Table 6.
CMV antigenemia primes CASTs to prevent subsequent CMV reactivation
| A. In R+D± patients with a maximum of grade II acute GvHD, reactivating CMV and achieving ≥3 CASTs/μL by day+100 is associated with decreased CMV reactivation from day+100 to +365. The chronologic pattern of CMV reactivation and CASTs reconstitution for the individual subjects in this table are shown in Supplemental Figure 6. | |||
|---|---|---|---|
| CMV reactivation between day+100 and +365 |
Blood concentration of CASTs by day+100 | p-value | |
| <3/μL (N=13) N (%) |
≥3/uL (N=30) N (%) |
||
| No | 5 (38) | 22 (73) | 0.04 |
| Yes | 8 (62) | 8 (27) | |
| B. In R+D± patients with a maximum of grade II acute GvHD, developing low level CMV antigenemia (<5/50,000 PMNs+pp65) and achieving ≥3 CASTs/μL by day+100 is associated with decreased CMV reactivation from day+100 to +365. | |||
| CMV reactivation between day+100 and +365 |
Blood concentration of CASTs by day+100 | p-value | |
| <3/μL (N=10) N (%) |
≥3/μL (N=18) N (%) |
||
| No | 3 (30) | 13 (76) | 0.04 |
| Yes | 7 (70) | 4 (24) | |
Abbreviations: CAST – CMV antigen specific T cell, CMV – cytomegalovirus, GvHD – graft versus host disease, D – donor CMV serotype, N – number, NS – not significant, PMNs+pp65 – polymorphonuclear cells positive for pp65 antigen, R – recipient CMV serotype.