Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2007-11-20
pubmed:abstractText
Cytomegalovirus (CMV) infection is a major complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT); however, we have little information on the clinical association of various human leukocyte antigen (HLA) alleles with CMV infection. We reviewed medical records of 60 patients who underwent allo-HSCT. The effect of the 7 most frequent HLA alleles on the incidence of CMV infection and disease was analyzed, including HLA-A*02, A*11, A*24, B*13, B*40(60), DRB1*15, and DRB1*09. All the patients were monitored for CMV infection at least once weekly within 3 months. CMV infection was found in 38 (63.3%) patients on a median of day 36 (range: 16-89). Diagnosis of CMV disease was established in 6 (10.0%) patients, comprising pneumonia (n = 2), enterocolitis (n = 2), and hemorrhagic cystitis (n = 2). CMV disease was successfully treated using ganciclovir or foscarnet combined with immune globulins in 4 patients. The other 2 patients died without improvement of CMV disease. In multivariate analysis, grade II-IV acute graft-versus-host disease (aGVHD), CMV seronegative donors, and HLA-DRB1*09 were associated with increased incidence of CMV infection and disease after allo-HSCT. We suggest that more cautions should be taken to prevent CMV infection in patients with HLA-DRB1*09 after allo-HSCT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1083-8791
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1417-21
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:18022570-Adolescent, pubmed-meshheading:18022570-Adult, pubmed-meshheading:18022570-Child, pubmed-meshheading:18022570-Child, Preschool, pubmed-meshheading:18022570-Cytomegalovirus Infections, pubmed-meshheading:18022570-Female, pubmed-meshheading:18022570-Genetic Predisposition to Disease, pubmed-meshheading:18022570-Graft vs Host Disease, pubmed-meshheading:18022570-HLA-DR Antigens, pubmed-meshheading:18022570-HLA-DRB1 Chains, pubmed-meshheading:18022570-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:18022570-Humans, pubmed-meshheading:18022570-Incidence, pubmed-meshheading:18022570-Infant, pubmed-meshheading:18022570-Infant, Newborn, pubmed-meshheading:18022570-Male, pubmed-meshheading:18022570-Middle Aged, pubmed-meshheading:18022570-Retrospective Studies, pubmed-meshheading:18022570-Risk Factors, pubmed-meshheading:18022570-Transplantation, Homologous
pubmed:year
2007
pubmed:articleTitle
HLA-DRB1*09 is associated with increased incidence of cytomegalovirus infection and disease after allogeneic hematopoietic stem cell transplantation.
pubmed:affiliation
Department of Hematology, Peking University First Hospital, Beijing, People's Republic of China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't