PMID- 18367292 OWN - NLM STAT- MEDLINE DCOM- 20080507 LR - 20080421 IS - 1097-6787 (Electronic) IS - 0190-9622 (Linking) VI - 58 IP - 5 DP - 2008 May TI - Relationship among human herpesvirus 6 reactivation, serum interleukin 10 levels, and rash/graft-versus-host disease after allogeneic stem cell transplantation. PG - 802-9 LID - 10.1016/j.jaad.2008.01.005 [doi] AB - BACKGROUND: The relationship between herpesvirus reactivation and graft-versus-host disease (GVHD) after allogeneic stem cell transplantation (allo-SCT) is unclear. OBJECTIVE: We sought to examine the relationship between human herpesvirus (HHV) reactivation and rash/GVHD after allo-SCT by prospective evaluation. METHODS: Fifteen patients who had received allo-SCT underwent prospective serial examinations for human herpesvirus 6 (HHV-6), HHV-7, cytomegalovirus, and Epstein-Barr virus DNA in the blood by polymerase chain reaction and real-time polymerase chain reaction. Serum interferon gamma, interleukins 4 and 10, tumor necrosis factor alpha, and soluble interleukin 2 receptor (sIL-2R) were also measured. RESULTS: In 10 of 15 patients, macular/papular eruptions were seen after allo-SCT and GVHD was diagnosed. In 8 patients with rash, HHV-6 DNA levels correlated with the cutaneous manifestation. Interleukin 10 and sIL-2R also increased in association with rash. LIMITATIONS: The number of patients in our study was relatively small. Not all patients were examined for cytokines and sIL-2R. CONCLUSIONS: HHV-6 reactivation may be involved in the pathogenesis of rash/GVHD after allo-SCT. FAU - Kitamura, Kana AU - Kitamura K AD - Department of Dermatology, Nara Medical University, Nara, Japan. FAU - Asada, Hideo AU - Asada H FAU - Iida, Hideyuki AU - Iida H FAU - Fukumoto, Takaya AU - Fukumoto T FAU - Kobayashi, Nobuhiko AU - Kobayashi N FAU - Niizeki, Hironori AU - Niizeki H FAU - Morii, Takeshi AU - Morii T FAU - Kimura, Hiroshi AU - Kimura H FAU - Miyagawa, Sachiko AU - Miyagawa S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080325 PL - United States TA - J Am Acad Dermatol JT - Journal of the American Academy of Dermatology JID - 7907132 RN - 0 (DNA, Viral) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adult MH - Aged MH - DNA, Viral/blood MH - Exanthema/*etiology MH - Female MH - Graft vs Host Disease/*etiology/virology MH - Herpesvirus 6, Human/*physiology MH - Humans MH - Interleukin-10/*blood MH - Male MH - Middle Aged MH - Stem Cell Transplantation/*adverse effects MH - Transplantation, Homologous MH - Virus Activation EDAT- 2008/03/28 09:00 MHDA- 2008/05/08 09:00 CRDT- 2008/03/28 09:00 PHST- 2007/11/13 00:00 [received] PHST- 2007/12/26 00:00 [revised] PHST- 2008/01/10 00:00 [accepted] PHST- 2008/03/28 09:00 [pubmed] PHST- 2008/05/08 09:00 [medline] PHST- 2008/03/28 09:00 [entrez] AID - S0190-9622(08)00125-4 [pii] AID - 10.1016/j.jaad.2008.01.005 [doi] PST - ppublish SO - J Am Acad Dermatol. 2008 May;58(5):802-9. doi: 10.1016/j.jaad.2008.01.005. Epub 2008 Mar 25.