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10.3389/fimmu.2017.01137

http://scihub22266oqcxt.onion/10.3389/fimmu.2017.01137
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C5600906!5600906!28955345
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pmid28955345      Front+Immunol 2017 ; 8 (ä): ä
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  • Protective Cytomegalovirus (CMV)-Specific T-Cell Immunity Is Frequent in Kidney Transplant Patients without Serum Anti-CMV Antibodies #MMPMID28955345
  • Litjens NHR; Huang L; Dedeoglu B; Meijers RWJ; Kwekkeboom J; Betjes MGH
  • Front Immunol 2017[]; 8 (ä): ä PMID28955345show ga
  • The absence of anti-cytomegalovirus (CMV) immunoglobulin G (IgG) is used to classify pretransplant patients as naïve for CMV infection (CMVneg patients). This study assessed whether pretransplant CMV-specific T-cell immunity exists in CMVneg patients and whether it protects against CMV infection after kidney transplantation. The results show that CMV-specific CD137+IFN?+CD4+ and CD137+IFN?+CD8+ memory T cells were present in 46 and 39% of CMVneg patients (n?=?28) although at much lower frequencies compared to CMVpos patients (median 0.01 versus 0.58% for CD4+ and 0.05 versus 0.64% for CD8+ T cells) with a less differentiated CD28-expressing phenotype. In line with these data, CMV-specific proliferative CD4+ and CD8+ T cells were observed in CMVneg patients, which significantly correlated with the frequency of CMV-specific T cells. CMV-specific IgG antibody-secreting cells (ASC) could be detected at low frequency in 36% of CMVneg patients (1 versus 45 ASC/105 cells in CMVpos patients). CMVneg patients with pretransplant CMV-specific CD137+IFN?+CD4+ T cells had a lower risk to develop CMV viremia after transplantation with a CMVpos donor kidney (relative risk: 0.43, P?=?0.03). In conclusion, a solitary CMV-specific T-cell response without detectable anti-CMV antibodies is frequent and clinically relevant as it is associated with protection to CMV infection following transplantation with a kidney from a CMVpos donor.
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