The association of conditioning regimen with cytomegalovirus reactivation after allogeneic hematopoietic stem cell transplantation
| Autor: | Anahita Saeedi, Sara Abolghasemi, Abbas Hajifathali, Sayeh Parkhideh, Masoud Mardani, Shiva Shabani, Farzaneh Tavakoli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
medicine.medical_treatment Congenital cytomegalovirus infection Cytomegalovirus Hematopoietic stem cell transplantation Disease Microbiology Conditioning regimen Immune system immune system diseases medicine business.industry medicine.disease QR1-502 Fludarabine Regimen surgical procedures operative Immunology Original Article business Busulfan medicine.drug |
| Zdroj: | Iranian Journal of Microbiology, Vol 12, Iss 6 (2020) Scopus-Elsevier Iranian Journal of Microbiology |
| ISSN: | 2008-4447 2008-3289 |
| Popis: | Background and Objectives: Infections is yet one of the life-threatening complications of the hematopoietic stem cell transplantation (HSCT). The myeloablative and immunosuppressive conditioning regimens, which are administered before HSCT, dampen the defense capacity of the recipients’ immune systems. In this condition, opportunistic infections, especially viral infections such as cytomegalovirus (CMV) can be reactivated and cause morbidity and mortality in HSCT patients. Here, we aimed to find out any possible relationship between types of conditioning regimen and CMV reactivation in allo- geneic HSCT patients. Materials and Methods: We retrospectively analyzed the data of 145 CMV-seropositive cases out of total 201 allo-HSCT patients, including age, gender, underlying disease, conditioning regimen, prophylaxis regimen and occurrence of acute graft-versus-host disease (aGVHD) to evaluate their roles in CMV reactivation. Results: Our result showed that conditioning regimen containing Busulfan and Fludarabine (P=0.003) or Cyclophospha- mide (P=0.02) significantly decrease the early CMV reactivation. Patients who developed aGVHD (P=0.003) and those who received anti-thymocyte globulin (ATG) as prophylaxis regimen (P=0.002), had 1.84 and 2.63 times higher risks of CMV reactivation, respectively. Conclusion: Our findings suggest the conditioning regimen, aGVHD and ATG as influencing factors for early CMV reacti- vation post-HSCT which should be considered in the future studies. |
| Databáze: | OpenAIRE |
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