{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:24:00Z","timestamp":1790267040967,"version":"4.1.0"},"reference-count":46,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"19","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO"],"published-print":{"date-parts":[[2016,7,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> We investigated the effect of Epstein-Barr virus (EBV) serostatus on the overall outcome of allogeneic hematopoietic stem-cell transplantation (allo-HSCT). <\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p> The study included 11,364 patients who underwent allogeneic peripheral-blood or bone marrow transplantation for acute leukemia between 1997 and 2012. We analyzed the impact of donor and recipient EBV serologic status on overall survival, relapse-free survival, relapse incidence, nonrelapse mortality, and incidence of graft-versus-host disease (GVHD) after allo-HSCT. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Patients receiving grafts from EBV-seropositive donors had the same overall survival as patients who received grafts from EBV-seronegative donors (hazard ratio [HR], 1.05; 95% CI, 0.97 to 1.12; P = .23). Seropositive donors also had no influence on relapse-free survival (HR, 1.04; 95% CI, 0.97 to 1.11; P = 0.31), relapse incidence (HR, 1.03; 95% CI, 0.94 to 1.12; P = .58), and nonrelapse mortality (HR, 1.05; 95% CI, 0.94 to 1.17; P = .37). However, in univariate analysis, recipients receiving grafts from seropositive donors had a higher risk of chronic GVHD than those with seronegative donors (40.8% v 31.0%, respectively; P &lt; .001; HR, 1.42; 95% CI, 1.30 to 1.56). When adjusting for confounders, higher risk was identified for both acute and chronic GVHD. In seronegative patients with seropositive donors, the HR for chronic GVHD was 1.30 (95% CI, 1.06 to 1.59; P = .039). In seropositive patients with seropositive donors, the HR was 1.24 (95% CI, 1.07 to 1.45; P = .016) for acute GVHD and 1.43 (95% CI, 1.23 to 1.67; P &lt; .001) for chronic GVHD. Seropositive patients with seronegative donors did not have an increased risk of GVHD. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Our data suggest that donor EBV status significantly influences development of acute and chronic GVHD after allo-HSCT. <\/jats:p><\/jats:sec>","DOI":"10.1200\/jco.2015.64.2405","type":"journal-article","created":{"date-parts":[[2016,4,19]],"date-time":"2016-04-19T04:14:26Z","timestamp":1461039266000},"page":"2212-2220","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":47,"title":["Impact of Donor Epstein-Barr Virus Serostatus on the Incidence of Graft-Versus-Host Disease in Patients With Acute Leukemia After Hematopoietic Stem-Cell Transplantation: A Study From the Acute Leukemia and Infectious Diseases Working Parties of the European Society for Blood and Marrow Transplantation"],"prefix":"10.1200","volume":"34","author":[{"given":"Jan","family":"Styczynski","sequence":"first","affiliation":[{"name":"Jan Styczynski, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz; Lidia Gil, Medical University, Poznan, Poland; Gloria Tridello and Simone Cesaro, Azienda Ospedaliera Universitaria Integrata, Verona; Simona Iacobelli, Universit\u00e0 di Roma \u201cTor Vergata\u201d, Roma, Italy; Per Ljungman, Karolinska University Hospital, Stockholm, Sweden; Jennifer Hoek, European Bone Marrow Transplantation Group Data Office; Hendrik Veelken, Leiden University Medical Center, Leiden; Jan Cornelissen, Erasmus..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Tridello","sequence":"additional","affiliation":[{"name":"Jan Styczynski, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz; Lidia Gil, Medical University, Poznan, Poland; Gloria Tridello and Simone Cesaro, Azienda Ospedaliera Universitaria Integrata, Verona; Simona Iacobelli, Universit\u00e0 di Roma \u201cTor Vergata\u201d, Roma, Italy; Per Ljungman, Karolinska University Hospital, Stockholm, Sweden; Jennifer Hoek, European Bone Marrow Transplantation Group Data Office; Hendrik Veelken, Leiden University Medical Center, Leiden; Jan Cornelissen, Erasmus..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Gil","sequence":"additional","affiliation":[{"name":"Jan Styczynski, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz; Lidia Gil, Medical University, Poznan, Poland; Gloria Tridello and Simone Cesaro, Azienda Ospedaliera Universitaria Integrata, Verona; Simona Iacobelli, Universit\u00e0 di Roma \u201cTor Vergata\u201d, Roma, Italy; Per Ljungman, Karolinska University Hospital, Stockholm, Sweden; Jennifer Hoek, European Bone Marrow Transplantation Group Data Office; Hendrik Veelken, Leiden University Medical Center, Leiden; Jan Cornelissen, Erasmus..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Ljungman","sequence":"additional","affiliation":[{"name":"Jan Styczynski, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz; Lidia Gil, Medical University, Poznan, Poland; Gloria Tridello and Simone Cesaro, Azienda Ospedaliera Universitaria Integrata, Verona; Simona Iacobelli, Universit\u00e0 di Roma \u201cTor Vergata\u201d, Roma, Italy; Per Ljungman, Karolinska University Hospital, Stockholm, Sweden; Jennifer Hoek, European Bone Marrow Transplantation Group Data Office; Hendrik Veelken, Leiden University Medical Center, Leiden; Jan Cornelissen, Erasmus..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Hoek","sequence":"additional","affiliation":[{"name":"Jan Styczynski, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz; Lidia Gil, Medical University, Poznan, Poland; Gloria Tridello and Simone Cesaro, Azienda Ospedaliera 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