PMID- 22093089 OWN - NLM STAT- MEDLINE DCOM- 20120611 LR - 20120213 IS - 1399-3062 (Electronic) IS - 1398-2273 (Linking) VI - 14 IP - 1 DP - 2012 Feb TI - Analysis of rotavirus antigenemia in hematopoietic stem cell transplant recipients. PG - 49-56 LID - 10.1111/j.1399-3062.2011.00668.x [doi] AB - Systemic rotavirus infection, such as rotavirus antigenemia, has been found in immunocompetent rotavirus gastroenteritis patients. However, the pathogenesis of rotavirus infection in immunocompromised transplant recipients remains unclear. Enzyme-linked immunosorbent assay was used to measure rotavirus antigen levels in serially collected serum samples obtained from 62 pediatric patients receiving allogeneic hematopoietic stem cell transplants (HSCT). Rotavirus antigen was detected in 43 (6.8%) of 633 serum samples (8 of 62 patients). The duration of rotavirus antigenemia ranged between 1 and 10 weeks, and diarrhea was concurrent with rotavirus antigenemia in Cases 3, 6, 7, and 8. The level of viral antigen in the transplant recipients (0.19 +/- 0.20) was significantly lower than that observed in serum samples collected from immunocompetent patients on either day 1 (0.49 +/- 0.18, P = 0.0011) or day 3 (0.63 +/- 0.09, P = 0.0005). A patient who received a graft from a human leukocyte antigen (HLA)-mismatched donor was at significant risk for rotavirus antigenemia (P = 0.024; odds ratio = 9.44) in comparison to patients who received grafts from HLA-matched donors. Although the duration of antigenemia was clearly longer in HSCT patients than in immunocompetent rotavirus gastroenteritis patients, the levels of viral antigen were not as high. Therefore, mismatched HLA may be a risk factor for rotavirus antigenemia after HSCT. CI - (c) 2011 John Wiley & Sons A/S. FAU - Sugata, K AU - Sugata K AD - Department of Pediatrics, Fujita Health University School of Medicine, Toyoake, Aichi, Japan. FAU - Taniguchi, K AU - Taniguchi K FAU - Yui, A AU - Yui A FAU - Nakai, H AU - Nakai H FAU - Asano, Y AU - Asano Y FAU - Hashimoto, S AU - Hashimoto S FAU - Ihira, M AU - Ihira M FAU - Yagasaki, H AU - Yagasaki H FAU - Takahashi, Y AU - Takahashi Y FAU - Kojima, S AU - Kojima S FAU - Matsumoto, K AU - Matsumoto K FAU - Kato, K AU - Kato K FAU - Yoshikawa, T AU - Yoshikawa T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110825 PL - Denmark TA - Transpl Infect Dis JT - Transplant infectious disease : an official journal of the Transplantation Society JID - 100883688 RN - 0 (Antibodies, Viral) RN - 0 (Antigens, Viral) RN - 0 (HLA Antigens) SB - IM MH - Adolescent MH - Antibodies, Viral/blood MH - Antigens, Viral/*blood MH - Child MH - Child, Preschool MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - HLA Antigens/immunology MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Humans MH - Infant MH - Male MH - Risk Factors MH - Rotavirus/*immunology/isolation & purification MH - Rotavirus Infections/blood/physiopathology/*virology MH - Transplantation, Homologous/adverse effects MH - Viremia/*immunology/virology EDAT- 2011/11/19 06:00 MHDA- 2012/06/12 06:00 CRDT- 2011/11/19 06:00 PHST- 2011/05/03 00:00 [received] PHST- 2011/06/15 00:00 [revised] PHST- 2011/06/20 00:00 [revised] PHST- 2011/06/28 00:00 [accepted] PHST- 2011/11/19 06:00 [entrez] PHST- 2011/11/19 06:00 [pubmed] PHST- 2012/06/12 06:00 [medline] AID - 10.1111/j.1399-3062.2011.00668.x [doi] PST - ppublish SO - Transpl Infect Dis. 2012 Feb;14(1):49-56. doi: 10.1111/j.1399-3062.2011.00668.x. Epub 2011 Aug 25.