title: Prevalence of human herpesviruses in biliary fluid and their association with biliary complications after liver transplantation
creator: Rauber, Conrad
creator: Bartelheimer, Katja
creator: Zhou, Taotao
creator: Rupp, Christian
creator: Schnitzler, Paul
creator: Schemmer, Peter
creator: Sauer, Peter
creator: Weiss, Karl Heinz
creator: Gotthardt, Daniel Nils
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: Beta-herpesviruses are common opportunistic pathogens that cause morbidity after liver transplantation (LT).    Methods: Objective of the study was to evaluate the prevalence and correlation of herpesviruses in bile, blood and liver tissue and to investigate their association with biliary complications and retransplantation (re-LT) free survival after LT. The study design is a single-center case-control study. We performed quantative polymerase chain reaction (qPCR) for herpesvirus 1–8 DNA in bile, blood and liver tissue of 73 patients after first LT and analyzed their clinical courses retrospectively.    Results: The median follow-up was 48 months (range 2–102), during which a total of 16 patients underwent re-LT and 11 patients died. Of the patients, 46.5% received valganciclovir prophylaxis at the time of bile sample acquisition. Cytomegalovirus (CMV) (18.3%), human herpesvirus 6 (HHV-6) (34.2%), human herpesvirus 7 (HHV-7) (20.5%) and Epstein-Barr virus (EBV) (16.4%) were highly prevalent in bile after LT, while herpes simpex virus 1 and 2 (HSV-1, HSV-2), varicella-zoster virus (VZV) and human herpesvirus 8 (HHV-8) were not or rarely detected in bile. Valganciclovir prophylaxis did not reduce the prevalence of HHV-6 and HHV-7 in bile, but it did reduce the presence of CMV and EBV. The presence of HHV-6 in bile was associated with non-anastomotic biliary strictures (NAS) and acute cellular rejection (ACR).    Conclusions: CMV, EBV, HHV-6 and HHV-7 are more prevalent in biliary fluid than in liver biopsy or blood serum after LT. HHV-6 and HHV-7 might be associated with biliary complications after LT. Biliary fluids might be an attractive target for routine herpesvirus detection.
publisher: BioMed Central
date: 2019
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/26706/1/12876_2019_Article_1033.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-267062
identifier:   Rauber, Conrad ; Bartelheimer, Katja ; Zhou, Taotao ; Rupp, Christian ; Schnitzler, Paul ; Schemmer, Peter ; Sauer, Peter ; Weiss, Karl Heinz ; Gotthardt, Daniel Nils  (2019) Prevalence of human herpesviruses in biliary fluid and their association with biliary complications after liver transplantation.  BMC Gastroenterology, 19 (110).  pp. 1-10.  ISSN 1471-230X     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/26706/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng