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Mario Fernández-Ruiz, Estéfani García-Ríos, Natalia Redondo, Isabel Rodríguez-Goncer, Tamara Ruiz-Merlo, Patricia Parra, Virginia Sandonis, Francisco López-Medrano, Rafael San Juan, Esther González, Natalia Polanco, Amado Andrés, David Navarro, José María Aguado, Pilar Pérez-Romero, Dynamics and Clinical Significance of Cytomegalovirus-Specific Neutralizing Antibodies in Kidney Transplant Recipients Treated with T-Cell–Depleting Agents, The Journal of Infectious Diseases, Volume 229, Issue 6, 15 June 2024, Pages 1812–1816, https://doi.org/10.1093/infdis/jiad411
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Abstract
We measured cytomegalovirus (CMV)-specific antibodies that neutralize epithelial cell infection (CMV-AbNEIs) in 101 CMV-seropositive kidney transplant recipients (KTRs) at baseline and posttransplant months 3 and 6. All the patients received antithymocyte globulin and 3-month valganciclovir prophylaxis. There were no significant differences in pretransplant AbNEIs titers between KTRs that developed or did not develop any-level CMV infection or the composite of high-level infection and/or disease. One-year CMV infection-free survival was comparable between KTRs with or without pretransplant CMV-AbNEIs. No differences were observed by months 3 and 6. We observed no protective role for CMV-AbNEIs among CMV-seropositive KTRs undergoing T-cell–depleting induction.