Early intervention in post-transplant lymphoproliferative disorders based on Epstein-Barr viral load

被引:30
作者
Hoshino, Y
Kimura, H
Kuzushima, K
Tsurumi, T
Nemoto, K
Kikuta, A
Nishiyama, Y
Kojima, S
Matsuyama, T
Morishima, T
机构
[1] Nagoya Univ, Sch Med, Dept Pediat, Showa Ku, Nagoya, Aichi 4668550, Japan
[2] Nagoya Univ, Sch Med, Dept Dev Pediat, Nagoya, Aichi 4668550, Japan
[3] Nagoya Univ, Sch Med, Dept Hlth Sci, Nagoya, Aichi 4668550, Japan
[4] Nagoya Univ, Sch Med, Virol Lab, Dis Mechanism & Control Res Inst, Nagoya, Aichi 4668550, Japan
[5] Aichi Canc Ctr, Lab Viral Oncol, Res Inst, Nagoya, Aichi 464, Japan
[6] Japanese Red Cross Nagoya First Hosp, Div Hematol Oncol, Nagoya, Aichi, Japan
[7] Fukushima Med Univ, Dept Pediat, Fukushima, Japan
基金
日本学术振兴会;
关键词
EBV; lymphoproliferative disorders; viral load; specific immunity;
D O I
10.1038/sj.bmt.1702492
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Using a real-time quantitative PCR assay, we identified two patients with EBV-related lymphoproliferative disorders at a very early stage, Both had received an unmanipulated bone marrow transplant with antithymocyte globulin for conditioning, To estimate virus-specific immunity, the frequencies of EBV-specific CD8(+) T cells,were measured using an enzyme-linked immunospot assay, The frequencies of EBV-specific CD8(+) T cells of the two were 3.2 and 7.7%, respectively, which had possibly expanded in vivo. After withdrawing the immunosuppressive agents or administering donor lymphocytes transfusion, their symptoms regressed in parallel with the viral load.
引用
收藏
页码:199 / 201
页数:3
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