PMID- 18662831 OWN - NLM STAT- MEDLINE DCOM- 20081106 LR - 20080905 IS - 1532-2742 (Electronic) IS - 0163-4453 (Linking) VI - 57 IP - 3 DP - 2008 Sep TI - Elevated serum cytokine levels are associated with human herpesvirus 6 reactivation in hematopoietic stem cell transplantation recipients. PG - 241-8 LID - 10.1016/j.jinf.2008.06.014 [doi] AB - Although it has been demonstrated that human herpesvirus 6 (HHV-6) reactivation generally occurs approximately 2-3 weeks after transplantation in the hematopoietic stem cell transplantation (HSCT) recipients, the mechanism of viral reactivation remains unclear. To explore the relationship between HHV-6 reactivation and plasma cytokine levels, 24 HSCT recipients underwent measurements of plasma proinflammatory cytokine levels (IL-6, TNF-alpha, IL-1 beta, and IFN-gamma), viral isolation, and serological assays. Of these patients, 14 developed an HHV-6 reactivation, and 9 developed HHV-6 viremia approximately 2-3 weeks after transplantation. IL-6 levels were significantly higher in the recipients with an HHV-6 reactivation than in the subjects without an HHV-6 reactivation at 1 week, 2 weeks, and 4 weeks after transplantation. In addition, the level of TNF-alpha was significantly higher in recipients with an HHV-6 reactivation than in those without an HHV-6 reactivation at 2 weeks post-transplantation. Low levels of IL-1 beta and IFN-gamma were detected in a small number of the plasma samples, although there were no significant differences between the two groups in the levels of these cytokines. These results imply that proinflammatory cytokines, in particular IL-6 and TNF-alpha, play a role in the pathogenesis of HHV-6 reactivation after HSCT. FAU - Fujita, Ayano AU - Fujita A AD - Department of Pediatrics, Fujita Health University School of Medicine, Toyoake, Aichi 4701192, Japan. FAU - Ihira, Masaru AU - Ihira M FAU - Suzuki, Ryota AU - Suzuki R FAU - Enomoto, Yoshihiko AU - Enomoto Y FAU - Sugiyama, Hiroko AU - Sugiyama H FAU - Sugata, Ken AU - Sugata K FAU - Suga, Sadao AU - Suga S FAU - Asano, Yoshizo AU - Asano Y FAU - Yagasaki, Hiroshi AU - Yagasaki H FAU - Kojima, Seiji AU - Kojima S FAU - Matsumoto, Kimikazu AU - Matsumoto K FAU - Kato, Koji AU - Kato K FAU - Yoshikawa, Tetsushi AU - Yoshikawa T LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080726 PL - England TA - J Infect JT - The Journal of infection JID - 7908424 RN - 0 (Cytokines) SB - IM MH - Adolescent MH - Child, Preschool MH - Cytokines/*blood MH - Female MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesvirus 6, Human/*immunology/isolation & purification MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Roseolovirus Infections/*immunology MH - Viremia MH - Virus Activation/*immunology EDAT- 2008/07/30 09:00 MHDA- 2008/11/07 09:00 CRDT- 2008/07/30 09:00 PHST- 2007/12/20 00:00 [received] PHST- 2008/04/24 00:00 [revised] PHST- 2008/06/16 00:00 [accepted] PHST- 2008/07/30 09:00 [pubmed] PHST- 2008/11/07 09:00 [medline] PHST- 2008/07/30 09:00 [entrez] AID - S0163-4453(08)00219-3 [pii] AID - 10.1016/j.jinf.2008.06.014 [doi] PST - ppublish SO - J Infect. 2008 Sep;57(3):241-8. doi: 10.1016/j.jinf.2008.06.014. Epub 2008 Jul 26.