Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan

Background and Objectives: BK polyomavirus (BKPyV) poses a significant threat to kidney transplant (KT) recipients due to immunosuppression, leading to BK-associated nephropathy (BKVN) and reduced transplant survival. This study aimed to determine the prevalence of BKPyV among kidney transplant rec...

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Main Authors: Rabaa Y. Athamneh, Reema Bani Saeed, Omaymah Abulannaz, Rawan Abudalo, Muna Oqal
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-07-01
Series:Iranian Journal of Microbiology
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Online Access:https://ijm.tums.ac.ir/index.php/ijm/article/view/5323
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author Rabaa Y. Athamneh
Reema Bani Saeed
Omaymah Abulannaz
Rawan Abudalo
Muna Oqal
author_facet Rabaa Y. Athamneh
Reema Bani Saeed
Omaymah Abulannaz
Rawan Abudalo
Muna Oqal
author_sort Rabaa Y. Athamneh
collection DOAJ
description Background and Objectives: BK polyomavirus (BKPyV) poses a significant threat to kidney transplant (KT) recipients due to immunosuppression, leading to BK-associated nephropathy (BKVN) and reduced transplant survival. This study aimed to determine the prevalence of BKPyV among kidney transplant recipients in Jordan and to evaluate the association between BKPyV activity and kidney transplant outcomes. Materials and Methods: A retrospective observational study was conducted at the Jordanian Royal Medical Services Hospital (JRMS) from 2021 to 2024. Blood samples (n=157) from kidney transplant recipients were collected, and quantitative real-time PCR was performed to detect BKPyV DNA. Results: The prevalence of BKPyV infection among kidney transplant recipients was 40.8% (n=64). Transplant failure occurred in 36% of cases (n=57), with BKPyV-DNA viremia observed in 74% of those with transplant failure (n=42). The prevalence of infection was significantly higher in patients under 18 years of age (81%, p<0.001) and in males (72%, p<0.001). BKPyV infection increased the odds of transplant failure tenfold. Conclusion: In Jordan, the prevalence of BKPyV among kidney transplant recipients is high, particularly in males and younger patients. BKPyV significantly increases the risk of kidney transplant failure. Other studies are needed to further elucidate the impact of BKPyV on kidney transplant rejection and complications.
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spelling doaj-art-0bd90dc9c9cf47be972469c1a2fa21c12025-08-20T04:02:32ZengTehran University of Medical SciencesIranian Journal of Microbiology2008-32892008-44472025-07-0117410.18502/ijm.v17i4.19256Transplant failure in relation to BK viremia status among kidney transplant recipients in JordanRabaa Y. Athamneh0Reema Bani Saeed1Omaymah Abulannaz2Rawan Abudalo3Muna Oqal4Department of Medical Laboratory Sciences, Faculty of Allied Medical Sciences, Zarqa University, Zarqa, JordanDepartment of Medical Laboratory Sciences, Faculty of Allied Medical Sciences, Zarqa University, Zarqa, JordanDepartment of Pharmacology, Jordan University of Science and Technology, Irbid, JordanDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmaceutical Sciences, The Hashemite University, Zarqa, JordanDepartment of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmaceutical Sciences, The Hashemite University, Zarqa, Jordan Background and Objectives: BK polyomavirus (BKPyV) poses a significant threat to kidney transplant (KT) recipients due to immunosuppression, leading to BK-associated nephropathy (BKVN) and reduced transplant survival. This study aimed to determine the prevalence of BKPyV among kidney transplant recipients in Jordan and to evaluate the association between BKPyV activity and kidney transplant outcomes. Materials and Methods: A retrospective observational study was conducted at the Jordanian Royal Medical Services Hospital (JRMS) from 2021 to 2024. Blood samples (n=157) from kidney transplant recipients were collected, and quantitative real-time PCR was performed to detect BKPyV DNA. Results: The prevalence of BKPyV infection among kidney transplant recipients was 40.8% (n=64). Transplant failure occurred in 36% of cases (n=57), with BKPyV-DNA viremia observed in 74% of those with transplant failure (n=42). The prevalence of infection was significantly higher in patients under 18 years of age (81%, p<0.001) and in males (72%, p<0.001). BKPyV infection increased the odds of transplant failure tenfold. Conclusion: In Jordan, the prevalence of BKPyV among kidney transplant recipients is high, particularly in males and younger patients. BKPyV significantly increases the risk of kidney transplant failure. Other studies are needed to further elucidate the impact of BKPyV on kidney transplant rejection and complications. https://ijm.tums.ac.ir/index.php/ijm/article/view/5323BK virusPolyomavirus infectionsKidney transplantationImmunosuppressionPrevention
spellingShingle Rabaa Y. Athamneh
Reema Bani Saeed
Omaymah Abulannaz
Rawan Abudalo
Muna Oqal
Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
Iranian Journal of Microbiology
BK virus
Polyomavirus infections
Kidney transplantation
Immunosuppression
Prevention
title Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
title_full Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
title_fullStr Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
title_full_unstemmed Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
title_short Transplant failure in relation to BK viremia status among kidney transplant recipients in Jordan
title_sort transplant failure in relation to bk viremia status among kidney transplant recipients in jordan
topic BK virus
Polyomavirus infections
Kidney transplantation
Immunosuppression
Prevention
url https://ijm.tums.ac.ir/index.php/ijm/article/view/5323
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