PMID- 21680603 OWN - NLM STAT- MEDLINE DCOM- 20111020 LR - 20110630 IS - 1745-7270 (Electronic) IS - 1672-9145 (Linking) VI - 43 IP - 7 DP - 2011 Jul TI - Association of human cytomegalovirus viremia with human leukocyte antigens in liver transplantation recipients. PG - 576-81 LID - 10.1093/abbs/gmr043 [doi] AB - Human cytomegalovirus (HCMV) reactivation is a common complication after liver transplantation (LT). Here, we investigated whether human leukocyte antigen (HLA)-matching was related to HCMV infection and subsequent graft failure after LT for hepatitis B virus cirrhosis. This retrospective study reviewed 91 LT recipients. All the patients were grouped according to HLA-A, HLA-B, and HLA-DR locus matching. Clinical data were collected, including complete HLA-typing, HCMV viremia, graft failure, and the time of HCMV viremia. HLA typing was performed using a sequence-specific primer-polymerase chain reaction kit. HCMV was detected by pp65 antigenemia using a commercial kit. The incidence of HCMV infection post-LT was 81.32%. Graft failure was observed in 16 of 91 (17.6%) patients during the 4-year study. The incidence of HCMV viremia was 100% (5/5), 91.4% (32/35), and 72.5% (37/51) in HLA-A two locus, one locus, and zero locus compatibility, respectively. Nevertheless, the degree of the HLA-A, HLA-B, or HLA-DR match did not influence the time of HCMV viremia, graft failure, or the time of graft failure after a diagnosis of HCMV viremia (all P > 0.05). An interesting discovery was that the risk of HCMV viremia tended to be higher in patients with better HLA-A compatibility. Graft failure, time of HCMV viremia, and graft failure after a diagnosis of HCMV viremia appear to be independent of HLA allele compatibility. FAU - Hu, Jianhua AU - Hu J AD - State key Laboratory for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China. FAU - Meng, Xueqin AU - Meng X FAU - Zhao, Hong AU - Zhao H FAU - Zhang, Xuan AU - Zhang X FAU - Gao, Hainv AU - Gao H FAU - Yang, Meifang AU - Yang M FAU - Ma, Yadan AU - Ma Y FAU - Li, Minhuan AU - Li M FAU - Ma, Weihang AU - Ma W FAU - Fan, Jun AU - Fan J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110616 PL - China TA - Acta Biochim Biophys Sin (Shanghai) JT - Acta biochimica et biophysica Sinica JID - 101206716 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DR Antigens) SB - IM MH - Adult MH - Blood Group Incompatibility/immunology MH - Cytomegalovirus Infections/*immunology MH - Female MH - Graft Rejection/immunology MH - HLA-A Antigens/immunology MH - HLA-B Antigens/immunology MH - HLA-DR Antigens/immunology MH - Humans MH - Liver Transplantation/*adverse effects/*immunology MH - Male MH - Middle Aged MH - Retrospective Studies MH - Viremia/*immunology EDAT- 2011/06/18 06:00 MHDA- 2011/10/21 06:00 CRDT- 2011/06/18 06:00 PHST- 2011/06/18 06:00 [entrez] PHST- 2011/06/18 06:00 [pubmed] PHST- 2011/10/21 06:00 [medline] AID - gmr043 [pii] AID - 10.1093/abbs/gmr043 [doi] PST - ppublish SO - Acta Biochim Biophys Sin (Shanghai). 2011 Jul;43(7):576-81. doi: 10.1093/abbs/gmr043. Epub 2011 Jun 16.