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Vol.57 (2011) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/278

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Title: Reinfection of cytomegalovirus in renal transplantation
Authors: Ishibashi, Kei
Yamaguchi, Osamu
Suzutani, Tatsuo
Affiliation: 泌尿器科学講座
Source title: Fukushima Journal of Medical Science
Volume: 57
Issue: 1
Start page: 1
End page: 10
Issue Date: 2011
Abstract: Cytomegalovirus (CMV) is the most important pathogen affecting the outcome of renal transplantation. Reinfection of CMV can occur in CMV-seropositive donors and CMV seropositive recipients (D+/R+) settings because the protection against CMV conferred by preexisting immunity is limited due to its strain-dependent immune responses. To analyze the influence of CMV reinfection in renal transplantation, ELISA using fusion proteins encompassing epitope of glycoprotein H(gH) from both AD169 and Towne strains was employed before transplantation. The CMV-gH seropositive rate increased with increases in age and the rate of samples which contained antibodies against both AD169 and Towne were significantly high in the age of 50 years or over. Antibodies from HLA-DR10 and DR11 were associated with a significantly lower response rate against CMV-gH. In renal transplantation, the high degrees of antigenemia and high incidences of CMV disease are more prevalent in the CMV gH antibody-mismatched group in D+/R+ setting. The nucleotide sequence of the region of the gH epitope in the CMV-DNA extracted from the transplant recipients who showed high degree of antigenemia revealed the CMV reinfection from the donors. As a CMV indirect effect, the incidence of acute rejection in the mismatched gH antibody group was higher than that observed in the matched and D+/R- groups. The adverse events were more likely to occur in cases of D+/R+ renal transplantation with mismatched strain-specific antibodies which would indicates the risk of CMV reinfection after transplantation.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/278
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/278/1/FksmJMedSci_57_p1.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.57.1
PubMed ID: 21701077
Other version: http://dx.doi.org/10.5387/fms.57.1
Rights: © 2011 The Fukushima Society of Medical Science
Appears in Collections:Vol.57 (2011)

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FksmJMedSci_57_p1.pdf636.59 kBAdobe PDFDownload

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