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Complement-fixing antibodies to BK virus in kidney transplant recipients

Abstract

BK virus-associated nephropathy caused by reactivation of BK virus is a major reason of allograft loss. In this article we present our findings for complement-fixing antibodies (CFA) to BK virus in kidney transplant recipients, patients on hemodialysis and healthy blood donors. CFA were observed in 63/181 (35%) of kidney transplant recipients, 7/41 (17%) of patients on hemodialysis and in 3/38 (8%) of blood donors. The patients on hemodialysis and blood donors had maximal titers 1:20 whereas the kidney transplant recipients had CFA titers 1:40 or 1:80. We also analyzed the frequency of revealing CFA a function of duration of posttransplant period; it was 45% in group of patients with posttransplant period more than 1 year, and only 16% in group about one year. This work provides the first set of data about BK virus infection in the population of kidney transplant recipients in Russia. The results confirm an existing point of view that there is high frequency of BK virus reactivation in kidney transplant recipients.

About the Authors

I. A. Ezhkov
ФГУ НИИ трансплантологии и искусственных органов Росздрава РФ, Московский городской нефрологический центр, городская клиническая больница № 52; г. Москва
Russian Federation


I. G. Kim
ФГУ НИИ трансплантологии и искусственных органов Росздрава РФ, Московский городской нефрологический центр, городская клиническая больница № 52; г. Москва
Russian Federation


A. G. Strokov
ФГУ НИИ трансплантологии и искусственных органов Росздрава РФ, Московский городской нефрологический центр, городская клиническая больница № 52; г. Москва
Russian Federation


F. S. Baranova
ФГУ НИИ трансплантологии и искусственных органов Росздрава РФ, Московский городской нефрологический центр, городская клиническая больница № 52; г. Москва
Russian Federation


V. Yu. Abramov
ФГУ НИИ трансплантологии и искусственных органов Росздрава РФ, Московский городской нефрологический центр, городская клиническая больница № 52; г. Москва
Russian Federation


References

1. Суханов А.В. Полиомавирусная нефропатия трансплантата. Нефрология и диализ 2001; 3; 4: 411-414.

2. Binet I., Nickeleit V., Hirsch H.H., Prince O., Dalquen P., Gudat F., Mihatsch M.J., Thiel G. Polyomavirus disease under new immunosuppressive drugs: a cause of renal graft dysfunction and graft loss. Transplantation 1999 Mar 27; 67 (6): 918-922.

3. Comoli P., Binggeli S., Ginevri F., Hirsch H. Polyomavirus-associated nephropathy: update on BK virus-specific immunity. Transplant Infectious Disease 2006; 8: 86-94.

4. Dubois V., Dutronc H., Lafon M.E., Poinsot V., Pellegrin J.L., Ragnaud J.M., Ferrer A.M., Fleury H.J. Latency and reactivation of JC virus in peripheral blood of human immunodeficiency virus type 1-infected patients. Journal of Clinical Microbiology 1997 Sep; 35 (9): 2288-2292.

5. Hirsch H.H., Brennan D., Drachenberg C.B., Ginevri F., Gordon J., Limaye A., Mihatsch M., Nickeleit V., Ramos E., Randhawa P., Shapiro R., Steiger J., Suthanthiran M., Trofe J. Polyomavirus-associated nephropathy in renal transplantation: interdisciplinary analyses and recommendations. Transplantation 2005; 79: 1277-1286.

6. Hirsch H.H., Knowles W., Dickenmann M., Passweg J., Klimkait T., Mihatsch M.J., Steiger J. Prospective study of polyomavirus type BK replication and nephropathy in renal-transplant recipients. New England Journal of Medicine 2002 Aug 15; 347 (7): 488-496.

7. Hurault de Ligny B., Etienne I., Francois A., Toupance O., Buchler M., Touchard G., Lepogamp P., Comoz F., Lobbedez T., Godin M., Ryckelynck J.P., Lebranchu Y. Polyomavirus-induced acute tubulo-interstitial nephritis in renal allograft recipients. Transplantation Proceedings 2000 Dec; 32 (8): 2760-2761.

8. Jung M., Krech U., Price P.C., Pindiah M.N. Evidence of chronic persistent infections with polyomaviruses (BK Type) in renal transplant recipients. Archives of Virology 1975; 47: 39-46.

9. Kim H.C., Hwang E.A., Kang M.J., Han S.Y., Park S.B., Park K.K. BK virus infection in kidney transplant recipients. Transplantation Proceedings 2004 Sep; 36 (7): 2113-2115.

10. Namba Y., Moriyama T., Kyo M., Imamura R., Shi Y., Ichimaru N., Oka K., Takahara S., Okuyama A. Prevalence, characteristics, and outcome of BK virus nephropathy in Japanese renal transplant patients: analysis in protocol and episode biopsies. Clinical Transplantation 2005 Feb; 19 (1): 97-101.

11. Randhawa P.S., Finkelstein S., Scantlebury V., Shapiro R., Vivas C., Jordan M., Picken M.M., Demetris A.J. Human polioma virus-associated interstitial nephritis in the allograft kidney. Transplantation 1999 Jan 15; 67 (1): 103-109.

12. Steininger C., Kundi M., Kletzmayr J., Aberle S.W., Popow-Kraupp T. Antibody maturation and viremia after primary cytomegalovirus infection, in immunocompetent patients and kidney-transplant patients. Journal Infectious Disease 2004 Dec 1; 190 (11): 1908-1912.

13. Stolt A., Sasnauskas K., Koskela P., Lehtinen M., Dillner J. Seroepidemiology of the human polyomaviruses. Journal of General Virology 2003; 84: 1499-1504.

14. Wali R.K., Drachenberg C., Hirsch H.H., Papadimitriou J., Nahar A., Mohanlal V., Brisco M.A., Bartlett S.T., Weir M.R., Ramos E. BK virus-associated nephropathy in renal allograft recipients: rescue therapy by sirolimus-based immunosuppression. Transplantation 2004 Oct 15; 78 (7): 1069-1073.

15. Wen M.C., Wang C.L., Wang M., Cheng C.H., Wu M.J., Chen C.H., Shu K.H., Chang D. Association of JC virus with tubulointerstitial nephritis in a renal allograft recipient. Journal of Medical Virology 2004 Apr; 72 (4): 675-678.


Review

For citations:


Ezhkov I.A., Kim I.G., Strokov A.G., Baranova F.S., Abramov V.Yu. Complement-fixing antibodies to BK virus in kidney transplant recipients. Nephrology and Dialysis. 2007;9(2):177-180. (In Russ.)

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ISSN 1680-4422 (Print)
ISSN 2618-9801 (Online)