Immunosuppression in renal transplantation: Viral diseases and chronic allograft nephropathy

被引:4
作者
Salvadori, M [1 ]
Rosati, A [1 ]
Di Maria, L [1 ]
Becherelli, P [1 ]
Moscarelli, L [1 ]
Bandini, S [1 ]
Piperno, R [1 ]
Larti, A [1 ]
Gallo, M [1 ]
Bertoni, E [1 ]
机构
[1] Careggi Univ Hosp, Renal Unit, Dept Renal Transplantat, I-50139 Florence, Italy
关键词
D O I
10.1016/j.transproceed.2005.06.047
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Chronic allograft dysfunction after renal transplantation can be ascribed to different causes, among which are viral infections. The aim of this work was to show the various ways by which different kinds of viruses affect transplant structure and function. Polyoma virus is an example of viruses directly affecting the kidney because of a specific tropism to the uroepitelial cells. Cytomegalovirus (CMV) has been chosen both because of the frequency of this infection and because CMV (as other viruses) can produce transplant vascular sclerosis. Finally, we describe hepatitis C virus (HCV) because of its capacity to induce renal lesions independently from chronic allograft nephropathy. Indeed HCV is likely to determine immunologically mediated nephritis in the transplanted kidney as well in the native one.
引用
收藏
页码:2500 / 2501
页数:2
相关论文
共 13 条
[1]
Influence of surveillance renal allograft biopsy on diagnosis and prognosis of polyomavirus-associated nephropathy [J].
Buehrig, CK ;
Lager, DJ ;
Stegall, MD ;
Kreps, MA ;
Kremers, WK ;
Gloor, JM ;
Schwab, TR ;
Velosa, JA ;
Fidler, ME ;
Larson, TS ;
Griffin, MD .
KIDNEY INTERNATIONAL, 2003, 64 (02) :665-673
[2]
Hepatitis C virus infection and de novo glomerular lesions in renal allografts [J].
Cruzado, JM ;
Carrera, M ;
Torras, J ;
Grinyó, JM .
AMERICAN JOURNAL OF TRANSPLANTATION, 2001, 1 (02) :171-178
[3]
Pretransplant interferon prevents hepatitis C virus-associated glomerulonephritis in renal allografts by HCV-RNA clearance [J].
Cruzado, JM ;
Casanovas-Taltavull, T ;
Torras, J ;
Baliellas, C ;
Gil-Vernet, S ;
Grinyó, JM .
AMERICAN JOURNAL OF TRANSPLANTATION, 2003, 3 (03) :357-360
[4]
Human cytomegalovirus pp67 mRNAemia versus pp65 antigenemia for guiding preemptive therapy in heart and lung transplant recipients:: A prospective, randomized, controlled, open-label trial. [J].
Gerna, G ;
Baldanti, F ;
Lilleri, D ;
Parea, M ;
Torsellini, M ;
Castiglioni, B ;
Vitulo, P ;
Pellegrini, C ;
Viganò, M ;
Grossi, P ;
Revello, MG .
TRANSPLANTATION, 2003, 75 (07) :1012-1019
[5]
Pretransplant hepatitis C virus infection - A predictor of proteinuria after renal transplantation [J].
Hestin, D ;
Guillemin, F ;
Castin, N ;
Le Faou, A ;
Champigneulles, J ;
Kessler, M .
TRANSPLANTATION, 1998, 65 (05) :741-744
[6]
Prospective study of polyomavirus type BK replication and nephropathy in renal-transplant recipients [J].
Hirsch, HH ;
Knowles, W ;
Dickenmann, M ;
Passweg, J ;
Klimkait, T ;
Mihatsch, MJ ;
Steiger, J .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (07) :488-496
[7]
Kazory A, 2003, Transpl Infect Dis, V5, P65, DOI 10.1034/j.1399-3062.2003.00017.x
[8]
Keay S, 1999, Transpl Infect Dis, V1 Suppl 1, P19
[9]
Incidence of polyomavirus-nephropathy in renal allografts: influence of modern immunosuppressive drugs [J].
Mengel, M ;
Marwedel, M ;
Radermacher, J ;
Eden, G ;
Schwarz, A ;
Haller, H ;
Kreipe, H .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2003, 18 (06) :1190-1196
[10]
Polyomavirus nephropathy: morphology, pathophysiology, and clinical management [J].
Nickeleit, V ;
Singh, HK ;
Mihatsch, MJ .
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2003, 12 (06) :599-605