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. 2014 Aug 28;9(8):e106044. doi: 10.1371/journal.pone.0106044

Table 1. Virological and immunological monitoring of the four groups of solid-organ transplant recipients with or without HCMV infection reactivation.

Follow-up(days) T-cell count/µl blood median (range) HCMV infection
Absolute Specific Onset Duration DNA peak
CD4+ CD8+ CD4+ CD8+ Median daysPosttx (range) Median days (range) Mediancopies/mlblood (range) Median days post tx (range)
Onset1 End1 Onset End Onset End Onset End
Group 1 (no HCMV reactivation, n = 7, 6 KTR and 1 HTR)
1–365 604 542 548 703 4.8 2.9 2.2 40.0 NA NA NA NA
(257–1,515) (191–1,458) (239–879) (267–1,414) (0.5–10.5) (0.7–63.8) (0.5–94.8) (3.2–87.3)
Group 2 (HCMV reactivation controlled by specific CD4+ and CD8+ T-cells, n = 14, 12 KTR and 2 HTR)
1–365 488 677 300 573 3.6 5.9 8.7 67.7 34 120 1,300 58
(832,159) (228–911) (58–1154) (253–1,862) (0.1–16.4) (0.4–23.8) (0.1–87.1) (18.3–220.8) (12–113) (6–363) (200–35,000) (14–226)
Group 3 (HCMV reactivation temporarily controlled by specific CD8+ T-cells, n = 9, 4 KTR and 5 HTR)
1–902 506 535 218 452 0.1 0.6 0.4 22.3 30 116 10,200 44
(107–1,003) (167–1,652) (92–372) (133–1,363) (0.1–0.3) (0.1–6.8) (0.1–11.4) (0.5–90.5) (6–44) (30–399) (1,950–259,000) (18–52)
91–3652 444 394 554 597 0.8 0.7 27 55.9 350 110
(232–1,685) (189–1,446) (329–1,136) (159–870) (0.4–1.3) (0.3–2.9) (8.4–66.3) (21–212.6) (<25–287,200) (91–346)
Group 4 (uncontrolled HCMV reactivation and need for antiviral treatment, n = 9, 3 KTR and 6 HTR)
1–365 198 401 195 1021 0.1 0.7 0.8 29.5 25 182 308,0003 48
(22–975) (250–1,118) (60–815) (727–2,391) (0.1–0.9) (0.1–6.7) (0.1–8.7) (5.3–323.5) (14–37) (50–347) (119,900–858,000) (41–136)

NA, not applicable.

1

Follow-up.

2

Patients of this group showed HCMV specific CD8+ only, until about 3 months after transplantation, then developed HCMV-specific CD4+ T-cells.

3

In some cases, clinicians preferred initiating antiviral therapy after reaching 100,000 (instead of 300,000) DNA copies/ml blood due to presence of end-organ disease.