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异基因造血干细胞移植后EB病毒再激活的危险因素分析

曹星辉 范志平 江千里 赵捷 余国攀 韦祁 孙竞 刘启发

中国组织工程研究与临床康复2011,Vol.15Issue(23):4257-4261,5.
中国组织工程研究与临床康复2011,Vol.15Issue(23):4257-4261,5.DOI:10.3969/j.issn.1673-8225.2011.23.018

异基因造血干细胞移植后EB病毒再激活的危险因素分析

Risk factors for Epstein-barr virus reactivation after allogeneic hematopoietic stem cells transplantation

曹星辉 1范志平 1江千里 1赵捷 1余国攀 1韦祁 1孙竞 1刘启发1

作者信息

  • 1. 南方医科大学南方医院血液科,广东省广州市,510515
  • 折叠

摘要

Abstract

BACKGROUND: Epstein-barr virus (EBV) reactivation following allogeneic hematopoietic stem cell transplantation (allo-HSCT) can cause deadly post-transplant lymphoproliferative disorders and other EBV-associated diseases. At present, a complete diagnosis and treatment system about EBV reactivation and EBV-related disease has not been established in China. OBJECTIVE: To investigate prospectively the incidence of EBV reactivation and risk factors following allo-HSCT. METHODS: 129 patients receiving allo-HSCT were included. EBV-DNA in peripheral blood were detected by real-time PCR; Kaplan-Meier model was used for analyzing cumulative incidence of EBV reactivation, and binary logistic regression model was used for analyzing risk factors of EBV reactivation.RESULTS AND CONCLUSION: EBV reactivation and EBV associated disease have high incidence rate after allo-HSCT. Risk factors for EBV reactivation include HLA mismatched, use of antithymocyte globulin, grade III-IV acute graft-versus-host disease and age less than or equal to 20 years old.

关键词

EB病毒再激活/异基因造血干细胞移植/危险因素/抗胸腺细胞球蛋白/移植物抗宿主病

分类

医药卫生

引用本文复制引用

曹星辉,范志平,江千里,赵捷,余国攀,韦祁,孙竞,刘启发..异基因造血干细胞移植后EB病毒再激活的危险因素分析[J].中国组织工程研究与临床康复,2011,15(23):4257-4261,5.

基金项目

国家863计划-卫生行业科研专项项目(201002024) (201002024)

国家自然科学基金(30971300). (30971300)

中国组织工程研究与临床康复

OACSCDCSTPCD

2095-4344

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