Table 4.

Comparison of PTLD in humans and miniature swine

HumansMiniature swine
Mean time to onset Variable, may be < 6 mo ∼34 d  
Increased risk with increased immunosuppression Yes Likely, but not definitively demonstrated 
Sites involved Lymph nodes, GI tract, tonsils and adenoids, allograft, others Lymph nodes, tonsils  
Response to decreased immunosuppression Sometimes Sometimes  
Outcome Fatal in approximately 50% Fatal in 6 of 9 
Incidence < 9% > 40%  
Histology Polymorphous or monomorphous Polymorphous  
Lineage B cell B cell 
Origin Mainly host (solid organ) mainly donor (BMT) Host, 8 of 9  
Virus present EBV, most cases pGHV, high copy number 
HumansMiniature swine
Mean time to onset Variable, may be < 6 mo ∼34 d  
Increased risk with increased immunosuppression Yes Likely, but not definitively demonstrated 
Sites involved Lymph nodes, GI tract, tonsils and adenoids, allograft, others Lymph nodes, tonsils  
Response to decreased immunosuppression Sometimes Sometimes  
Outcome Fatal in approximately 50% Fatal in 6 of 9 
Incidence < 9% > 40%  
Histology Polymorphous or monomorphous Polymorphous  
Lineage B cell B cell 
Origin Mainly host (solid organ) mainly donor (BMT) Host, 8 of 9  
Virus present EBV, most cases pGHV, high copy number 

GI indicates gastrointestinal; BMT, bone marrow transplantation.

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