Table 4.

Torque Teno Virus Levels Stratified According to Baseline Characteristics

CharacteristicsTTV Copies/mL (IQR)P Value
Variable PositiveaVariable Negativea
Recipient data
 Recipient age >56 yearsb4.2 × 108 (1.8 × 107–2.9 × 109)3.2 × 107 (3.6 × 106–4.0 × 108).050
 Recipient female9.3 × 106 (1.8 × 106–3.4 × 108)3.4 × 108 (1.8 × 107–2.4 × 109).021
 Recipient BMI >26 kg/m2 b4.2 × 108 (3.4 × 106–1.7 × 109)6.8 × 107 (8.3 × 106–4.2 × 108).629
 Renal replacement therapy >2.6 yearsb, c5.2 × 107 (5.3 × 106–8.3 × 108)1.8 × 108 (3.3 × 106–2.7 × 109).589
 Diabetes mellitus1.7 × 107 (2.8 × 106–4.3 × 108)1.8 × 108 (5.0 × 106–1.5 × 109).243
 Major comorbidityd5.2 × 107 (4.0 × 106–1.5 × 109)1.4 × 108 (3.9 × 106–1.1 × 109).978
 CMV IgG positive2.9 × 107 (3.4 × 106–5.3 × 109)4.3 × 108 (1.8 × 108–2.9 × 109).003
 EBV IgG positive7.6 × 107 (4.1 × 106–1.4 × 109)3.8 × 108 (3.5 × 108–NA).415
 HBc antibody positive7.3 × 106 (3.6 × 106–1.4 × 108)2.6 × 108 (8.0 × 106–1.7 × 109).074
 HIV antibody/antigen positiveNANA.366
Donor data
 Living donor9.9 × 107 (1.2 × 107–4.3 × 108)1.8 × 108 (4.1 × 106–1.4 × 109).884
 Donor after circulatory death1.7 × 108 (1.6 × 105–7.6 × 108)2.4 × 108 (7.3 × 106–1.8 × 109).203
 Donor age >56 yearsb4.2 × 108 (9.3 × 106–2.9 × 109)3.0 × 107 (3.8 × 106–4.2 × 108).014
 Donor female3.1 × 107 (3.9 × 106–1.6 × 109)2.2 × 108 (7.2 × 106–1.0 × 109).699
 Donor CMV IgG positive3.4 × 107 (3.8 × 106–2.1 × 109)4.2 × 108 (1.1 × 107–1.6 × 109).164
Transplant data
 Retransplantation1.0 × 107 (9.9 × 105–3.3 × 108)2.6 × 108 (9.3 × 106–1.7 × 109).041
 ABO incompatible transplantation1.0 × 106 (6.3 × 105–1.8 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).633
 Donor specific antibody2.5 × 107 (1.8 × 106–2.1 × 108)1.8 × 108 (5.3 × 106–1.4 × 109).238
 HLA A, B, DR mismatch >3b4.7 × 107 (2.8 × 106–1.3 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).486
 ATG induction1.9 × 107 (2.3 × 106–1.5 × 108)1.8 × 108 (5.2 × 106–1.5 × 109).193
 CMV prophylaxis4.0 × 108 (4.0 × 107–1.8 × 109)3.1 × 107 (3.7 × 106–1.2 × 109).067
CharacteristicsTTV Copies/mL (IQR)P Value
Variable PositiveaVariable Negativea
Recipient data
 Recipient age >56 yearsb4.2 × 108 (1.8 × 107–2.9 × 109)3.2 × 107 (3.6 × 106–4.0 × 108).050
 Recipient female9.3 × 106 (1.8 × 106–3.4 × 108)3.4 × 108 (1.8 × 107–2.4 × 109).021
 Recipient BMI >26 kg/m2 b4.2 × 108 (3.4 × 106–1.7 × 109)6.8 × 107 (8.3 × 106–4.2 × 108).629
 Renal replacement therapy >2.6 yearsb, c5.2 × 107 (5.3 × 106–8.3 × 108)1.8 × 108 (3.3 × 106–2.7 × 109).589
 Diabetes mellitus1.7 × 107 (2.8 × 106–4.3 × 108)1.8 × 108 (5.0 × 106–1.5 × 109).243
 Major comorbidityd5.2 × 107 (4.0 × 106–1.5 × 109)1.4 × 108 (3.9 × 106–1.1 × 109).978
 CMV IgG positive2.9 × 107 (3.4 × 106–5.3 × 109)4.3 × 108 (1.8 × 108–2.9 × 109).003
 EBV IgG positive7.6 × 107 (4.1 × 106–1.4 × 109)3.8 × 108 (3.5 × 108–NA).415
 HBc antibody positive7.3 × 106 (3.6 × 106–1.4 × 108)2.6 × 108 (8.0 × 106–1.7 × 109).074
 HIV antibody/antigen positiveNANA.366
Donor data
 Living donor9.9 × 107 (1.2 × 107–4.3 × 108)1.8 × 108 (4.1 × 106–1.4 × 109).884
 Donor after circulatory death1.7 × 108 (1.6 × 105–7.6 × 108)2.4 × 108 (7.3 × 106–1.8 × 109).203
 Donor age >56 yearsb4.2 × 108 (9.3 × 106–2.9 × 109)3.0 × 107 (3.8 × 106–4.2 × 108).014
 Donor female3.1 × 107 (3.9 × 106–1.6 × 109)2.2 × 108 (7.2 × 106–1.0 × 109).699
 Donor CMV IgG positive3.4 × 107 (3.8 × 106–2.1 × 109)4.2 × 108 (1.1 × 107–1.6 × 109).164
Transplant data
 Retransplantation1.0 × 107 (9.9 × 105–3.3 × 108)2.6 × 108 (9.3 × 106–1.7 × 109).041
 ABO incompatible transplantation1.0 × 106 (6.3 × 105–1.8 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).633
 Donor specific antibody2.5 × 107 (1.8 × 106–2.1 × 108)1.8 × 108 (5.3 × 106–1.4 × 109).238
 HLA A, B, DR mismatch >3b4.7 × 107 (2.8 × 106–1.3 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).486
 ATG induction1.9 × 107 (2.3 × 106–1.5 × 108)1.8 × 108 (5.2 × 106–1.5 × 109).193
 CMV prophylaxis4.0 × 108 (4.0 × 107–1.8 × 109)3.1 × 107 (3.7 × 106–1.2 × 109).067

