BK Virus Nephritis after Renal Transplantation
Open Access
- 1 March 2008
- journal article
- review article
- Published by Wolters Kluwer Health in Clinical Journal of the American Society of Nephrology
- Vol. 3 (Supplement) , S68-S75
- https://doi.org/10.2215/cjn.02770707
Abstract
BK virus nephritis is an increasing problem and is posing a threat to improving renal transplant graft survival. The pathogenesis of this condition remains to be investigated. Higher prevalence of BK virus infection in recent years has been correlated with declining acute rejection rates and the use of potent immunosuppressive agents. Patients with this infection usually have asymptomatic viremia and/or nephritis with or without worsening of renal function. The diagnosis of this disease is based on detecting the virus or its effects in urine, blood, and renal tissue. In the past, approximately 30 to 60% of patients with BK virus nephritis developed graft failure. In recent years, the combination of early detection, prompt diagnosis, and therapies including preventive measures have resulted in better outcomes.Keywords
This publication has 64 references indexed in Scilit:
- Caveolar Endocytosis Is Critical for BK Virus Infection of Human Renal Proximal Tubular Epithelial CellsJournal of Virology, 2007
- Human Polyomavirus Type 1 (BK Virus) Agnoprotein Is Abundantly Expressed but Immunologically IgnoredClinical and Vaccine Immunology, 2007
- Association of treatment with 15‐deoxyspergualin and BK virus nephropathy in kidney allograft recipientsClinical Transplantation, 2007
- Polyomavirus-associated nephropathy risk in kidney transplants: the influence of recipient age and donor genderKidney International, 2007
- Detection of CD8+ T Cells Sensitized to BK Virus Large T Antigen in Healthy Volunteers and Kidney Transplant RecipientsHuman Immunology, 2006
- BK Nephropathy in Kidney Transplant Recipients Treated with a Calcineurin Inhibitor-Free Immunosuppression RegimenAmerican Journal of Transplantation, 2004
- Delayed renal allograft dysfunction and cystitis associated with human polyomavirus (BK) infection in a renal transplant recipient: a case report and review of literatureClinical Nephrology, 2003
- Prospective Study of Polyomavirus Type BK Replication and Nephropathy in Renal-Transplant RecipientsNew England Journal of Medicine, 2002
- Testing for Polyomavirus Type BK DNA in Plasma to Identify Renal-Allograft Recipients with Viral NephropathyNew England Journal of Medicine, 2000