肝移植术后人类疱疹病毒6型感染的研究进展

Research progress on human herpesvirus 6 infection after liver transplantation

  • 摘要: 人类疱疹病毒6型(HHV-6)初始侵入宿主体内后可终身潜伏,而肝移植受者在免疫抑制期间可出现潜伏感染的再激活。肝移植受者HHV-6感染可导致发热、肝炎、脑炎以及移植物功能障碍,并间接增加了巨细胞病毒(CMV)、丙型肝炎病毒(HCV)感染所致肝纤维化进展的风险。目前,肝移植术后HHV-6感染的发病机制尚未系统阐明,并缺乏有效的防治策略。本文就肝移植术后HHV-6感染的发病机制、危险因素、诊断和治疗方法等方面的进展进行综述。

     

    Abstract: Human herpesvirus 6 (HHV-6) may establish lifetime latency after initial invasion of the host, and liver transplant recipients may experience reactivation of latent infection during immunosuppression. HHV-6 infection in liver transplant recipients could lead to fever, hepatitis, encephalitis and graft dysfunction, and indirectly increases the risk of progression of liver fibrosis due to cytomegalovirus (CMV), hepatitis C virus (HCV) infection. At present, the pathogenesis of HHV-6 infection after liver transplantation has not been systematically elucidated, and effective prevention and treatment strategies are still lacking. This article provided a review for the research progress on the pathogenesis, risk factors, diagnosis and treatment of HHV-6 infection after liver transplantation.

     

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