成人肾移植后BK多瘤病毒相关性肾病的细胞免疫

Q4 Medicine
Laila Schneidewind , Uwe Grunwald , Desiree L. Dräger , Thomas Neumann , Jennifer Kranz , Oliver W. Hakenberg
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引用次数: 0

摘要

背景dbk多瘤病毒(BKPyV)是影响肾移植受者最重要的多瘤病毒。BKPyV相关肾病(BKVAN)见于约5%的肾移植患者,可导致高达50%的移植肾丢失。特异性免疫监测结合病毒载量可用于单独评估病毒再激活的风险。然而,细胞免疫和靶向免疫系统也有可能用于治疗发展。因此,我们对细胞免疫反应进行了快速回顾,以总结计划新的治疗研究的证据。此外,我们提出了一个免疫学上有趣的BKVAN病例。方法在MEDLINE检索1971 - 2021年的文献,进行快速回顾。此外,我们提出了一个有趣的免疫学病例BKVAN。结果对原创性研究进行文献检索,得到92个结果。最终纳入9项研究,其中2项为实验研究,3项为回顾性病例系列,4项为前瞻性临床试验。总的来说,有证据表明,病毒特异性T细胞既可以用于监测BKVAN,也可以用于治疗。结论细胞对BKVAN的免疫反应是复杂的,但需要进一步的前瞻性临床研究,特别是在病毒特异性T细胞中的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cellular immunity in BK polyomavirus associated nephropathy following adult kidney transplantation

Background

BK polyomavirus (BKPyV) is the most important polyomavirus affecting renal transplant recipients. BKPyV associated nephropathy (BKVAN) is seen in about 5% of renal transplant patients and can lead to graft loss in up to 50% of cases. Monitoring of specific immunity combined with viral load could be used to individually assess the risk of viral reactivation. However, cellular immunity and targeting the immune system have also the potential to be used in therapy development. Consequently, we performed a rapid review about cellular immune responses to summarize the evidence for planning new research on treatment. Additionally, we present an immunologically interesting case of BKVAN.

Methods

We performed a rapid review with a search in MEDLINE from 1971 to 2021. Additionally, we present an immunological interesting case of BKVAN.

Results

The literature search for original studies yielded 92 results. Finally, nine studies were considered, two of them were experimental studies, three retrospective case series and four prospective clinical trials. On the whole, there is evidence that virus-specific T cells could be used for monitoring of BKVAN, but also for therapy.

Conclusions

Cellular immune response to BKVAN is complex, but further prospective clinical studies, especially in virus-specific T cells are necessary.

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来源期刊
Transplantation Reports
Transplantation Reports Medicine-Transplantation
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
101 days
期刊介绍: To provide to national and regional audiences experiences unique to them or confirming of broader concepts originating in large controlled trials. All aspects of organ, tissue and cell transplantation clinically and experimentally. Transplantation Reports will provide in-depth representation of emerging preclinical, impactful and clinical experiences. -Original basic or clinical science articles that represent initial limited experiences as preliminary reports. -Clinical trials of therapies previously well documented in large trials but now tested in limited, special, ethnic or clinically unique patient populations. -Case studies that confirm prior reports but have occurred in patients displaying unique clinical characteristics such as ethnicities or rarely associated co-morbidities. Transplantation Reports offers these benefits: -Fast and fair peer review -Rapid, article-based publication -Unrivalled visibility and exposure for your research -Immediate, free and permanent access to your paper on Science Direct -Immediately citable using the article DOI
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