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造血干细胞移植中巨细胞病毒感染早期的诊断和治疗。

Diagnosis and treatment for the early stage of cytomegalovirus infection during hematopoietic stem cell transplantation.

机构信息

Department of Hematology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Front Immunol. 2022 Sep 23;13:971156. doi: 10.3389/fimmu.2022.971156. eCollection 2022.

Abstract

Cytomegalovirus (CMV) infection remains a frequent complication after hematopoietic stem cell transplantation (HSCT) and causes significant morbidity and mortality in transplantation recipients. In this review, we highlight the role of major risk factors that are associated with the incidence of CMV infection. Advances in immunosurveillance may predict CMV infection, allowing early interventions to prevent severe infection. Furthermore, numerous therapeutic strategies against CMV infection after HSCT are summarized. A comprehensive understanding of the current situation of CMV treatment may provide a hint for clinical practice and even promote the development of novel strategies for precision medicine.

摘要

巨细胞病毒(CMV)感染仍是造血干细胞移植(HSCT)后的常见并发症,并导致移植受者发病率和死亡率显著增加。在本综述中,我们重点介绍了与 CMV 感染发生率相关的主要危险因素的作用。免疫监测的进步可以预测 CMV 感染,从而可以进行早期干预以预防严重感染。此外,还总结了 HSCT 后针对 CMV 感染的多种治疗策略。全面了解 CMV 治疗的现状可为临床实践提供线索,甚至促进新型精准医学策略的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6215/9537469/29990218298e/fimmu-13-971156-g001.jpg

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