为艾滋病毒感染者进行肺移植:有前途的中期成果
Asher S Ralphs1, Scott T Anderson1,2, Blake T Langlais3
1Department of Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix, AZ.
Transplantation
|December 5, 2023
概括
肺移植 (LTx) 是艾滋病毒感染者 (PLWH) 的可行选择,其存活率与艾滋病毒阴性患者相似. 这项研究支持LTx用于终末期肺部疾病的PLWH.
科学领域:
- 移植免疫学 移植免疫学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 预期寿命的增加导致艾滋病毒感染者 (PLWH) 患上更多的慢性疾病.
- 在PLWH中,末期肺病可能需要肺移植 (LTx),此前已有禁忌.
- 关于PLWH的LTx结果的数据有限.
研究的目的:
- 评估艾滋病毒感染者 (PLWH) 肺移植 (LTx) 的结果.
- 为了比较PLWH和HIV阴性肺移植接受者之间的生存率和术后并发症.
主要方法:
- 利用器官采购和移植网络 (OPTN) 的STAR文件来识别感染艾滋病毒的LTx接受者.
- 倾向性得分匹配创建了一个对照组的HIV阴性LTx接受者.
- 患者特征,移植参数,生存和术后结果的比较.
主要成果:
- 59名艾滋病毒感染的LTx接受者与236名HIV阴性对照者进行了比较.
- PLWH具有较高的阳性细胞大脑病毒状态率,并获得更高的肺分配分数.
- 术后透析在PLWH中更常见,但整体并发症率和存活率相似 (1年:91.2%vs88.6%;3年:82.6%vs77.8%).
结论:
- 携带艾滋病毒的肺移植 (LTx) 接受者表现出与匹配的艾滋病毒阴性对照相比的生存率.
- 这些发现支持LTx作为终末期肺病PLWH的可行治疗选择.
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