ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS

The article focuses on aspects of T. gondii reactivation/reinfection in patients undergoing allogeneic hematopoietic stem cell transplantation (alloHSCT). We have observed 297 patients who received conditioning therapy and allogeneic grafts due to different oncohematological or lymphoproliferative d...

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Autores principales: A. B. Chukhlovin, L. S. Zubarovskaya, S. N. Bondarenko, Yu. A. Eismont, A. V. Semenov, M. D. Vladovskaya, Areg A. Totolian, B. V. Afanasyev
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2015
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spelling oai:doaj.org-article:1434dd6499444942a9a35bdd0d2972bc2021-11-22T07:09:47ZACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS2220-76192313-739810.15789/2220-7619-2014-4-381-386https://doaj.org/article/1434dd6499444942a9a35bdd0d2972bc2015-02-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/250https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398The article focuses on aspects of T. gondii reactivation/reinfection in patients undergoing allogeneic hematopoietic stem cell transplantation (alloHSCT). We have observed 297 patients who received conditioning therapy and allogeneic grafts due to different oncohematological or lymphoproliferative diseases (1 to 60 years old, at a mediane of 19 years). Conditioning regimens were either myeloablative (35%), or non-myeloablative (65%). DNA diagnostics of T. gondii was performed on a regular basis at 0 to 6 months post-HSCT. IgG and IgM antibodies against T. gondii were determined in 78 patients before HSCT, as well as in their donors. T. gondii DNA post-transplant proved to be positive in 13% of blood specimens, 9% of cerebrospinal liquor samples, 11% of bronchoalveolar cell lavages, and in 5% of urine sediments. In adolescent patients (10 to 14 years old), an increased prevalence of T. gondii was found in patients who received myeloablative treatment (p = 0.01). When assessing posttransplant dynamics of T. gondii, we have revealed distinct increase in the pathogen excretion within 1st month after HSCT (p = 0.03). Finally, initial presence of IgG antibodies against T. gondii in the patients was associated with lower incidence of the pathogen reactivation post-transplant.A. B. ChukhlovinL. S. ZubarovskayaS. N. BondarenkoYu. A. EismontA. V. SemenovM. D. VladovskayaAreg A. TotolianB. V. AfanasyevSankt-Peterburg : NIIÈM imeni Pasteraarticlehematopoietic stem cell transplantationtoxoplasma gondiireactivationdna diagnosticsigg antibodiesInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 4, Iss 4, Pp 381-386 (2015)
institution DOAJ
collection DOAJ
language RU
topic hematopoietic stem cell transplantation
toxoplasma gondii
reactivation
dna diagnostics
igg antibodies
Infectious and parasitic diseases
RC109-216
spellingShingle hematopoietic stem cell transplantation
toxoplasma gondii
reactivation
dna diagnostics
igg antibodies
Infectious and parasitic diseases
RC109-216
A. B. Chukhlovin
L. S. Zubarovskaya
S. N. Bondarenko
Yu. A. Eismont
A. V. Semenov
M. D. Vladovskaya
Areg A. Totolian
B. V. Afanasyev
ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
description The article focuses on aspects of T. gondii reactivation/reinfection in patients undergoing allogeneic hematopoietic stem cell transplantation (alloHSCT). We have observed 297 patients who received conditioning therapy and allogeneic grafts due to different oncohematological or lymphoproliferative diseases (1 to 60 years old, at a mediane of 19 years). Conditioning regimens were either myeloablative (35%), or non-myeloablative (65%). DNA diagnostics of T. gondii was performed on a regular basis at 0 to 6 months post-HSCT. IgG and IgM antibodies against T. gondii were determined in 78 patients before HSCT, as well as in their donors. T. gondii DNA post-transplant proved to be positive in 13% of blood specimens, 9% of cerebrospinal liquor samples, 11% of bronchoalveolar cell lavages, and in 5% of urine sediments. In adolescent patients (10 to 14 years old), an increased prevalence of T. gondii was found in patients who received myeloablative treatment (p = 0.01). When assessing posttransplant dynamics of T. gondii, we have revealed distinct increase in the pathogen excretion within 1st month after HSCT (p = 0.03). Finally, initial presence of IgG antibodies against T. gondii in the patients was associated with lower incidence of the pathogen reactivation post-transplant.
format article
author A. B. Chukhlovin
L. S. Zubarovskaya
S. N. Bondarenko
Yu. A. Eismont
A. V. Semenov
M. D. Vladovskaya
Areg A. Totolian
B. V. Afanasyev
author_facet A. B. Chukhlovin
L. S. Zubarovskaya
S. N. Bondarenko
Yu. A. Eismont
A. V. Semenov
M. D. Vladovskaya
Areg A. Totolian
B. V. Afanasyev
author_sort A. B. Chukhlovin
title ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
title_short ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
title_full ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
title_fullStr ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
title_full_unstemmed ACTIVATION OF T. GONDII INFECTION AFTER ALLOGENEIC TRANSPLANTATION OF HEMATOPOIETIC STEM CELLS: DEPENDENCE ON TIME OF TRANSPLANTATION AND SEROLOGICAL STATUS OF THE PATIENTS
title_sort activation of t. gondii infection after allogeneic transplantation of hematopoietic stem cells: dependence on time of transplantation and serological status of the patients
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2015
url https://doaj.org/article/1434dd6499444942a9a35bdd0d2972bc
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