Successful TCRαβ/CD19-Depleted Hematopoietic Cell Transplantation for a Patient With Artemis Deficiency

被引:1
作者
Tomomasa, Dan [1 ]
Isoda, Takeshi [1 ]
Mitsuiki, Noriko [1 ]
Inoue, Kento [1 ]
Nishimura, Akira [1 ]
Uda, Kazuhiro [2 ]
Uchiyama, Toru [3 ]
Yamashita, Motoi [1 ]
Kamiya, Takahiro [1 ]
Endo, Akifumi [1 ]
Takagi, Masatoshi [1 ]
Imai, Kohsuke [4 ]
Kajiwara, Michiko [5 ]
Cowan, Morton J. [6 ]
Morio, Tomohiro [1 ]
Kanegane, Hirokazu [7 ,8 ]
机构
[1] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Pediat & Dev Biol, Tokyo, Japan
[2] Tokyo Metropolitan Childrens Med Ctr, Div Infect Dis, Tokyo, Japan
[3] Natl Res Inst Child Hlth & Dev, Dept Human Genet, Tokyo, Japan
[4] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Community Pediat Perinatal & Maternal Med, Tokyo, Japan
[5] Tokyo Med & Dent Univ Hosp, Ctr Transfus Med & Cell Therapy, Tokyo, Japan
[6] Univ Calif San Francisco, Benioff Childrens Hosp, Allergy Immunol & Blood & Marrow Transplant Div, San Francisco, CA USA
[7] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Deparment Child Hlth & Dev, Tokyo, Japan
[8] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Child Hlth & Dev, 1-5-45 Yushima, Bunkyo ku, Tokyo 1138519, Japan
关键词
artemis deficiency; TCR alpha beta; CD19-depleted hematopoietic cell transplantation; haploidentical hematopoietic cell transplantation; SEVERE COMBINED IMMUNODEFICIENCY; EXCISION CIRCLES; QUANTIFICATION; IDENTIFICATION; ALPHA/BETA; DEPLETION; CHILDREN; RISK;
D O I
10.1097/MPH.0000000000002522
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Artemis deficiency is characterized by DNA double-strand breaks repairing dysfunction and increased sensitivity to ionizing radiation and alkylating reagents. We describe the first successful case of T-cell receptor [TCR]alpha beta/CD19-depleted hematopoietic cell transplantation [HCT] for Artemis deficiency in Japan. A 6-month-old Korean boy was diagnosed with Artemis-deficient severe combined immunodeficiency. He had no human leukocyte antigen (HLA)-matched sibling or unrelated donor. Therefore, TCR alpha beta/CD19-depleted HCT from his haploidentical mother was performed. Despite mixed chimerism in whole blood, T cells achieved complete donor chimerism 6 months after HCT. TCR alpha beta/CD19-depleted HCT could be an effective treatment for patients with radiation-sensitive severe combined immunodeficiency.
引用
收藏
页码:E285 / E289
页数:5
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