Article
Author: De Geest, Sabina ; Reineke, David ; Müller-Arndt, Ulrike ; Goossens, Nicolas ; Rick, Juliane ; Müller, Jelena ; Haidar, Fadi ; Berzigotti, Annalisa ; Hirt, Patricia ; Lamoth, Frédéric ; Rothlin, Silvia ; Müller, Nicolas ; Akbari Bani, Dorssa ; Frossard, Jaromil ; Stirnimann, Guido ; Dreifuss, Joëlle Lynn ; Sengstag, Thierry ; Rössler, Fabian ; Schneidawind, Dominik ; Hirsch, Hans H. ; Van Delden, Christian ; Amico, Patrizia ; Ferrari-Lacraz, Sylvie ; Lehmann, Roger ; Marti, Hans-Peter ; Sidler, Daniel ; McLin, Valérie ; Mueller, Nicolas J. ; Leuzinger, Karoline ; Kremer, Andreas ; Hofbauer, Günther ; Manuel, Oriol ; Hess, Christoph ; Pascual, Manuel ; Cairoli, Anne ; Weissbach, Fabian H. ; Neofytos, Dionysios ; Hillenbrand, Caroline A. ; Bochud, Pierre-Yves ; Berger, Christoph ; Kaur, Amandeep ; Dickenmann, Michael ; Wilhelm, Maud ; Simonetta, Federico ; Bachofner, Adrian ; Venetz, Jean-Pierre ; Chalandon, Yves ; Fehr, Thomas ; De Seigneux, Sophie ; Pazeller, Rosmarie ; Wernli, Marion ; Nilsson, Jakob ; Wilhelm, Markus ; L'Huillier, Arnaud ; Stürzinger, Ueli ; Follonier, Océane ; Schaub, Stefan ; Huynh-Do, Uyen ; Yerly, Patrick ; Vionnet, Julien ; Kuhn, Christian ; Branca, Sanda ; Merçay, Aurélia ; Borner, Petra ; Binet, Isabelle ; Martinelli, Michele ; Banz, Vanessa ; Binet, Françoise-Isabelle ; Wehmeier, Caroline ; Nägeli, Mirjam ; Khanna, Nina ; Mettler, Karin ; Schachtner, Thomas ; Steiger, Jürg ; Golshayan, Dela ; Hirzel, Cédric ; Duchosal, Michel ; Krueger, Thorsten ; Beckmann, Sonja ; Flammer, Andreas ; Immer, Franz ; Laesser, Bettina ; Berishvili, Ekaterine ; Catana, Emmanuelle ; Hoessly, Linard ; Compagnon, Philippe ; Schuurmans, Macé ; Beldi, Guido ; Schwab, Simon ; Hillinger, Sven ; Halter, Jürg ; Koller, Michael ; Villard, Jean ; Mellac, Katell ; Leichtle, Alexander
BK polyomavirus (BKPyV) causes premature renal failure in 10% to 30% of kidney transplant recipients (KTRs). Current guidelines recommend screening for new-onset BKPyV-DNAemia/nephropathy and reducing immunosuppression to regain BKPyV-specific immune control. Because BKPyV encompasses 4 major genotype (gt)-encoded serotypes (st1,-2,-3,-4), st-specific antibodies may inform the risk and course of BKPyV-DNAemia/nephropathy. Using BKPyV st-virus-like particle (VLP) enzyme-linked immunosorbent assay, we analyzed plasma from 399 blood donors (BDs) and 428 KTRs (134 KTR-cases with BKPyV-DNAemia, 294 KTR-controls). BDs were anti-BKPyV-VLP immunoglobulin G-seropositive in 85% compared to 93% of KTRs at the timepoint at transplantation (T0) (P < .001). Anti-st1 was predominant in both groups followed by anti-st4, anti-st2, and anti-st3. Antibody levels and quadruple sero-reactivity at T0 were higher in KTR-controls than in KTR-cases (P = .026) or in BDs (P < .001). In KTR-cases, anti-st increased posttransplant (P < .0001) and independently of ongoing or cleared BKPyV-DNAemia. However, anti-st levels were significantly higher at T0 in KTR-cases able to clear at timepoint 6-month posttransplant or timepoint 12-month posttransplant. In 34 KTR-cases with deep genome sequencing, BKPyV-gtI was predominant, and anti-st1 and st1-neutralizing antibodies were significantly lower at T0 than in KTR-controls. Thus, BKPyV st-specific antibody levels at transplantation might reflect gt/st-BKPyV-specific immunity clearing or preventing BKPyV-DNAemia in KTR-cases or KTR-controls, respectively. Accordingly, active or passive immunization may be most efficient pretransplant or early posttransplant.