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引用次数: 0
摘要
综述目的:讨论异基因血细胞移植(HCT)受者巨细胞病毒(CMV)血清学的最新证据:近来,CMV 特异性细胞介导免疫已成为移植后 CMV DNA 血症的一个重要因素,而 CMV 血清学的价值几十年来一直未变,它与供体选择、移植后预防和监测策略有关。在这篇综述中,我们描述并讨论了有关移植前 CMV 免疫球蛋白 G (IgG) 滴度与移植后 CMV DNA 血症发生率之间关系的新报道,因为 CMV IgG 滴度在未来可能成为 CMV 风险评估的另一个工具。摘要:移植前受者 CMV 血清学可能对异体 HCT 受者移植后 CMV 再激活有重要影响。
Reexploring cytomegalovirus serology in allogeneic hematopoietic cell transplantation.
Purpose of review: Discuss the recent evidence on cytomegalovirus (CMV) serology in allogeneic hematopoeic cell transplant (HCT) recipients.
Recent findings: Whereas the role CMV-specific cellular mediated immunity has recently emerged as an important factor of CMV DNAemia posttransplant, the value of CMV serology has remained unchanged through decades, associated with donor selection and posttransplant prophylactic and monitoring strategies. In this review, we describe and discuss the emerging reports on the association between the magnitude of pretransplant CMV immunoglobulin G (IgG) titer and the posttransplant incidence of CMV DNAemia, as CMV IgG titer could become an additional tool in CMV risk assessment in the future.
Summary: Pretransplant recipient CMV serology may have significant implications in posttransplant CMV reactivation in allogeneic HCT recipients.
期刊介绍:
This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on two topics, every issue of Current Opinion in Infectious Disease delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as HIV infection and AIDS; skin and soft tissue infections; respiratory infections; paediatric and neonatal infections; gastrointestinal infections; tropical and travel-associated diseases; and antimicrobial agents.