Different behaviour of BK-virus infection in liver transplantrecipients

(整期优先)网络出版时间:2016-04-14
/ 1
PolyomavirusBK(BKV)infectsupto90%ofthegeneralpopulation.Afterprimaryinfection,occurringearlyduringchildhood,astateofnon-replicativeinfectionisestablishedinthereno-urinarytract,withoutcomplicationsforimmunocompetenthosts.Inimmunocompromisedinpiduals,particularlytransplantedpatients,asymptomaticBKVviremiaand/orviruriacanbeobserved.RenalgraftsmayalsobesourcesofinfectionasBKVpreferskidneysratherthanothersolidorgansfortransplantationsuchastheliver.ThemechanismbehindthehigherincidenceofBKVinfectioninkidneytransplantpatients,comparedtoliverorhearttransplantation,isunclearandtheprevalenceofBKVinfectioninnon-renalsolidorgantransplantshasnotbeenyetthoroughlyinvestigated.WeevaluatedtheprevalenceofPolyomavirusBKinfectionamonglivertransplantrecipients.APubMedsearchwasconductedusingthetermsBKVinfectionANDlivertransplantrecipients;BKVANDnon-renalsolidorgantransplant*;BKVinfectionANDimmunosuppression;thesearchwaslimitedtotitle/abstractandEnglish-languagearticlespublishedfrom2000,toMarch2015.ElevenrelevantstudiessuggestthattheprevalenceofBKVviruriaand/orviremiaamonglivertransplantrecipientsislessthanthatreportedinkidneyorhearttransplantrecipients,exceptwhenchronickidneydisease(CKD)ispresentatthesametime.DataalsosuggestthatviruricandviremicpatientshavehigherlevelsofserumcreatininethanBKVnegativepatients.Moreover,nospecificimmunosuppressivedrugsareassociatedwiththeonsetofBKVnephropathy.ThecomorbidityoftransplantationandCKDcouldplayamajorroleinpromotingBKVreplication.