{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:45:01Z","timestamp":1753879501520,"version":"3.41.2"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T00:00:00Z","timestamp":1544054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Cytomegalovirus (CMV) infection represents a common cause of morbidity and mortality in kidney transplant recipients (KTR). The NF\u2010kB signaling pathway is highly involved in the pathogenesis of CMV infection. The \u201094ins\/delATTG functional polymorphism in the promoter of NFKB1 has been associated with low intracellular levels of the protein and high incidence of inflammatory and autoimmune disease. In this study, we evaluated the association of this NFKB1 polymorphism with the risk of CMV infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>CMV infection was defined as virus isolation or detection of viral antigens or nucleic acid in any body fluid or tissue specimen. Using Cox regression and survival analysis, we analyzed the association between the polymorphism and CMV infection as well as recurrence in the first 12\u00a0months after transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed the \u201094ins\/delATTG NFKB1 polymorphism of 189 KTRs. The 65% of CMV infections occurred in <jats:italic>ins\/ins<\/jats:italic> group. Survival free from CMV infection was 54.7% for <jats:italic>ins\/ins<\/jats:italic> group and 79.4% for <jats:italic>deletion carriers<\/jats:italic> one year after transplantation (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). At multivariate regression, <jats:italic>deletion carriers <\/jats:italic>showed a lower risk of CMV infection and recurrence with respect to <jats:italic>ins\/ins<\/jats:italic> KTRs (HR\u00a0=\u00a00.224 <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0002; HR\u00a0=\u00a00.307, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.012, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In conclusion, pretransplantation screening for NFKB1 \u201094ins\/delATTG polymorphism may predict CMV infection and improve the management of patients at higher risk of infection in the post\u2010transplant period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.13027","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T21:08:31Z","timestamp":1542316111000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["NFKB1 promoter polymorphism: A new predictive marker of cytomegalovirus infection after kidney transplantation"],"prefix":"10.1111","volume":"21","author":[{"given":"Francesca","family":"Leone","sequence":"first","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Gigliotti","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"La Russa","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danilo","family":"Lofaro","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Perri","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatella","family":"Vizza","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Lupinacci","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Toteda","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Bonofiglio","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierangela","family":"Presta","sequence":"additional","affiliation":[{"name":"Kidney and Transplantation\u201d Research Center, Department of Nephrology, Dialysis and Transplantation Annunziata Hospital Cosenza 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