Cytomegalovirus specific polyfunctional T-cell responses expressing CD107a predict control of CMV infection after liver transplantation.

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Corpas-Burgos F
  • López-Labrador FX

Grupos

Abstract

Cytomegalovirus (CMV) viral load after liver transplantation (LT) is controlled by cell mediated immune responses (CMI). Quantification of CMV-specific T-cells may identify patients who control CMV spontaneously and avoid expensive and potentially toxic antiviral therapies. Prospective post-LT clinical, virological and immunological monitoring was carried out up to 1-year post-LT in a cohort of adult recipients. The CMV-specific T-cell response was characterized using flow cytometry intracellular cytokine staining in 49 LT recipients-R (79.6% R+, 20.4% R-). CMV infection occurred in 24 patients (18 D+/R+ and 6 D+/R-). Only patients with undetectable polyfunctional CMV-specific CD4+ T-cells developed CMV infection. Predictive models showed that polyfunctional CMV-specific CD4+ T-cells pre-existing before LT are protective for CMV reactivation posttransplantation. Quantitation of CD4+ T-cell responses to CMV may be a useful marker for spontaneous control of viral replication to tailor antiviral prophylaxis after LT.

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0008-8749, 1090-2163

CELLULAR IMMUNOLOGY  ACADEMIC PRESS INC ELSEVIER SCIENCE

Tipo:
Article
Páginas:
104455-104455
PubMed:
34864514
Factor de Impacto:
1,227 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 10

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Keywords

  • Cell mediated immune responses; Cytomegalovirus; Intracellular cytokine staining; Liver transplantation

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