Measurements of global cell-mediated immunity in renal transplant recipients with BK virus reactivation

被引:38
作者
Batal, Ibrahim [1 ]
Zeevi, Adriana [1 ]
Heider, Amer [1 ]
Girnita, Alin [1 ]
Basu, Amit [2 ]
Tan, Henkie [2 ]
Shapiro, Ron [2 ]
Randhawa, Parmjeet [1 ]
机构
[1] Univ Pittsburgh, Med Ctr, Dept Pathol, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Med Ctr, Dept Surg, Pittsburgh, PA 15213 USA
关键词
BK virus; immune cell function; viremia; viruria;
D O I
10.1309/23YGPB1E758ECCFP
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The Cylex ImmuKnow Test (Cylex, Columbia, MD) measures immune cell function (ICF) and is based on the amount of adenosine triphosphate (ATP) released when T cells are stimulated by phytohemagglutinin. This preliminary study sought to determine if ICF measurements can be used to stratify kidney transplant recipients according to the risk for developing BK virus infection. ICF measurements were done in 15 samples from 8 patients with BK viremia, 38 samples from 25 patients with BK viruria, and 243 samples from 148 patients with no BK viruria or viremia. The mean +/- SD amounts of ATP released in these 3 groups were 102.9 +/- 58.6, 227.2 +/- 146 4, and 231.8 +/- 150.8 ng/mL, respectively (P =.002, viremia vs all other samples). Within the viruria group, lower ICF values were associated with higher urinary viral load (P =.037). These results show that a decreased ICF test result correlates with active viral replication in kidney transplant recipients.
引用
收藏
页码:587 / 591
页数:5
相关论文
共 24 条
[1]   Polyoma virus infection after renal transplantation - Use of immunostaining as a guide to diagnosis [J].
Ahuja, M ;
Cohen, EP ;
Dayer, AM ;
Kampalath, B ;
Chang, CC ;
Bresnahan, BA ;
Hariharan, S .
TRANSPLANTATION, 2001, 71 (07) :896-899
[2]   Polyomavirus allograft nephropathy: Sequential assessment of histologic viral load, tubulitis, and graft function following changes in immunosuppression [J].
Celik, B ;
Shapiro, R ;
Vats, A ;
Randhawa, PS .
AMERICAN JOURNAL OF TRANSPLANTATION, 2003, 3 (11) :1378-1382
[3]   Polyomavirus-associated nephropathy: update on BK virus-specific immunity [J].
Comoli, P. ;
Binggeli, S. ;
Ginevri, F. ;
Hirsch, H. H. .
TRANSPLANT INFECTIOUS DISEASE, 2006, 8 (02) :86-94
[4]   BK VIRUS SPECIFIC HUMORAL AND CELL-MEDIATED-IMMUNITY IN ALLOGENEIC BONE-MARROW TRANSPLANT (BMT) RECIPIENTS [J].
DRUMMOND, JE ;
SHAH, KV ;
SARAL, R ;
SANTOS, GW ;
DONNENBERG, AD .
JOURNAL OF MEDICAL VIROLOGY, 1987, 23 (04) :331-344
[5]   Use of an immune function assay to monitor immunosuppression for treatment of post-transplant lymphoproliferative disorder [J].
Gautam, A ;
Morrissey, PE ;
Brem, AS ;
Fischer, SA ;
Gohh, RY ;
Yango, AF ;
Monaco, AP .
PEDIATRIC TRANSPLANTATION, 2006, 10 (05) :613-616
[6]   HLA type-independent method to monitor polyoma BK virus-specific CD4+ and CD8+ T-cell immunity [J].
Hammer, MH ;
Brestrich, G ;
Andree, H ;
Engelmann, E ;
Rosenberger, C ;
Tillmann, H ;
Zwinger, S ;
Babel, N ;
Nickel, P ;
Volk, HD ;
Reinke, P .
AMERICAN JOURNAL OF TRANSPLANTATION, 2006, 6 (03) :625-631
[7]  
HARAULT D, 2000, TRANSPL P, V32, P2760
[8]   Immunologic monitoring [J].
Hernandez-Fuentes, MP ;
Warrens, AN ;
Lechler, RI .
IMMUNOLOGICAL REVIEWS, 2003, 196 (01) :247-264
[9]   Polyomavirus-associated nephropathy: update on antiviral strategies [J].
Josephson, M. A. ;
Williams, J. W. ;
Chandraker, A. ;
Randhawa, P. S. .
TRANSPLANT INFECTIOUS DISEASE, 2006, 8 (02) :95-101
[10]   Immune cell function testing: an adjunct to therapeutic drug monitoring in transplant patient management [J].
Kowalski, R ;
Post, D ;
Schneider, MC ;
Britz, J ;
Thomas, J ;
Deierhoi, M ;
Lobashevsky, A ;
Redfield, R ;
Schweitzer, E ;
Heredia, A ;
Reardon, E ;
Davis, C ;
Bentlejewski, C ;
Fung, J ;
Shapiro, R ;
Zeevi, A .
CLINICAL TRANSPLANTATION, 2003, 17 (02) :77-88