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. 2021 Sep 4;8(10):ofab462. doi: 10.1093/ofid/ofab462

Table 2.

Details on Clinical and Genotypic Features of 19 Transplant Recipients With Induced Ganciclovir Resistance Mutations in the CMV UL97 Gene

Patient Tx Type Pre-tx Donor/Recipient CMV IgG Clinical Presentation Codon in Amino Acid No. of Induced GRMs/Patient
460 I/V 520 Q 594 V/G 595 S/F 596 G 603 W 607 Y/F
1 MAC D-/R+ CMV colitis, retinitis, and suspected pneumonia ++a 2
2 MAC D-/R+ CMV colitis ++ 1
3 MACb D-/R- CMV retinitis ++ ++ 2
4 MACb D-/R+ CMV colitis ++ ++ 2
5 MAC D-/R+ None proven ++ 1
6 NMA D-/R+ CMV colitis ++ 1
7 Liver D+/R- CMV pneumonia ++ ++ 2
8 Liver D+/R- Asymptomatic ++ 1
9 Liver D+/R- Asymptomatic ++ 1
10 Lung D+/R- CMV pneumonia ++ 1
11 Lung D+/R- CMV colitis ++ 1
12 Kidney D+/R- Asymptomatic ++ ++ ++ 3
13 Kidney D+/R- Asymptomatic ++ 1
14 Kidney D+/R- Asymptomatic ++ ++ ++ 3
15 Kidney D+/R- CMV pneumonia ++a ++ 3
16 Kidney D+/R- Asymptomatic ++ 1
17 Kidney D+/R+ Asymptomatic ++ 1
18 Kidney D+/R- Asymptomatic ++ 1
19 Kidney D+/R- Asymptomatic ++ 1
No. of patients with mutation 2/19 2/19 6/19 8/19 1/19 6/19 2/19
% with mutation induced 10.5 10.5 31.6 42.1 5.3 31.6 10.5

Patient number corresponds to numbering in Figure 3A.

Abbreviations: CMV, cytomegalovirus; D, donor; GRMs, ganciclovir resistance mutations; HSCT, hematopoietic stem cell transplantation; MAC, myeloablative conditioning regimen; NMA, nonmyeloablative conditioning regimen; R, recipient; SOT, solid organ transplantation; Tx, transplantation; UCB, umbilical cord blood.

aBoth mutation in same codon.

bPediatric patients.