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. Author manuscript; available in PMC: 2022 Dec 1.
Published in final edited form as: Curr Opin Infect Dis. 2021 Dec 1;34(6):635–645. doi: 10.1097/QCO.0000000000000787

Table 1.

Risk factors for EBV PTLD in HCT and SOT

Factors which INCREASE the risk of developing EBV PTLD
HCT [3, 10-12, 84-87] SOT
Anti-thymocyte Globulin (ATG) or alemtuzumab <12 months after transplant
In vivo T-cell Depletion Intestine > lung > heart > liver > pancreas > kidney
EBV serology donor/recipient mismatch (recipient-negative/donor-positive) Donor EBV+/ Recipient EBV−
Cord blood transplantation Children
Reduced intensity conditioning Belatacept immunosuppression
HLA mismatch
Splenectomy
Second HSCT
Severe acute or chronic GvHD requiring intensive immunosuppressive therapy
Infusion of mesenchymal stromal cells
Factors which REDUCE the risk of developing EBV PTLD
HCT SOT
Rituximab exposure within 6 months pre-HSCT >12 months after transplant
Post-transplant cyclophosphamide (without ATG) Kidney > pancreas > liver > heart > lung > intestine
Sirolimus use for GVHD Prophylaxis Recipient EBV+
CD4+ T-lymphocyte count >50 at day +30 Adults