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논문 기본 정보

자료유형
학술저널
저자정보
Seongman Bae (Asan Medical Center) Jiwon Jung (Asan Medical Center) Sun-Mi Kim (Asan Medical Center) Young-Ah Kang (Asan Medical Center) Young-Shin Lee (Asan Medical Center) Yong Pil Chong (Asan Medical Center) Heungsup Sung (Asan Medical Center) Sang-Oh Lee (Asan Medical Center) Sang-Ho Choi (Asan Medical Center) Yang Soo Kim (Asan Medical Center) Jun Hee Woo (Asan Medical Center) Jung-Hee Lee (Asan Medical Center) Je-Hwan Lee (Asan Medical Center) Kyoo-Hyung Lee (Asan Medical Center) Sung-Han Kim (Asan Medical Center)
저널정보
대한면역학회 Immune Network Immune Network Vol.18 No.2
발행연도
2018.4
수록면
52 - 60 (9page)

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초록· 키워드

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The detailed kinetics of the cytomegalovirus (CMV)-specific T cell response in hematopoietic stem cell transplant (HCT) recipients have not yet been fully assessed. We evaluated these kinetics of CMV-specific T cell response and factors associated with high CMV-specific T cell responses 1 year after HCT. In HCT recipients, CMV pp65 and IE1-specific ELISPOT assay were performed before HCT (D0), and at 30 (D30), 90 (D90), 180 (D180), and 360 (D360) days after HCT. Of the 51 HCT recipients with donor-positive (D<SUP>+</SUP>)/recipient-positive (R<SUP>+</SUP>) serology, 26 (51%) developed CMV infections after HCT. The patterns of post-transplantation reconstitution for CMV-specific T cell response were classified into 4 types: 1) an initial decrease at D30 followed by gradual T cell reconstitution without CMV infection (35%), 2) an initial decrease at D30 followed by gradual T cell reconstitution preceded by CMV infection (35%), 3) failure of gradual or constant T cell reconstitution (26%), and 4) no significant T cell reconstitution (4%). There was no significant difference between ELISPOT counts of D360 and those of D0. High CMV-specific T cell responses at D360 were not associated with high CMV-specific T cell response at D0, CMV infection, ganciclovir therapy, graft versus host disease (GVHD), and immunosuppressant use. In conclusion, there are 4 distinct patterns of reconstitution of the CMV-specific T cell response after HCT. In addition, reconstituted donor-origin CMV-specific T cell responses appeared to be constant until day 360 after HCT, regardless of the level of the pre-transplant CMV-specific T cell response, CMV infection, and immunosuppressant use.

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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2018-517-002013082