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Title: A study on the cell mediated immunity of human cytomegalovirus infection in kidney transplant recipients
Author: Essa, Sahar Sultan
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2001
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Cytomegalovirus (CMV) infection is a major complication after kidney transplantation. Despite antiviral therapy it contributes significantly to high morbidity. This study was aimed at (a) detecting· a CMV specific antigen pp65 in CMV -infected fibroblast cells and in leukocytes of kidney transplant recipients by flow cytometric assay (FCA) (b) determining the stimulation index (S.I.) of phytohaemagglutinin (PHA) and CMV-stimulated peripheral blood mononuclear cells (PBMC), (c) determining the levels of Th1- and Th-2 related cytokines in the supernatant of stimulated PBMC from kidney transplant recipients with and without active CMV infection (d) determining immunophenotyping of cells found in the peripheral blood of CMV -infected and CMV -uninfected kidney transplant recipients by flow cytometry using antibodies specific to CD2+ (pan T), CD3+ (mature T), CD4+ (T helper), CD8+ (T suppressor), CD26+(T activated), CDI6+/CDS6+ (NK cell), CDI9+(pan B), CDIS+ (granulocytes). Thirty-five patients with, and 44 without active CMV infections, as diagnosed by a CMV antigenemia assay (AA), were inducted into this study. FCA distinguished clearly between the infected and uninfected fibroblast cells. Regarding kidney transplant recipients, the FCA was positive when the number of AA positive cells was five or more per 5x10(4). Moreover, the percentage of antigenemia-positive cells by FCA correlated well with symptomatic CMV infections. After PHA and CMV stimulation of PBMC from patients, S.I. was determined by radioactive thymidine uptake while the production of Th1-type cytokines [interleukin-2 (iL-2), interferon-y (IFN-y) and tumor necrosis factor-a (TNFex)] and Th2-type cytokines (IL-4, IL-1O) were measured by ELISA. PBMC of patients with active CMV infection showed significantly lower S.I. values than patients without an ongoing CMV infection (p
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: QH301 Biology ; R Medicine (General) Medicine Microbiology Molecular biology Cytology Genetics