In-depth summary over cytomegalovirus infection in allogeneic hematopoietic stem cell transplantation recipients.
Samira KaramiElham RoshandelHaniyeh Ghaffari NazariAbbas HajifathaliFarzaneh TavakoliSayeh ParkhidehPublished in: Virusdisease (2021)
In this study, we reviewed various aspects of cytomegalovirus infection, including pathophysiology, diagnosis methods, and antiviral treatments. Background: Infections continue to be a major reason of complications like high non-relapse morbidity and mortality rate after allogenic hematopoietic stem cell transplantation. Cytomegalovirus is the most common infection in immunocompromised patients or those with graft-versus-host disease. The Latent-cytomegalovirus disease could increase the risk of reactivation in allogenic hematopoietic stem cell transplantation patients and lead to profound adverse effects on transplantation outcomes. Cytomegalovirus-specific CD4 + and CD8 + T cells reconstitution is crucial for protection against the virus reactivation. Different prophylactic, pre-emptive, and therapeutic anti-viral drugs are available to prevent cytomegalovirus infection/reactivation and treat resistant infections. Conclusion: Although there has been introduced various CMV antiviral treatment strategies like antiviral drugs, Vaccination, passive immunotherapies and adoptive transfer of CMV-specific T cells, further clinical trials are required to approve current therapies.
Keyphrases
- end stage renal disease
- clinical trial
- allogeneic hematopoietic stem cell transplantation
- ejection fraction
- acute myeloid leukemia
- newly diagnosed
- chronic kidney disease
- epstein barr virus
- emergency department
- prognostic factors
- acute lymphoblastic leukemia
- randomized controlled trial
- stem cells
- metabolic syndrome
- patient reported outcomes
- cell therapy
- mesenchymal stem cells
- risk factors
- skeletal muscle
- extracorporeal membrane oxygenation
- study protocol
- phase ii
- respiratory failure