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造血干细胞移植后 Epstein-Barr 病毒相关移植后淋巴增殖性疾病:发病机制、危险因素及临床结局

Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disorders after Hematopoietic Stem Cell Transplantation: Pathogenesis, Risk Factors and Clinical Outcomes.

作者信息

Fujimoto Ayumi, Suzuki Ritsuro

机构信息

Department of Oncology and Hematology, Shimane University Hospital, Izumo 693-8501, Japan.

出版信息

Cancers (Basel). 2020 Feb 1;12(2):328. doi: 10.3390/cancers12020328.

Abstract

Epstein-Barr virus (EBV) is a ubiquitous virus belonging to the human -herpes virus subfamily. After primary infection, EBV maintains a life-long latent infection. A major concern is that EBV can cause a diverse range of neoplasms and autoimmune diseases. In addition, patients undergoing hematopoietic stem cell transplantation or solid organ transplantation can experience post-transplant lymphoproliferative disorders (PTLDs) due to dysfunction or suppression of host's immune system, or uncontrolled proliferation of EBV-infected cells. In recent years, the number of EBV-associated PTLD cases has increased. This review focuses on the current understandings of EBV-associated PTLD pathogenesis, as well as the risk factors and clinical outcomes for patients after allogeneic stem cell transplantation.

摘要

爱泼斯坦-巴尔病毒(EBV)是一种普遍存在的病毒,属于人类疱疹病毒亚科。初次感染后,EBV会维持终身潜伏感染。一个主要问题是,EBV可引发多种肿瘤和自身免疫性疾病。此外,接受造血干细胞移植或实体器官移植的患者,由于宿主免疫系统功能障碍或受到抑制,或者EBV感染细胞不受控制地增殖,可能会发生移植后淋巴细胞增殖性疾病(PTLD)。近年来,EBV相关PTLD病例的数量有所增加。本综述聚焦于对EBV相关PTLD发病机制的当前认识,以及异基因干细胞移植后患者的危险因素和临床结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d9/7072403/5e55e7d815f1/cancers-12-00328-g001.jpg

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