1. Cytomegalovirus specific polyfunctional T-cell responses expressing CD107a predict control of CMV infection after liver transplantation
- Author
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Carmina Pallarés, Victoria Aguilera, Marina Berenguer, Almudena Cubells, Ângela Carvalho-Gomes, F. Xavier López-Labrador, and Francisca Corpas-Burgos
- Subjects
CD4-Positive T-Lymphocytes ,Male ,medicine.medical_treatment ,T cell ,Immunology ,Congenital cytomegalovirus infection ,Cytomegalovirus ,Biology ,Liver transplantation ,CD8-Positive T-Lymphocytes ,Virus Replication ,Flow cytometry ,Immunocompromised Host ,Immune system ,medicine ,Humans ,Prospective Studies ,Intracellular cytokine staining ,Immunosuppression Therapy ,Immunity, Cellular ,medicine.diagnostic_test ,virus diseases ,Middle Aged ,Viral Load ,Cmv reactivation ,medicine.disease ,Liver Transplantation ,Cell mediated immune responses ,medicine.anatomical_structure ,Viral replication ,Cytomegalovirus Infections ,Female ,Virus Activation ,Viral load - Abstract
Cytomegalovirus (CMV) viral load after liver transplantation (LT) is controlled by cell mediated immune responses (CMI). Quantification of CMV-specific T-cells may identify patients who control CMV spontaneously and avoid expensive and potentially toxic antiviral therapies. Prospective post-LT clinical, virological and immunological monitoring was carried out up to 1-year post-LT in a cohort of adult recipients. The CMV-specific T-cell response was characterized using flow cytometry intracellular cytokine staining in 49 LT recipients-R (79.6% R+, 20.4% R-). CMV infection occurred in 24 patients (18 D+/R+ and 6 D+/R-). Only patients with undetectable polyfunctional CMV-specific CD4+ T-cells developed CMV infection. Predictive models showed that polyfunctional CMV-specific CD4+ T-cells pre-existing before LT are protective for CMV reactivation posttransplantation. Quantitation of CD4+ T-cell responses to CMV may be a useful marker for spontaneous control of viral replication to tailor antiviral prophylaxis after LT.
- Published
- 2021