Mann-Whitney U test was used for comparing continuous data and group comparisons were made using the Χ2 test. Exact tests were used where applicable.

Abbreviations: ATG, antithymoglobulin; BMI, body mass index; CMV, cytomegalovirus; EBV, Epstein Barr virus; HBc, hepatitis B-core antigen; HIV, human immunodeficiency virus; HLA, human leukocyte antigen; IgG immunoglobulin G; IQR, inter quartile range; NA, not applicable; TTV, torque teno virus.

aTTV levels preceding the first documented event (infection or no infection) per patient were analyzed.

bCutoff defined by median.

cTime between the start of renal replacement therapy and transplantation.

dAny history of major cardiovascular, gastrointestinal, pulmonary, or malignant disease.

Table 4.

Torque Teno Virus Levels Stratified According to Baseline Characteristics

CharacteristicsTTV Copies/mL (IQR)P Value
Variable PositiveaVariable Negativea
Recipient data
 Recipient age >56 yearsb4.2 × 108 (1.8 × 107–2.9 × 109)3.2 × 107 (3.6 × 106–4.0 × 108).050
 Recipient female9.3 × 106 (1.8 × 106–3.4 × 108)3.4 × 108 (1.8 × 107–2.4 × 109).021
 Recipient BMI >26 kg/m2 b4.2 × 108 (3.4 × 106–1.7 × 109)6.8 × 107 (8.3 × 106–4.2 × 108).629
 Renal replacement therapy >2.6 yearsb, c5.2 × 107 (5.3 × 106–8.3 × 108)1.8 × 108 (3.3 × 106–2.7 × 109).589
 Diabetes mellitus1.7 × 107 (2.8 × 106–4.3 × 108)1.8 × 108 (5.0 × 106–1.5 × 109).243
 Major comorbidityd5.2 × 107 (4.0 × 106–1.5 × 109)1.4 × 108 (3.9 × 106–1.1 × 109).978
 CMV IgG positive2.9 × 107 (3.4 × 106–5.3 × 109)4.3 × 108 (1.8 × 108–2.9 × 109).003
 EBV IgG positive7.6 × 107 (4.1 × 106–1.4 × 109)3.8 × 108 (3.5 × 108–NA).415
 HBc antibody positive7.3 × 106 (3.6 × 106–1.4 × 108)2.6 × 108 (8.0 × 106–1.7 × 109).074
 HIV antibody/antigen positiveNANA.366
Donor data
 Living donor9.9 × 107 (1.2 × 107–4.3 × 108)1.8 × 108 (4.1 × 106–1.4 × 109).884
 Donor after circulatory death1.7 × 108 (1.6 × 105–7.6 × 108)2.4 × 108 (7.3 × 106–1.8 × 109).203
 Donor age >56 yearsb4.2 × 108 (9.3 × 106–2.9 × 109)3.0 × 107 (3.8 × 106–4.2 × 108).014
 Donor female3.1 × 107 (3.9 × 106–1.6 × 109)2.2 × 108 (7.2 × 106–1.0 × 109).699
 Donor CMV IgG positive3.4 × 107 (3.8 × 106–2.1 × 109)4.2 × 108 (1.1 × 107–1.6 × 109).164
Transplant data
 Retransplantation1.0 × 107 (9.9 × 105–3.3 × 108)2.6 × 108 (9.3 × 106–1.7 × 109).041
 ABO incompatible transplantation1.0 × 106 (6.3 × 105–1.8 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).633
 Donor specific antibody2.5 × 107 (1.8 × 106–2.1 × 108)1.8 × 108 (5.3 × 106–1.4 × 109).238
 HLA A, B, DR mismatch >3b4.7 × 107 (2.8 × 106–1.3 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).486
 ATG induction1.9 × 107 (2.3 × 106–1.5 × 108)1.8 × 108 (5.2 × 106–1.5 × 109).193
 CMV prophylaxis4.0 × 108 (4.0 × 107–1.8 × 109)3.1 × 107 (3.7 × 106–1.2 × 109).067
