Assessment of UL56 Mutations before Letermovir Therapy in Refractory Cytomegalovirus Transplant Recipients

Author:

Santos Bravo Marta1ORCID,Tilloy Valentin2,Plault Nicolas23,Palomino Sonsoles Sánchez4,Mosquera María Mar1,Navarro Gabriel Mireia1,Fernández Avilés Francesc5,Suárez Lledó María5,Rovira Montserrat5,Moreno Asunción6,Linares Laura6,Bodro Marta6,Hantz Sébastien23,Alain Sophie23,Marcos María Ángeles1

Affiliation:

1. Microbiology Department, Hospital Clínic I Provincial de Barcelona, University of Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain

2. National Reference Center for Herpesviruses, Microbiology Department, CHU Limoges, Limoges, France

3. UMR Inserm 1092, University of Limoges, Limoges, France

4. AIDS Research Group, Institut D’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic I Provincial de Barcelona, University of Barcelona, Barcelona, Spain

5. Bone Marrow Transplant Unit, Hematology Department, Hospital Clínic I Provincial de Barcelona, Barcelona, Spain

6. Infectious Diseases Department, Hospital Clínic I Provincial de Barcelona, Barcelona, Spain

Abstract

We provide comprehensive data on the clinical correlates of both CMV genotypic follow-up by standard and deep sequencing and the clinical outcomes, as well as recombinant phenotypic results of this novel mutation. Our study emphasizes that the clinical follow-up in combination with genotypic and phenotypic studies is essential for the assessment and optimization of patients experiencing HCMV relapses or not responding to antiviral therapy.

Funder

MEC | Instituto de Salud Carlos III

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

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