“…The development of transplant arteriosclerosis in cardiac allografts is a multifactorial process with macrophages, T cells, proinflammatory cytokines, adhesion molecules, growth factors and alloantibodies implicated in both initiation and progression of this chronic inflammatory process (3,19). Clinical evidence suggests that infection with HCMV may trigger the development of transplant arteriosclerosis after heart transplantation (28,29).…”