Table 1.
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 |