State-of-the-Art Monitoring of Cytomegalovirus-Specific Cell-Mediated Immunity After Organ Transplant: A Primer for the Clinician

被引:122
作者
Egli, Adrian [1 ]
Humar, Atul [1 ]
Kumar, Deepali [1 ]
机构
[1] Univ Alberta, Katz Ctr Hlth Res 6 030, Alberta Transplant Inst, Edmonton, AB T6G 2E1, Canada
关键词
EXTENDED VALGANCICLOVIR PROPHYLAXIS; BONE-MARROW-TRANSPLANT; CD8; T-CELLS; CMV DISEASE; HIGH-RISK; LUNG TRANSPLANTATION; PREEMPTIVE THERAPY; RECIPIENTS; INFECTION; RESPONSES;
D O I
10.1093/cid/cis818
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Cytomegalovirus (CMV) is one of the most common infections after solid organ transplantation. Improved assays to predict viral replication and disease would help refine current preventive strategies. Monitoring of CMV-specific T-cell responses may help guide clinical decision making. Several techniques are now available to quantify CMV-specific T-cell responses, including flow cytometry, enzyme-linked immunosorbent spot assay, and enzyme-linked immunosorbent assay. Standardization and validation of these assays have the potential to significantly change the monitoring and treatment of CMV and further personalize CMV prevention strategies. In this review, we discuss the measurement of CMV-specific T-cell responses and their clinical impact on the management of CMV after organ transplantation.
引用
收藏
页码:1678 / 1689
页数:12
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