CharacteristicsTTV Copies/mL (IQR)P Value
Variable PositiveaVariable Negativea
Recipient data
 Recipient age >56 yearsb4.2 × 108 (1.8 × 107–2.9 × 109)3.2 × 107 (3.6 × 106–4.0 × 108).050
 Recipient female9.3 × 106 (1.8 × 106–3.4 × 108)3.4 × 108 (1.8 × 107–2.4 × 109).021
 Recipient BMI >26 kg/m2 b4.2 × 108 (3.4 × 106–1.7 × 109)6.8 × 107 (8.3 × 106–4.2 × 108).629
 Renal replacement therapy >2.6 yearsb, c5.2 × 107 (5.3 × 106–8.3 × 108)1.8 × 108 (3.3 × 106–2.7 × 109).589
 Diabetes mellitus1.7 × 107 (2.8 × 106–4.3 × 108)1.8 × 108 (5.0 × 106–1.5 × 109).243
 Major comorbidityd5.2 × 107 (4.0 × 106–1.5 × 109)1.4 × 108 (3.9 × 106–1.1 × 109).978
 CMV IgG positive2.9 × 107 (3.4 × 106–5.3 × 109)4.3 × 108 (1.8 × 108–2.9 × 109).003
 EBV IgG positive7.6 × 107 (4.1 × 106–1.4 × 109)3.8 × 108 (3.5 × 108–NA).415
 HBc antibody positive7.3 × 106 (3.6 × 106–1.4 × 108)2.6 × 108 (8.0 × 106–1.7 × 109).074
 HIV antibody/antigen positiveNANA.366
Donor data
 Living donor9.9 × 107 (1.2 × 107–4.3 × 108)1.8 × 108 (4.1 × 106–1.4 × 109).884
 Donor after circulatory death1.7 × 108 (1.6 × 105–7.6 × 108)2.4 × 108 (7.3 × 106–1.8 × 109).203
 Donor age >56 yearsb4.2 × 108 (9.3 × 106–2.9 × 109)3.0 × 107 (3.8 × 106–4.2 × 108).014
 Donor female3.1 × 107 (3.9 × 106–1.6 × 109)2.2 × 108 (7.2 × 106–1.0 × 109).699
 Donor CMV IgG positive3.4 × 107 (3.8 × 106–2.1 × 109)4.2 × 108 (1.1 × 107–1.6 × 109).164
Transplant data
 Retransplantation1.0 × 107 (9.9 × 105–3.3 × 108)2.6 × 108 (9.3 × 106–1.7 × 109).041
 ABO incompatible transplantation1.0 × 106 (6.3 × 105–1.8 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).633
 Donor specific antibody2.5 × 107 (1.8 × 106–2.1 × 108)1.8 × 108 (5.3 × 106–1.4 × 109).238
 HLA A, B, DR mismatch >3b4.7 × 107 (2.8 × 106–1.3 × 109)1.8 × 108 (7.3 × 106–1.3 × 109).486
 ATG induction1.9 × 107 (2.3 × 106–1.5 × 108)1.8 × 108 (5.2 × 106–1.5 × 109).193
 CMV prophylaxis4.0 × 108 (4.0 × 107–1.8 × 109)3.1 × 107 (3.7 × 106–1.2 × 109).067

Mann-Whitney U test was used for comparing continuous data and group comparisons were made using the Χ2 test. Exact tests were used where applicable.

Abbreviations: ATG, antithymoglobulin; BMI, body mass index; CMV, cytomegalovirus; EBV, Epstein Barr virus; HBc, hepatitis B-core antigen; HIV, human immunodeficiency virus; HLA, human leukocyte antigen; IgG immunoglobulin G; IQR, inter quartile range; NA, not applicable; TTV, torque teno virus.

aTTV levels preceding the first documented event (infection or no infection) per patient were analyzed.

bCutoff defined by median.

cTime between the start of renal replacement therapy and transplantation.

dAny history of major cardiovascular, gastrointestinal, pulmonary, or malignant disease.

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