BK Virus Nephropathy in Kidney Transplantation: An Approach Proposal and Update on Risk Factors, Diagnosis, and Treatment

被引：28

作者：

Gonzalez, S. ^{[1
]}

Escobar-Serna, D. P. ^{[1
]}

Suarez, O. ^{[1
]}

Benavides, X. ^{[1
]}

Escobar-Serna, J. F. ^{[2
]}

Lozano, E. ^{[1
,3
]}

机构：

[1] Univ Nacl Colombia, Sch Med, Dept Surg, Organ & Tissues Transplant Grp, Bogota, Colombia

[2] Univ Antioquia, Internal Med & Crit Care, Medellin, Colombia

[3] Hosp Univ San Ignacio, Bogota, Colombia

来源：

TRANSPLANTATION PROCEEDINGS | 2015年 / 47卷 / 06期

关键词：

POLYOMAVIRUS-ASSOCIATED NEPHROPATHY; RENAL-ALLOGRAFT RECIPIENTS; POLYMERASE-CHAIN-REACTION; ACYCLIC NUCLEOSIDE PHOSPHONATES; LOW-DOSE CIDOFOVIR; LARGE T-ANTIGEN; INTERSTITIAL NEPHRITIS; LOAD MEASUREMENT; IN-VIVO; REPLICATION;

D O I：

10.1016/j.transproceed.2015.05.010

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

BK virus belongs to Polyomaviridae family; it causes 95% of nephropathy cases related to polyomavirus, with the other 5% caused by JC virus. Nephropathy jeopardizes graft function, causing a premature failure of the graft in 1%-10% of patients with kidney transplants. Nowadays, antiviral effective treatment is unknown, which is why blood and urine screening of renal transplantation patients has become the most important recommendation to guide the decrease of immunosuppression, and the only proven method to decrease poor outcomes. Different interventions, such as cidofovir, leflunomide, fluoroquinolones, and intravenous immunoglobulin, have been attempted with no improvement at all. This review aims to summarize the most relevant features of BK virus, historical issues, transmission mechanisms, risk factors, and therapeutic interventions.

引用

页码：1777 / 1785

页数：9

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