{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:25:58Z","timestamp":1789053958978,"version":"build-2803163510"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AI120938"],"award-info":[{"award-number":["R01AI120938"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DK131926"],"award-info":[{"award-number":["R01DK131926"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01 AI138897"],"award-info":[{"award-number":["U01 AI138897"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01AI177211"],"award-info":[{"award-number":["U01AI177211"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23AI157893"],"award-info":[{"award-number":["K23AI157893"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24 AI144952"],"award-info":[{"award-number":["K24 AI144952"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Johns Hopkins School of Medicine Discovery Fund for Synergy"},{"DOI":"10.13039\/100017035","name":"Johns Hopkins University Center for AIDS Research","doi-asserted-by":"crossref","award":["P30 AI094189"],"award-info":[{"award-number":["P30 AI094189"]}],"id":[{"id":"10.13039\/100017035","id-type":"DOI","asserted-by":"crossref"}]},{"name":"The Living Legacy Foundation","award":["75N91024F00011"],"award-info":[{"award-number":["75N91024F00011"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Due to high prevalence of Kaposi sarcoma\u2013associated herpesvirus (KSHV) among people with human immunodeficiency virus (HIV), KSHV-associated disease (KAD) may be increased after kidney transplantation from donors with HIV (HIV D+) to recipients with HIV (HIV R+).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Anti-KSHV antibodies were measured in HIV R+ and donors with and without HIV (HIV D\u2013) using a 30-antigen multiplex assay within 3 multicenter kidney transplantation studies. KSHV seropositivity was defined as reactivity to conventional KSHV antigens (\u22651 ORF73 or K8.1); reactivity to expanded 5-antigen and 30-antigen panels were also reported. Risk factors were identified using modified Poisson regression. Recipients were monitored for posttransplant anti-KSHV antibody changes and KAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>KSHV seroprevalence was 40.6% (143\/352) among HIV R+, 25.2% (33\/131) among HIV D+, and 7.5% (4\/53) among HIV D\u2013. In the multivariable model, only men who have sex with men (MSM) status was associated with KSHV seropositivity (relative risk, 1.51 [95% confidence interval {CI}, 1.07\u20132.14] in recipients and 2.39 [95% CI, 1.03\u20135.53] in donors). Among 418 HIV R+ (215 HIV D+\/R+, 203 HIV D\u2013\/R+), there were 5 KAD cases (incidence, 0.63 cases\/100 person-years [95% CI, .26\u20131.52]): 3 skin-only Kaposi sarcoma (KS), 1 multicentric Castleman disease, and 1 allograft KS. The allograft KS occurred in a female HIV D+\/R+ and was likely donor derived. Remaining KAD cases occurred in male HIV D\u2013\/R+ and were likely recipient KSHV reactivation or acquisition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the United States, KSHV seroprevalence in donors and recipients with HIV was high, particularly among MSM. Reassuringly, KSHV-associated disease was rare and primarily attributed to recipient rather than donor-derived KSHV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/cid\/ciaf229","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T19:59:26Z","timestamp":1746043166000},"page":"709-719","source":"Crossref","is-referenced-by-count":12,"title":["Kaposi Sarcoma\u2013Associated Herpesvirus Risk and Disease in Kidney Donors and Transplant Recipients With HIV in the United States"],"prefix":"10.1093","volume":"82","author":[{"given":"Puja H","family":"Nambiar","sequence":"first","affiliation":[{"name":"Department of Medicine, Memorial Sloan Kettering Cancer Center , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6355-5546","authenticated-orcid":false,"given":"Tao","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5953-4064","authenticated-orcid":false,"given":"Nazzarena","family":"Labo","sequence":"additional","affiliation":[{"name":"Viral Oncology Section, AIDS and Cancer Virus Program, Leidos Biomedical Research, Frederick National Laboratory for Cancer Research , Frederick, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5752-9576","authenticated-orcid":false,"given":"Jonathan","family":"Hand","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ochsner Health , New Orleans, Louisiana ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5193-6170","authenticated-orcid":false,"given":"Emily A","family":"Blumberg","sequence":"additional","affiliation":[{"name":"Department of Medicine, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi M","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Medicine, Icahn School of Medicine at Mount Sinai , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander","family":"Florman","sequence":"additional","affiliation":[{"name":"Recanati-Miller Transplantation Institute, The Mount Sinai Hospital , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5039-8526","authenticated-orcid":false,"given":"Brandy","family":"Haydel","sequence":"additional","affiliation":[{"name":"Recanati-Miller Transplantation Institute, The Mount Sinai Hospital , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4479-8726","authenticated-orcid":false,"given":"Michele I","family":"Morris","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, University of Miami Miller School of Medicine , Miami, Florida ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Schaenman","sequence":"additional","affiliation":[{"name":"Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles , Los Angeles, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moreno M S","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland 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California, San Francisco , San Francisco, California ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0388-5460","authenticated-orcid":false,"given":"Valentina","family":"Stosor","sequence":"additional","affiliation":[{"name":"Divisions of Infectious Diseases and Organ Transplantation, Northwestern University Feinberg School of Medicine , Chicago, Illinois ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5069-1880","authenticated-orcid":false,"given":"Alexander J","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Department of Medicine, Georgetown University , Washington District of Columbia ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6466-7347","authenticated-orcid":false,"given":"Nahel","family":"Elias","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts General Hospital , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna A","family":"Mehta","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine B","family":"Small","sequence":"additional","affiliation":[{"name":"Department of Medicine, Weill Cornell Medicine , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghady","family":"Haidar","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania 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,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senu","family":"Apewokin","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Cincinnati College of Medicine , Cincinnati, Ohio ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose A","family":"Castillo-Lugo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Methodist Health System Clinical Research Institute , Dallas, Texas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Ranganna","sequence":"additional","affiliation":[{"name":"Department of Medicine, Drexel University College of Medicine , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Morsheimer","sequence":"additional","affiliation":[{"name":"National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5288-5125","authenticated-orcid":false,"given":"Allan","family":"Massie","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1924-4801","authenticated-orcid":false,"given":"Dorry L","family":"Segev","sequence":"additional","affiliation":[{"name":"New York University Langone Transplant Institute , New York, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendell","family":"Miley","sequence":"additional","affiliation":[{"name":"Viral Oncology Section, AIDS and Cancer Virus Program, Leidos Biomedical Research, Frederick National Laboratory for Cancer Research , Frederick, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4069-185X","authenticated-orcid":false,"given":"Vickie","family":"Marshall","sequence":"additional","affiliation":[{"name":"Viral Oncology Section, AIDS and Cancer Virus Program, Leidos Biomedical Research, Frederick National Laboratory for Cancer Research , Frederick, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7407-2563","authenticated-orcid":false,"given":"Denise","family":"Whitby","sequence":"additional","affiliation":[{"name":"Viral Oncology Section, AIDS and Cancer Virus Program, Leidos Biomedical Research, Frederick National Laboratory for Cancer Research , Frederick, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron A A","family":"Tobian","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2605-9257","authenticated-orcid":false,"given":"Christine M","family":"Durand","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"2026043013131812100_ciaf229-B1","doi-asserted-by":"crossref","first-page":"e14334","DOI":"10.1111\/tid.14334","article-title":"HHV-8-associated diseases in transplantation: a case report and narrative review focused on diagnosis and prevention","volume":"26(Suppl 1)","author":"Kates","year":"2024","journal-title":"Transpl Infect 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