MISC

1999年4月

Monitoring of human herpesviruses after allogeneic peripheral blood stem cell transplantation and bone marrow transplantation

BRITISH JOURNAL OF HAEMATOLOGY
  • Y Maeda
  • T Teshima
  • M Yamada
  • K Shinagawa
  • S Nakao
  • Y Ohno
  • K Kojima
  • M Hara
  • K Nagafuji
  • S Hayashi
  • S Fukuda
  • H Sawada
  • K Matsue
  • K Takenaka
  • F Ishimaru
  • K Ikeda
  • K Niiya
  • M Harada
  • 全て表示

105
1
開始ページ
295
終了ページ
302
記述言語
英語
掲載種別
DOI
10.1111/j.1365-2141.1999.01290.x
出版者・発行元
BLACKWELL SCIENCE LTD

Herpesviruses frequently cause serious complications after allogeneic bone marrow transplantation (allo-BMT). Recent studies have shown more rapid immune reconstitution after allogeneic peripheral blood stem cell transplantation (allo-PBSCT) compared with allo-BMT. However, it has not been clarified whether the improved immune reconstitution after allo-PBSCT is associated with a lower incidence of herpesvirus infections. We monitored the emergence of Epstein-Barr virus (EBV), cytomegalovirus (CMV), human herpesvirus 6 (HHV-6) and HHV-7 DNA by a nested-double polymerase chain reaction in peripheral blood leucocytes from 22 allo-BMT and 16 allo-PBSCT patients, Each virus had an unique temporal profile of detection. HHV-6 DNA was detected most frequently at 3 weeks after transplantation, whereas CMV and EBV DNA were detected later (2-3 months). Detection rates of HHV-6 DNA at 3 and 4 weeks after allo-BMT were significantly higher than those after allo-PBSCT (9/16 v 2/13 at 3 weeks, P< 0.01; 10/21 v 1/15 at 4 weeks, P<0.01). Detection rates of the other three herpesviruses after the two types of allogeneic transplantation were not significantly different throughout observation period. Furthermore, detection of HHV-6 DNA within the first 4 weeks was associated with delayed platelet engraftment after both allo-BMT and allo-PBSCT (P<0.01). These results suggest an advantage for allo-PBSCT over allo-BMT in terms of suppression of HHV-6 reactivation and prevention of subsequent complications.

リンク情報
DOI
https://doi.org/10.1111/j.1365-2141.1999.01290.x
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000080060900042&DestApp=WOS_CPL
ID情報
  • DOI : 10.1111/j.1365-2141.1999.01290.x
  • ISSN : 0007-1048
  • Web of Science ID : WOS:000080060900042

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