PMID- 20872080 OWN - NLM STAT- MEDLINE DCOM- 20110201 LR - 20211020 IS - 1661-4917 (Electronic) IS - 0004-069X (Print) IS - 0004-069X (Linking) VI - 58 IP - 6 DP - 2010 Dec TI - Detection of beta-herpesviruses in Polish adult cord blood stem cell recipients by real-time PCR: single centre study. PG - 467-72 LID - 10.1007/s00005-010-0096-8 [doi] AB - Umbilical cord blood transplantation (UCBT) is known to be associated with increased risk of infections, compared to bone marrow or peripheral blood stem cell transplantation. In viral diseases for which specific treatment is available, real-time PCR assays are reliable diagnostic tools for timely initiation of appropriate therapy and for rapid assessment of the efficacy of antiviral treatment strategies. A retrospective review of samples from a group of seven adult cord blood stem cell recipients was made. Serum samples taken up to 180 days after transplantation were examined with quantitative real-time PCR for measurement of viral load (CMV, HHV-6, and HHV-7). Cytomegalovirus (CMV) DNA was detected in samples taken from four patients (57%) in the period of 20-80 days after transplantation. Products of amplification of human herpesvirus 6 (HHV-6) DNA were found in samples taken between days 25 and 37 following UCBT from only one patient (14%). On the other hand, the majority of patients (n = 6, 86%) had HHV-7 DNA detected in the period 15-58 days after transplantation. Co-infection with HHV-7 was demonstrated at onset of all episodes of microbiologically confirmed CMV or HHV-6 infection. Our observations indicate that real-time PCR is not only useful for monitoring herpesviral infections in transplant recipients, but is also a powerful method for clarifying the relationships between the viral load and clinical symptoms. Further investigation with a much larger group of patients will be needed to confirm these observations and translate them into a clinical approach. FAU - Dzieciatkowski, Tomasz AU - Dzieciatkowski T AD - Department of Medical Microbiology, Medical University of Warsaw, Chalubinskiego 5, 02-004 Warsaw, Poland. dzieciatkowski@wp.pl FAU - Przybylski, Maciej AU - Przybylski M FAU - Basak, Grzegorz Wladyslaw AU - Basak GW FAU - Torosian, Tigran AU - Torosian T FAU - Tomaszewska, Agnieszka AU - Tomaszewska A FAU - Jedrzejczak, Wieslaw Wiktor AU - Jedrzejczak WW FAU - Mlynarczyk, Grazyna AU - Mlynarczyk G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100925 PL - Poland TA - Arch Immunol Ther Exp (Warsz) JT - Archivum immunologiae et therapiae experimentalis JID - 0114365 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Viral/blood MH - Cord Blood Stem Cell Transplantation/*adverse effects/mortality MH - Cytomegalovirus/genetics/immunology/*isolation & purification MH - Cytomegalovirus Infections/*diagnosis/mortality/virology MH - DNA, Viral/*isolation & purification MH - Female MH - Herpesvirus 6, Human/genetics/immunology/*isolation & purification MH - Herpesvirus 7, Human/genetics/immunology/*isolation & purification MH - Humans MH - Male MH - Poland MH - *Polymerase Chain Reaction MH - Retrospective Studies MH - Roseolovirus Infections/*diagnosis/mortality/virology MH - Time Factors MH - Viral Load MH - Young Adult PMC - PMC7095810 EDAT- 2010/09/28 06:00 MHDA- 2011/02/02 06:00 PMCR- 2020/03/25 CRDT- 2010/09/28 06:00 PHST- 2009/11/16 00:00 [received] PHST- 2010/03/01 00:00 [accepted] PHST- 2010/09/28 06:00 [entrez] PHST- 2010/09/28 06:00 [pubmed] PHST- 2011/02/02 06:00 [medline] PHST- 2020/03/25 00:00 [pmc-release] AID - 96 [pii] AID - 10.1007/s00005-010-0096-8 [doi] PST - ppublish SO - Arch Immunol Ther Exp (Warsz). 2010 Dec;58(6):467-72. doi: 10.1007/s00005-010-0096-8. Epub 2010 Sep 25.