Ihara T
Department of Pediatrics, Mie National Hospital.
Nihon Rinsho. 1998 Jan;56(1):145-50.
Symptomatic cytomegalovirus(CMV) infection is a serious complication in organ transplant and bone marrow transplant recipients. CMV immunoglobulin is available to prevent CMV disease in renal transplant and bone marrow transplant recipients, but not so efficacious in liver transplant and heart transplant recipients. Live CMV vaccine, Towne strain, is immunogenic in renal transplant recipients. Concerns about potential side effects of live-attenuated vaccine have stimulated the development of subunit vaccine. Several of CMV subunit vaccine are tested in animal models. Adoptive immunotherapy has been newly developed to prevent CMV disease in bone marrow transplant recipients. The suitable prevention for CMV infection and disease in accordance with the immunological status of transplant recipients will be established in the near future.
有症状的巨细胞病毒(CMV)感染是器官移植和骨髓移植受者的一种严重并发症。CMV免疫球蛋白可用于预防肾移植和骨髓移植受者的CMV疾病,但在肝移植和心脏移植受者中效果不佳。活CMV疫苗Towne株在肾移植受者中具有免疫原性。对减毒活疫苗潜在副作用的担忧促使了亚单位疫苗的研发。几种CMV亚单位疫苗已在动物模型中进行了测试。过继性免疫疗法是最近开发的用于预防骨髓移植受者CMV疾病的方法。根据移植受者的免疫状态,在不久的将来将建立针对CMV感染和疾病的合适预防措施。