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Prognostic Value of Quantitative Kaposi Sarcoma–Associated Herpesvirus Load in Posttransplantation Kaposi Sarcoma

Identifieur interne : 000652 ( France/Analysis ); précédent : 000651; suivant : 000653

Prognostic Value of Quantitative Kaposi Sarcoma–Associated Herpesvirus Load in Posttransplantation Kaposi Sarcoma

Auteurs : Claire Pellet ; Sylvie Chevret ; Camille Francès ; Sylvie Euvrard ; Mylène Hurault ; Christophe Legendre ; Sophie Dalac ; Dominique Farge ; Corinne Antoine ; Christian Hiesse ; Marie-Noëlle Peraldi ; Philippe Lang ; Didier Samuel [France] ; Yvon Calmus ; Félix Agbalika ; Patrice Morel ; Fabien Calvo ; Céleste Lebbé [France]

Source :

RBID : ISTEX:BAFEF0F87BC16246DA3CD3D5A0879FF38D66FAB0

Abstract

Organ transplant recipients have a higher risk of Kaposi sarcoma (KS). A quantitative real-time polymerase chain reaction assay was developed to evaluate KS-associated herpesvirus (KSHV) as a prognostic tool in transplant recipients with KS. Forty-three patients who developed KS after transplantation were included in a cross-sectional study to correlate virus load with transplantation or KS parameters. Seventeen patients (40%) had KSHV viremia (>100 copies/μg of DNA; median, 6067 copies/μg of DNA). Factors associated with these levels of viremia by univariate analysis were progression of KS (P=.00002), time from KS diagnosis (P=.0007), actual stage of KS (P=.006), initial stage of KS (P=.22), graft loss (P=.013), and time from transplantation (P=.0246). Disease progression remained associated with KSHV viremia in a multivariate analysis (P=.01). Thus, quantification of KSHV load in peripheral blood mononuclear cells could represent a useful tool for monitoring transplant recipients with KS

Url:
DOI: 10.1086/341088


Affiliations:


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ISTEX:BAFEF0F87BC16246DA3CD3D5A0879FF38D66FAB0

Le document en format XML

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<div type="abstract">Organ transplant recipients have a higher risk of Kaposi sarcoma (KS). A quantitative real-time polymerase chain reaction assay was developed to evaluate KS-associated herpesvirus (KSHV) as a prognostic tool in transplant recipients with KS. Forty-three patients who developed KS after transplantation were included in a cross-sectional study to correlate virus load with transplantation or KS parameters. Seventeen patients (40%) had KSHV viremia (>100 copies/μg of DNA; median, 6067 copies/μg of DNA). Factors associated with these levels of viremia by univariate analysis were progression of KS (P=.00002), time from KS diagnosis (P=.0007), actual stage of KS (P=.006), initial stage of KS (P=.22), graft loss (P=.013), and time from transplantation (P=.0246). Disease progression remained associated with KSHV viremia in a multivariate analysis (P=.01). Thus, quantification of KSHV load in peripheral blood mononuclear cells could represent a useful tool for monitoring transplant recipients with KS</div>
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