Evidence map›Paper›PMID 42920107›Full record

ArticleBMC nephrology2026

Longitudinal real-time PCR monitoring of CMV DNAemia and renal function in living-donor kidney transplant recipients with low immunological risk.

Mustafa Gülteki̇n, Esen Çakmak, Aziz Bulut

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Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Mustafa Gülteki̇nOrgan Transplant Coordination Unit, Kahraman Eruslu Kidney Transplant Hospital, Gaziantep University, Gaziantep, Turkey.ORCID http://orcid.org/0000-0001-9660-5212
Esen ÇakmakDepartment of Bioengineering and Sciences, Graduate School of Natural and Applied Sciences, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey. esencakmak@ksu.edu.tr.ORCID http://orcid.org/0000-0001-8805-3315
Aziz BulutDepartment of General Surgery, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.ORCID http://orcid.org/0000-0001-6613-3082

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the association between CMV DNAemia and renal function during the first 12 months after living-donor kidney transplantation in recipients with low immunological risk and explored differences in CMV DNAemia according to preemptive kidney transplantation status. MATERIALS AND

methodsA total of 112 living-donor kidney transplant recipients (mean age, 37.07 ± 14.41 years) were followed for 12 months. CMV DNAemia was monitored using quantitative real-time PCR targeting the UL55 (gB) gene. Longitudinal changes were analysed using Friedman and repeated-measures ANOVA, with the Mann -Whitney U test for between-group creatinine comparisons and the independent-samples t-test for GFR (p < 0.05).

resultsCMV DNAemia was detected in 25.9% of recipients. Among recipients with CMV DNAemia, serum creatinine differed significantly across the four time points (p = 0.004), whereas GFR showed no significant change over time (p = 0.278). At 6 months, serum creatinine was significantly higher in recipients with CMV DNAemia than in those with no DNAemia (1.38 (1.05-1.70) vs. 1.17 (0.93-1.40) mg/dL; p = 0.047), while the between-group difference in GFR did not reach statistical significance (p = 0.054). Recipients who underwent preemptive kidney transplantation had numerically lower CMV DNA levels at month 6 (491 vs. 1206 IU/mL) than those with a history of dialysis. Urine protein-to-creatinine ratio (UPCR) decreased significantly during follow-up (p < 0.001), while WBC (p = 0.004) and CRP (p = 0.014) changed significantly over time.

conclusionIn unadjusted analyses, recipients with CMV DNAemia had significantly higher serum creatinine levels at 6 months compared with those with no DNAemia, while the corresponding difference in GFR was not statistically significant. Differences according to preemptive kidney transplantation status were descriptive and should not be interpreted as evidence of a protective effect. Because of the observational design of the study, these findings should be interpreted with caution and confirmed in prospective studies.

Indexed as

CytomegalovirusCytomegalovirus InfectionsDNA, ViralKidney TransplantationLiving DonorsAdultCreatinineFemaleGlomerular Filtration RateHumansLongitudinal StudiesMaleMiddle AgedReal-Time Polymerase Chain ReactionCreatinineDNA, ViralCMV DNAemiaCytomegalovirusLiving-donor kidney transplantationPreemptive transplantationReal-Time PCR

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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.