Effect of combined T- and B-cell depletion of allogeneic HLA-mismatched bone marrow graft on the magnitude and kinetics of Epstein-Barr virus load in the peripheral blood of bone marrow transplant recipients

:  Recipients of T‐cell‐depleted bone marrow (BM) transplants (BMT) frequently develop Epstein–Barr virus (EBV)‐associated post‐transplant lymphoproliferative disease (PTLD) preceded by a rapid and prominent increase of EBV load in the peripheral blood. The level of this increase positively correlat...

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Veröffentlicht in:Clinical transplantation 2004-10, Vol.18 (5), p.518-524
Hauptverfasser: Liu, Daorong, Tammik, Charlotte, Zou, Jie-Zhi, Ernberg, Ingemar, Masucci, Maria G., Ringden, Olle, Levitsky, Victor
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container_end_page 524
container_issue 5
container_start_page 518
container_title Clinical transplantation
container_volume 18
creator Liu, Daorong
Tammik, Charlotte
Zou, Jie-Zhi
Ernberg, Ingemar
Masucci, Maria G.
Ringden, Olle
Levitsky, Victor
description :  Recipients of T‐cell‐depleted bone marrow (BM) transplants (BMT) frequently develop Epstein–Barr virus (EBV)‐associated post‐transplant lymphoproliferative disease (PTLD) preceded by a rapid and prominent increase of EBV load in the peripheral blood. The level of this increase positively correlates with the incidence of PTLD. Using a semiquantitative PCR assay we compared the blood levels of EBV‐DNA in patients transplanted with either T‐cell or T‐ and B‐cell‐depleted human leukocyte antigen (HLA)‐mismatched BM grafts. Combined T‐ and B‐cell depletion correlated with significantly lower maximal levels of EBV load, which were reached with slower kinetics. These data indicate that B‐cell depletion of BM can be used for prophylaxis of PTLD in BM transplant recipients and can affect the long‐term balance between EBV and its host.
doi_str_mv 10.1111/j.1399-0012.2004.00198.x
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The level of this increase positively correlates with the incidence of PTLD. Using a semiquantitative PCR assay we compared the blood levels of EBV‐DNA in patients transplanted with either T‐cell or T‐ and B‐cell‐depleted human leukocyte antigen (HLA)‐mismatched BM grafts. Combined T‐ and B‐cell depletion correlated with significantly lower maximal levels of EBV load, which were reached with slower kinetics. These data indicate that B‐cell depletion of BM can be used for prophylaxis of PTLD in BM transplant recipients and can affect the long‐term balance between EBV and its host.</description><identifier>ISSN: 0902-0063</identifier><identifier>EISSN: 1399-0012</identifier><identifier>DOI: 10.1111/j.1399-0012.2004.00198.x</identifier><identifier>PMID: 15344953</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Acute Disease ; Adolescent ; Adult ; B-cell ; B-Lymphocytes - pathology ; Biological and medical sciences ; Bone Marrow Transplantation - pathology ; Cardiology. Vascular system ; Child, Preschool ; Epstein-Barr virus ; Epstein-Barr Virus Infections - prevention &amp; control ; Female ; Follow-Up Studies ; General aspects ; Hematologic and hematopoietic diseases ; Herpesvirus 4, Human - isolation &amp; purification ; Herpesvirus 4, Human - physiology ; Histocompatibility - immunology ; HLA Antigens - immunology ; Humans ; Leukemia, Myeloid - therapy ; Leukemias. Malignant lymphomas. Malignant reticulosis. 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The level of this increase positively correlates with the incidence of PTLD. Using a semiquantitative PCR assay we compared the blood levels of EBV‐DNA in patients transplanted with either T‐cell or T‐ and B‐cell‐depleted human leukocyte antigen (HLA)‐mismatched BM grafts. Combined T‐ and B‐cell depletion correlated with significantly lower maximal levels of EBV load, which were reached with slower kinetics. These data indicate that B‐cell depletion of BM can be used for prophylaxis of PTLD in BM transplant recipients and can affect the long‐term balance between EBV and its host.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>B-cell</subject><subject>B-Lymphocytes - pathology</subject><subject>Biological and medical sciences</subject><subject>Bone Marrow Transplantation - pathology</subject><subject>Cardiology. Vascular system</subject><subject>Child, Preschool</subject><subject>Epstein-Barr virus</subject><subject>Epstein-Barr Virus Infections - prevention &amp; control</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Herpesvirus 4, Human - isolation &amp; purification</subject><subject>Herpesvirus 4, Human - physiology</subject><subject>Histocompatibility - immunology</subject><subject>HLA Antigens - immunology</subject><subject>Humans</subject><subject>Leukemia, Myeloid - therapy</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Leukocyte Reduction Procedures - methods</subject><subject>lymphoma</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - therapy</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy</subject><subject>T-Lymphocytes - pathology</subject><subject>Transplantation Conditioning</subject><subject>Transplantation, Homologous</subject><subject>Viral Load</subject><subject>Viremia - virology</subject><issn>0902-0063</issn><issn>1399-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks2O0zAUhSMEYkrhFZA3sEuxnTg_EpuZUmZAHUCoaJaWYzutW9fO2A7tPCWvhDMtLRskssnV9fnOta5PkgAEJyh-79YTlNV1CiHCEwxhPolVXU32T5LR6eBpMoI1xLEusovkhffr2C1QQZ4nF4hkeV6TbJT8mrWt5AHYFnC7bZSRAixSwIwAVymXWgMhOy2DsmbQMK3tUhqpOLiZX6Zb5bcs8FWEGmsk2DLn7A4sHWujpQFhNfSWRoVeyEfTTZwQFPeD2azzQSqTXkUK_FSu90BbJoA6gJ10qltJxzRotLViQP6eEhwzvtPMBOAkV52SJviXybOWaS9fHf_j5MfH2WJ6k86_Xn-aXs5TTjCs0qLlsBKsLKqaIyxQTiqYVwTlOGcEi0ZmCGNcklqIGmYtY2XDM8w5YyxrSw6zcZIefP1Odn1DO6fitR6oZYoeW5tYSUqqHJV11Nf_1HfOijP0B0QI5gXEBYrs2wMbhfe99IHGvQ9vw4y0vadFUeUExeccJ9VByJ313sn2NAZBOgSHrumQDzrkgw7BoY_BofuIvj7O6JutFGfwmJQoeHMUMM-ZbuPyufJnXYGiHami7v1Bt1NaPvz3Beh08T0W572qmI39CWduQ4syKwm9-3JN0efb228f8ju6yH4DQg7yHg</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Liu, Daorong</creator><creator>Tammik, Charlotte</creator><creator>Zou, Jie-Zhi</creator><creator>Ernberg, Ingemar</creator><creator>Masucci, Maria G.