Evidence map›Paper›PMID 41615270›Full record

ReviewTransplant infectious disease : an official journal of the Transplantation Society

HHV-8/KSHV in Solid Organ Transplantation: Current Gaps of Knowledge and Future Directions.

Alessandra Mularoni, Andrea Cona, Malgorzata Mikulska, Francesca Pecoraro, Carlotta Piazza, Elda De Vita, Giada Pietrosi, Matteo Bulati, Tiziana Lazzarotto, Mario Luppi

Abstract readReview
In one paragraph

Review in Transplant infectious disease : an official journal of the Transplantation Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Donor-derived viral infections: the usual suspects and the new kids on the block.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alessandra MularoniIRCCS ISMETT, Palermo, Italy.ORCID https://orcid.org/0000-0001-8612-5581
Andrea ConaIRCCS ISMETT, Palermo, Italy.ORCID https://orcid.org/0000-0002-2084-6535
Malgorzata MikulskaDivision of Infectious Diseases, Department of Health Sciences, University of Genoa, Genoa, Italy.
Francesca PecoraroIRCCS ISMETT, Palermo, Italy.
Carlotta PiazzaIRCCS ISMETT, Palermo, Italy.
Elda De VitaIRCCS ISMETT, Palermo, Italy.
Giada PietrosiIRCCS ISMETT, Palermo, Italy.
Matteo BulatiIRCCS ISMETT, Palermo, Italy.
Tiziana LazzarottoDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Mario LuppiSection of Hematology, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, AOU Modena, Modena, Italy.

Funding

Italian Ministry of HealthNational Recovery and Resilience Plan, Mission 4 PE00000007
6 · The paper itself

Abstract

The incidence of HHV-8/KSHV-associated diseases (KADs) among solid organ transplant (SOT) recipients has shown a relative increase, likely reflecting the growing population of long-term SOT survivors and heightened recognition and reporting due to greater clinician awareness. The real impact of HHV-8/KSHV in the SOT setting remains difficult to determine due to regional variations in seroprevalence and non-universal screening practices. Neoplastic KAD reported in SOT includes Kaposi sarcoma (KS), multicentric Castleman disease (MCD), primary effusion lymphoma (PEL), and other rare lymphomas. Increasing attention has focused on Kaposi's Sarcoma-associated Herpesvirus Inflammatory Cytokine Syndrome (KICS), a non-malignant syndrome characterized by uncontrolled inflammation, fever, pancytopenia and elevated HHV-8/KSHV DNAemia, resembling viral sepsis that can progress to shock and multi-organ failure. A clinical protocol including testing donors and recipients, monitoring for DNAemia in recipients at risk, switching CNI to mTOR inhibitors, treatment with antivirals, and rituximab for KICS may mitigate the impact of HHV-8/KSHV infection in SOT recipients. However, standardized serological testing is not available and the role of monitoring, preemptive management and treatment of HHV-8/KSHV DNAemia should be studied in larger prospective studies. Severe donor-derived KICS and KS, often presenting without skin involvement, underscore the need for reliable serologic tests for identification of at-risk recipients (especially D+/R-), heightened clinical awareness to ensure timely diagnosis and prompt treatment. This review provides an updated overview of KADs with a particular focus on KICS in SOT, highlights knowledge gaps for future research, and summarizes recent advances in the screening and management of HHV-8/KSHV infection following transplantation.

Indexed as

Herpesviridae InfectionsHerpesvirus 8, HumanOrgan TransplantationSarcoma, KaposiAntiviral AgentsCastleman DiseaseHumansImmunosuppressive AgentsIncidenceLymphoma, Primary EffusionAntiviral AgentsImmunosuppressive AgentsDiffuse large B‐cell lymphomahuman herpes virus 8/Kaposi's sarcoma‐associated herpesvirusKaposi sarcomaKaposi sarcoma inflammatory cytokine syndromemulticentric Castleman diseaseprimary effusion lymphomasolid organ transplantation

Identifiers

PMID41615270
PMCPMC13070012

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.