QuantiFERON‐CMV Monitoring Post‐Allogeneic Hematopoietic Stem Cell Transplantation Is Dynamic and Predictive of Immediate Cytomegalovirus Outcomes

QFCMV reactivity was associated with lower peak CMV viral load but not csCMVi. Mitogen-stimulated IFNγ response correlated with csCMVi, suggesting a role for broader assessment of cellular immunity post-transplant. Despite incorporating adaptive immunity measures, QF-monitor was limited in assessing CMV risk. QFCMV reactivity was infrequently achieved in the early post-allogeneic stem cell transplant period. Qualitative QFCMV result was associated with peak CMV viral load but not clinically significant infection, while magnitude of the mitogen response predicted reduction in clinically significant CMV infection.

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Publication Details

Journal
Transplant Infectious Disease
Published
2025-12-26
DOI
https://doi.org/10.1111/tid.70152
Primary Topic
Cytomegalovirus and herpesvirus research
Type
article
Field-Weighted Citation Impact
0.00
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article

QuantiFERON‐CMV Monitoring Post‐Allogeneic Hematopoietic Stem Cell Transplantation Is Dynamic and Predictive of Immediate Cytomegalovirus Outcomes

Tim Spelman, Jen Kok, Monica A. Slavin, A. Grigg et al.
Transplant Infectious Disease
Cytomegalovirus and herpesvirus research
article

QuantiFERON‐CMV Monitoring Post‐Allogeneic Hematopoietic Stem Cell Transplantation Is Dynamic and Predictive of Immediate Cytomegalovirus Outcomes

Tim Spelman, Jen Kok, Monica A. Slavin, A. Grigg, Jason A. Trubiano, Michelle Yong, Chhay Lim, Surekha Tennakoon, Beatrice Sim, Joe Sasadeusz, Bruce Ritchie, Violet Z. Zhu, Siobhan Mineely, Lynette Chee
article en

Abstract

QFCMV reactivity was associated with lower peak CMV viral load but not csCMVi. Mitogen-stimulated IFNγ response correlated with csCMVi, suggesting a role for broader assessment of cellular immunity post-transplant. Despite incorporating adaptive immunity measures, QF-monitor was limited in assessing CMV risk. QFCMV reactivity was infrequently achieved in the early post-allogeneic stem cell transplant period. Qualitative QFCMV result was associated with peak CMV viral load but not clinically significant infection, while magnitude of the mitogen response predicted reduction in clinically significant CMV infection.

Transplant Infectious Disease
The Royal Melbourne Hospital (AU), The University of Melbourne (AU), Austin Hospital (AU), Peter MacCallum Cancer Centre (AU), Westmead Hospital (AU)
Openalex Percentile: Top 30%
Cytomegalovirus and herpesvirus research
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