</creator><creator>Ringden, Olle</creator><creator>Levitsky, Victor</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>200410</creationdate><title>Effect of combined T- and B-cell depletion of allogeneic HLA-mismatched bone marrow graft on the magnitude and kinetics of Epstein-Barr virus load in the peripheral blood of bone marrow transplant recipients</title><author>Liu, Daorong ; Tammik, Charlotte ; Zou, Jie-Zhi ; Ernberg, Ingemar ; Masucci, Maria G. ; Ringden, Olle ; Levitsky, Victor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5208-6fc08da7689c12d145804851424a52dbe31222759dd903faa7bc32ccaaa3f7c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>B-cell</topic><topic>B-Lymphocytes - pathology</topic><topic>Biological and medical sciences</topic><topic>Bone Marrow Transplantation - pathology</topic><topic>Cardiology. Vascular system</topic><topic>Child, Preschool</topic><topic>Epstein-Barr virus</topic><topic>Epstein-Barr Virus Infections - prevention &amp; control</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Herpesvirus 4, Human - isolation &amp; purification</topic><topic>Herpesvirus 4, Human - physiology</topic><topic>Histocompatibility - immunology</topic><topic>HLA Antigens - immunology</topic><topic>Humans</topic><topic>Leukemia, Myeloid - therapy</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Leukocyte Reduction Procedures - methods</topic><topic>lymphoma</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - therapy</topic><topic>Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy</topic><topic>T-Lymphocytes - pathology</topic><topic>Transplantation Conditioning</topic><topic>Transplantation, Homologous</topic><topic>Viral Load</topic><topic>Viremia - virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Daorong</creatorcontrib><creatorcontrib>Tammik, Charlotte</creatorcontrib><creatorcontrib>Zou, Jie-Zhi</creatorcontrib><creatorcontrib>Ernberg, Ingemar</creatorcontrib><creatorcontrib>Masucci, Maria G.</creatorcontrib><creatorcontrib>Ringden, Olle</creatorcontrib><creatorcontrib>Levitsky, Victor</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Daorong</au><au>Tammik, Charlotte</au><au>Zou, Jie-Zhi</au><au>Ernberg, Ingemar</au><au>Masucci, Maria G.</au><au>Ringden, Olle</au><au>Levitsky, Victor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of combined T- and B-cell depletion of allogeneic HLA-mismatched bone marrow graft on the magnitude and kinetics of Epstein-Barr virus load in the peripheral blood of bone marrow transplant recipients</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2004-10</date><risdate>2004</risdate><volume>18</volume><issue>5</issue><spage>518</spage><epage>524</epage><pages>518-524</pages><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract>:  Recipients of T‐cell‐depleted bone marrow (BM) transplants (BMT) frequently develop Epstein–Barr virus (EBV)‐associated post‐transplant lymphoproliferative disease (PTLD) preceded by a rapid and prominent increase of EBV load in the peripheral blood. The level of this increase positively correlates with the incidence of PTLD. Using a semiquantitative PCR assay we compared the blood levels of EBV‐DNA in patients transplanted with either T‐cell or T‐ and B‐cell‐depleted human leukocyte antigen (HLA)‐mismatched BM grafts. Combined T‐ and B‐cell depletion correlated with significantly lower maximal levels of EBV load, which were reached with slower kinetics. These data indicate that B‐cell depletion of BM can be used for prophylaxis of PTLD in BM transplant recipients and can affect the long‐term balance between EBV and its host.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>15344953</pmid><doi>10.1111/j.1399-0012.2004.00198.x</doi><tpages>7</tpages></addata></record>
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subjects Acute Disease
Adolescent
Adult
B-cell
B-Lymphocytes - pathology
Biological and medical sciences
Bone Marrow Transplantation - pathology
Cardiology. Vascular system
Child, Preschool
Epstein-Barr virus
Epstein-Barr Virus Infections - prevention & control
Female
Follow-Up Studies
General aspects
Hematologic and hematopoietic diseases
Herpesvirus 4, Human - isolation & purification
Herpesvirus 4, Human - physiology
Histocompatibility - immunology
HLA Antigens - immunology
Humans
Leukemia, Myeloid - therapy
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Leukocyte Reduction Procedures - methods
lymphoma
Male
Medical sciences
Medicin och hälsovetenskap
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - therapy
Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy
T-Lymphocytes - pathology
Transplantation Conditioning
Transplantation, Homologous
Viral Load
Viremia - virology
title Effect of combined T- and B-cell depletion of allogeneic HLA-mismatched bone marrow graft on the magnitude and kinetics of Epstein-Barr virus load in the peripheral blood of bone marrow transplant recipients
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