Prospective cohort study of Torque Teno Virus (TTV) viral load kinetics and the association with graft rejection in renal transplant patients

Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved..

INTRODUCTION: Graft survival is mainly determined by rejections and infectious complications in transplant recipients. Torque Teno Virus (TTV), a nonpathogenic and ubiquitous single-stranded DNA virus, has been proposed as a biomarker of the immune status in transplant patients. This study aimed to determine the correlation between a Home-Brew TTV PCR and R-GENE®PCR; the TTV viral load kinetics in renal transplant recipients and the association with graft rejection.

MATERIALS AND METHODS: Prospective cohort study on 107 adult renal transplant recipients. TTV viral load was determined in 746 plasma samples collected before and after renal transplantation by a Home-Brew PCR and a commercial PCR (R-GENE®PCR). Associations of TTV viral load with graft rejections were analyzed.

RESULTS: Agreement of both PCR assays was 93.2% and Pearson correlation coefficient was r: 0.902 (95%CI: 0.8881-0.9149, p < 0.0001). TTV viral load kinetics showed an initial gradual increase reaching a peak at 3 months. This highest value was followed by a slight decrease, reaching a plateau significantly higher than the initial baseline at 6 months (p < 0.0001). Between (181-270) days post-transplantation, TTV median viral load in patients with graft rejection was significantly lower, 3.59 Log10 copies/mL (by Home-Brew PCR) and 3.10 Log10 copies/mL (by R-GENE®PCR) compared to patients without graft rejection (6.14 and 5.96 Log10 copies/mL, respectively).

CONCLUSIONS: Significantly lower TTV viral load was observed in patients with renal rejection occurring at a median of 243 days post-transplantation. Given the dynamic behavior of TTV viral load post-transplantation, cut-off values for risk stratification to predict rejection might be determined in relation to the post-transplant period.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:165

Enthalten in:

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology - 165(2023) vom: 01. Aug., Seite 105501

Sprache:

Englisch

Beteiligte Personen:

Reyes, N S [VerfasserIn]
Laham, G [VerfasserIn]
Boccia, N [VerfasserIn]
García, G [VerfasserIn]
Jara, R [VerfasserIn]
Hermida, E [VerfasserIn]
Ricarte, C [VerfasserIn]
Diaz, C [VerfasserIn]
Soler Pujol, G [VerfasserIn]
Poletta, F A [VerfasserIn]
Echavarria, M [VerfasserIn]

Links:

Volltext

Themen:

DNA, Viral
Graft rejection
Journal Article
Renal transplantation
Research Support, Non-U.S. Gov't
Torque Teno Virus
Viral load kinetics

Anmerkungen:

Date Completed 11.07.2023

Date Revised 18.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jcv.2023.105501

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358810744