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Updated: Aug 19, 2026

Generation of Multivirus-specific T Cells to Prevent/treat Viral Infections after Allogeneic Hematopoietic Stem Cell Transplant
Published on: May 27, 2011
Human herpesvirus-6 and -7 in pediatric stem cell transplantation
Helena Savolainen1, Irmeli Lautenschlager, Heli Piiparinen
1Division of Hematology-Oncology and Stem Cell Transplantation, Hospital for Children and Adolescents, University of Helsinki, Finland. helena.savolainen@hus.fi
Insights
Human herpesvirus-6 and -7 (HHV-6/7) are common in pediatric stem cell transplant patients. While reactivations can cause symptoms like fever and rash, severe complications are rare.
Area of Science:
- Virology
- Immunology
- Pediatric Hematology/Oncology
Background:
- Human herpesvirus-6 (HHV-6) and -7 (HHV-7) can reactivate during immunosuppression, leading to varied clinical manifestations.
- Understanding the prevalence and impact of HHV-6 and HHV-7 in pediatric stem cell transplant (SCT) recipients is crucial.
Purpose of the Study:
- To investigate the presence and clinical significance of HHV-6 and HHV-7 in pediatric SCT recipients.
- To determine the association between HHV-6/7 reactivation and clinical outcomes post-transplant.
Main Methods:
- Studied 60 pediatric SCT recipients (allogeneic and autologous grafts).
- Detected HHV-6 and HHV-7 in blood using polymerase chain reaction (PCR) and antigenemia assays.
- Monitored for clinical symptoms and complications, including encephalitis.
Main Results:
- HHV-6 and HHV-7 were frequently detected in the blood of SCT recipients.
- No significant difference in reactivation rates between allogeneic and autologous grafts or donor types.
- HHV-6 antigenemia correlated with fever, rash, and delayed engraftment; two cases of encephalitis occurred.
Conclusions:
- HHV-6 and HHV-7 are common in pediatric SCT recipients, both pre- and post-transplant.
- Prolonged reactivations are associated with clinical symptoms, but severe complications are infrequent.
- Transient HHV-6/7 reactivations have limited clinical significance in this population.
Background:
Human herpesvirus-6 (HHV-6) and -7 (HHV-7) may reactivate with immunosuppression and cause symptoms varying from subclinical to severe organ manifestations. The presence of HHV-6 and -7 and their possible association with clinical problems among pediatric recipients of stem cell grafts was studied in a single institution setting between November 1999 and December 2001.
Procedure:
A total of 60 patients, mean age 8.5 years, were transplanted: 2/3 received allogeneic grafts and 1/3 autologous stem cell rescue. The presence of HHV-6 and -7 was studied in blood by polymerase chain reaction (PCR) (HHV-6) and antigenemia (HHV-6 and -7).
Results:
Both HHV-6 and -7 were frequently present in the blood of stem cell graft recipients. No significant difference in the incidence of HHV-6 or -7 reactivations between the allogeneic and autologous patients nor recipients of sibling or unrelated donor (URD) grafts was observed. HHV-6 antigenemia was associated with fever, rash, and delayed engraftment. Among symptomatic patients two cases of encephalitis were encountered with both having HHV-6 detectable in their cerebrospinal fluid (CSF) by PCR.
Conclusions:
HHV-6 and -7 seem to be common in blood both pre- and post-transplant among pediatric recipients of stem cell grafts. Prolonged reactivations appear to correlate with clinical symptoms such as fever, rash, and bone marrow suppression in the post-stem cell transplant setting (SCT), but severe complications are rare. Transient reactivations appear to be of very limited clinical significance.
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