Abstract | BACKGROUND: Numerous risk factors for cytomegalovirus (CMV) infection or disease, or both, such as serostatus of donor and recipient, immunosuppressive regimen, or intensity of viral load, have been identified in renal transplant recipients. Additional parameters may be involved, notably, genetic variability of both host and virus, which could modulate the efficacy of the immune response. METHODS: RESULTS: Active infection occurred in 141 of 634 patients: seropositivity of the donor and the recipient were identified as risk factors. Patients carrying the HLA-A11, HLA-A32, or HLA-DR11 allele developed active infection more frequently, whereas none of the patients with the HLA-B16 or HLA-B55 allele was actively infected. Significant independent associations between some genotypes and particular HLA alleles were observed: gB1 was more frequent in the HLA-A24 or HLA-B7 context and underrepresented in patients with HLA-DR11; gB2 was more frequent in HLA-A32 or HLA-DR11 carriers; and an increased frequency of gB3 was observed in the HLA-A29 context. Considering the IE1-2 genotype, increased frequency was noted for HLA-A3 carriers, whereas this type was underrepresented for patients with the HLA-DR11 allele. CONCLUSION: Data strongly suggest that differential presentation of polymorphic gB or IE peptides by HLA molecules or differential recognition by host CD8+ and CD4+ T lymphocytes, or both, should modulate immunologic response and then CMV pathogenesis in renal transplant patients.
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Authors | Christelle Retière, Béatrice Lesimple, Didier Lepelletier, Jean-Denis Bignon, Marie-Martine Hallet, Berthe-Marie Imbert-Marcille |
Journal | Transplantation
(Transplantation)
Vol. 75
Issue 1
Pg. 161-5
(Jan 15 2003)
ISSN: 0041-1337 [Print] United States |
PMID | 12544891
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- HLA Antigens
- HLA-B Antigens
- HLA-DR Antigens
- IE-1 protein, murine cytomegalovirus
- Immediate-Early Proteins
- Trans-Activators
- Viral Envelope Proteins
- glycoprotein B, Simplexvirus
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Topics |
- Alleles
- Cytomegalovirus Infections
(genetics, immunology)
- Genotype
- HLA Antigens
(genetics)
- HLA-B Antigens
(genetics)
- HLA-DR Antigens
(genetics)
- Humans
- Immediate-Early Proteins
(genetics)
- Kidney Transplantation
(adverse effects)
- Retrospective Studies
- Trans-Activators
(genetics)
- Viral Envelope Proteins
(genetics)
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