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造血干细胞移植后检出人类多瘤病毒尿的临床分析[J]. 肿瘤防治研究, 2007, 34(05): 372-374. DOI: 10.3971/j.issn.1000-8578.664
引用本文: 造血干细胞移植后检出人类多瘤病毒尿的临床分析[J]. 肿瘤防治研究, 2007, 34(05): 372-374. DOI: 10.3971/j.issn.1000-8578.664
Clinical Analysis in Patients with Human Polyomaviruses Urine after Stem Cell Transplantation[J]. Cancer Research on Prevention and Treatment, 2007, 34(05): 372-374. DOI: 10.3971/j.issn.1000-8578.664
Citation: Clinical Analysis in Patients with Human Polyomaviruses Urine after Stem Cell Transplantation[J]. Cancer Research on Prevention and Treatment, 2007, 34(05): 372-374. DOI: 10.3971/j.issn.1000-8578.664

造血干细胞移植后检出人类多瘤病毒尿的临床分析

Clinical Analysis in Patients with Human Polyomaviruses Urine after Stem Cell Transplantation

  • 摘要: 目的 研究造血干细胞移植后潜伏于体内的人类多瘤病毒(HuPV)-BK病毒(BKV)和JC病毒(JCV)的激活情况。方法 连续采集41例患者造血干细胞移植前后及10例正常对照的尿样本,用实时定量PCR检测病毒,半巢式PCR鉴定BKV和JCV病毒株。结果 造血干细胞移植后病毒尿阳性的患者共33例(80%),其中出现BKV尿者15人(45%)、JCV尿者3人(9%),在相同或不同时段尿样本中检出两株病毒者11人(33%),另外4人(12%)未能鉴定出病毒株;比较24例病人移植前、后病毒尿发生率,分别为19%、77%,存在显著性差异(P〈0.0001);正常对照组没有检测到病毒(P〈0.0001)。结论 造血干细胞移植后HuPV病毒尿的发生率明显升高,但影响因素仍不明确,可能是多因素综合作用的结果,其临床意义还有待进一步探讨。

     

    Abstract: Objective  To study and profile human polyomavirus ( HuPV) reactivation after hematopoietic stem cell t ransplantation ( HSCT) . Methods  Continuously collected middlesteam urine samples from 41 patients with hematopoietic stem cells transplantation and 10 immunocompetent peoples as control group.HuPV DNA was detected with Real-Time PCR and the stains of BK virus and JC virus were distinguished with seminested PCR. Results  33 of the 41 (80 %) patients shed viruria after HSCT. Of them, 15 (45 %) cases shed BK viruria, 3 (9 %) cases for JCV and 11 (33 %) cases embraced two viral stains that simultaneously or separately in the urinary specimens. The viral stains were not identified in 4 (12 %) cases. Comparison in 26 patients with the initial specimens prior to transplantation subject s that the incidence of viruria is significant increased af ter HSCT ( P < 0. 0001) . Conclusion  The amount of patients shedding HuPV in urine is significantly increased after HSCT. The impact factors remain ambiguous and the associated clinical significance should be further explored.

     

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