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Type: Artigo de periódico
Title: Human Herpesvirus-6 And Cytomegalovirus Dna In Liver Donor Biopsies And Their Correlation With Hla Matches And Acute Cellular Rejection.
Author: Guardia, Ana Carolina
Stucchi, Raquel Silveira Bello
Milan, Arlete
Costa, Sandra Cecília Botelho
Boin, Ilka de Fátima Santana Ferreira
Abstract: Herpesvirus reactivation is common after liver transplantation. Analyze the presence of cytomegalovirus (HCMV) and human herpesvirus-6 (HHV-6) DNA in liver donor biopsies, seeking to better understand issues involving human donor leukocyte antigens (HLA)-A, B and DR, as well as correlations with acute cellular rejection. Fifty-nine liver transplantation patients were investigated for the presence of HCMV and HHV-6 DNA in liver donor biopsies, using the Nested-PCR technique. The clinical donor information and HLA matches were obtained from the São Paulo State Transplant System. The recipients' records regarding acute cellular rejection were studied. Seven (11.8%) biopsies were positive for HCMV DNA and 29 (49%) were positive for HHV-6 DNA. In 14 donors with HLA-DR 15 nine had HHV-6 DNA positive liver biopsy with a tendency for significant association (p=0.09), 22 recipients developed acute cellular rejection and 9/22 were positive for HLA-DR 15 (p=0.03; χ(2)=4.51), which was statistically significant in univariate analysis and showed a tendency after multivariate analysis (p=0.08). HHV-6 DNA was prevalent in liver donors studied as well as HLA-DR 15. These findings suggest that patients with HLA-DR 15 in liver donor biopsies develop more rejection after liver transplantation.
Subject: Acute Disease
Cohort Studies
Cytomegalovirus Infections
Dna, Viral
Graft Rejection
Hla-dr Antigens
Herpesvirus 6, Human
Liver Transplantation
Polymerase Chain Reaction
Prospective Studies
Roseolovirus Infections
Virus Activation
Human Herpesvirus 6
Liver Donor Biopsies
Liver Transplantation
Rights: fechado
Identifier DOI: 10.1016/j.bjid.2013.07.007
Date Issue: -1-Uns- -1
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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