Post-transplantation HTLV-1 myelopathy in three recipients from a single donor
Post-transplantation HTLV-1 myelopathy in three recipients from a single donor
复制标题
同一供体的三名受者出现移植后 HTLV-1 脊髓病
DOI：
10.1136/jnnp.74.8.1080
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Carranceja
中科院分区：
文献类型：
--
作者：
J. J. Zarranz Imirizaldu;J. C. Gomez;Esteban;Rouco Axpe;T. Pérez Concha;Velasco Juanes;Allue Susaeta;J. M. Corral;Carranceja
Objectives: This paper reports for the first time three cases of infection by HTLV-I via organ transplantation; all the organs coming from the same asymptomatic infected donor. The need is considered for the implementation of compulsory screenings for HTLV antibodies on organ donors and on blood banks. Methods: The determination of antibodies for HTLV-I/II on samples of serum and cerebral spinal fluid from the patients and the donor was performed by enzyme immunoassay and western blot. Analysis of proviral DNA was performed by polymerase chain reaction. To detect changes in the sequence of aminoacids, the tax gene was sequentiated, amplified, and compared with ATK prototype stocks. Spinal cord magnetic resonance imaging, cerebral spinal fluid, and somatosensory evoked potential studies were carried out in all patients. Results: All three transplanted patients developed a myelopathy within a very short period of time. In all three patients and donor the virus belonged to the Cosmopolitan A subtype. The homology of HTLV-I sequences recovered from the patients and donor was 100% in all four cases. Proviral load was high in all three patients. The factors that certainly contributed to the infection in the first place, and the development of the disease later, were on the one hand the high proviral load and their immunosupressed condition, and on the other the virus genotype, which proved to be an aggresive variant. However, the analysis of the histocompatibility antigen showed that two of the patients carried an haplotype that has been associated with a lower risk of developing this disease. Conclusions: It is argued that, although in Spain and other European countries there is not compulsory screening for HTLV antibodies because of the studies that show a low seroprevalence, in view of the cases here reported, and to avoid the serious consequences that such infection has on transplanted patients, compulsory screenings, both on organ donors and on blood banks, should be implemented.
获得性免疫缺陷综合征患者的人类 T 淋巴细胞病毒 I 型相关脊髓病。
影响因子：
3.3
作者：
Rosenblum,MK;Brew,BJ;Hahn,B;Shaw,G;Haase,A;Maroushek,S;Price,RW
通讯作者：
Price,RW
巴拿马共和国人类 T 细胞淋巴细胞病毒的血清流行病学。
DOI：
10.4269/ajtmh.1990.42.374
发表时间：
1990
期刊：
The American journal of tropical medicine and hygiene
影响因子：
--
作者：
Reeves,WC;Levine,PH;Cuevas,M;Quiroz,E;Maloney,E;Saxinger,WC
通讯作者：
Saxinger,WC