞抗原(HLA)-A、B 和 DR 相关的问题,以及与急性细胞排斥的相关性。

方法

使用巢式 PCR 技术,对 59 例肝移植患者肝供体活检中 CMV 和 HHV-6 DNA 的存在情况进行了调查。临床供体信息和 HLA 匹配情况从圣保罗州移植系统获得。研究了受者关于急性细胞排斥的记录。

结果

7 例(11.8%)活检标本 CMV DNA 阳性,29 例(49%)HHV-6 DNA 阳性。在 14 例 HLA-DR 15 阳性的供体中,有 9 例肝活检 HHV-6 DNA 阳性,存在显著相关性的趋势(p=0.09),22 例受者发生急性细胞排斥,9/22 例 HLA-DR 15 阳性(p=0.03;χ²=4.51),单因素分析有统计学意义,多因素分析后呈趋势(p=0.08)。

结论

在所研究的肝供体中,HHV-6 DNA 与 HLA-DR 15 均较常见。这些发现表明,肝供体活检中 HLA-DR 15 的患者在肝移植后发生排斥反应的可能性更大。

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本文引用的文献

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2
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Transplant Proc. 2012 Oct;44(8):2441-4. doi: 10.1016/j.transproceed.2012.07.027.
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Cytomegalovirus in solid organ transplantation: epidemiology, prevention, and treatment.巨细胞病毒在实体器官移植中的:流行病学、预防和治疗。
Curr Infect Dis Rep. 2012 Dec;14(6):633-41. doi: 10.1007/s11908-012-0292-2.
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High intrahepatic HHV-6 virus loads but neither CMV nor EBV are associated with decreased graft survival after diagnosis of graft hepatitis.肝内 HHV-6 病毒载量高,但巨细胞病毒和 EBV 与移植肝炎诊断后的移植物存活率降低无关。
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Human herpesvirus 6 in donor biopsies associated with the incidence of clinical cytomegalovirus disease and hepatitis C virus recurrence.供体活检中的人类疱疹病毒 6 与临床巨细胞病毒病和丙型肝炎病毒复发的发生率有关。
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