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 |