Immunological risk factors for infection after immunosuppressive and biologic therapies

被引:1
|
作者
Carbone, Javier [1 ]
del Pozo, Nadia [1 ]
Gallego, Antonio [1 ]
Sarmiento, Elizabeth [1 ]
机构
[1] Univ Hosp Gregorio Maranon, Dept Clin Immunol, Transplant Immunol Grp, Madrid 28007, Spain
关键词
biologic therapy; biomarkers; cellular immunity; humoral immunity; immune monitoring; immunosuppressive therapy; infection; risk factors; ORGAN TRANSPLANT RECIPIENTS; STEM-CELL TRANSPLANTATION; REMITTING MULTIPLE-SCLEROSIS; NON-HODGKIN-LYMPHOMA; RHEUMATOID-ARTHRITIS; T-CELLS; LIVER-TRANSPLANTATION; LUNG TRANSPLANTATION; RITUXIMAB TREATMENT; CYTOMEGALOVIRUS DISEASE;
D O I
10.1586/ERI.10.178
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Immunosuppressive and biologic therapies are costly and can involve a considerable risk of infection. Noninvasive diagnostic tools for early prediction of infection before and after administration of these therapies are of major interest. Serial longitudinal immune monitoring would provide data on immunocompetence and complement clinical follow-up protocols. Biomarkers of immune response may be useful to identify patients at risk of developing infection and who could be candidates for immunosuppressant dose reduction. This article focuses on the potential use of biomarkers of immune response to predict development of infection after immunosuppressive and biologic therapies in selected settings of autoimmune disease (rituximab for treatment of rheumatoid arthritis) and solid organ transplantation.
引用
收藏
页码:405 / 413
页数:9
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