Applications of virus-specific T cell therapies post-BMT

被引:19
作者
Motta, Cecilia M. [1 ]
Keller, Michael D. [1 ,2 ,3 ]
Bollard, Catherine M. [1 ,3 ,4 ]
机构
[1] Childrens Natl Hosp, Ctr Canc & Immunol Res, 111 Michigan Ave NW, Washington, DC 20010 USA
[2] Childrens Natl Hosp, Div Allergy & Immunol, Washington, DC 20010 USA
[3] George Washington Univ, GW Canc Ctr, Washington, DC USA
[4] Childrens Natl Hosp, Div Blood & Marrow Transplantat, Washington, DC 20010 USA
关键词
Virus -specific T cells; Immunotherapy; Adoptive transfer; Viruses; EPSTEIN-BARR-VIRUS; REFRACTORY VIRAL-INFECTIONS; BK VIRUS; LYMPHOPROLIFERATIVE DISEASE; CROSS-REACTIVITY; ADOPTIVE IMMUNOTHERAPY; CYTOKINE COMBINATIONS; ADENOVIRUS INFECTION; IMMUNE-RESPONSE; BONE-MARROW;
D O I
10.1053/j.seminhematol.2022.12.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hematopoietic stem cell transplantation (HSCT) has been used as a curative standard of care for moder-ate to severe primary immunodeficiency disorders as well as relapsed hematologic malignancies for over 50 years [ 1 , 2 ]. However, chronic and refractory viral infections remain a leading cause of morbidity and mortality in the immune deficient period following HSCT, where use of available antiviral pharmacother-apies is limited by toxicity and emerging resistance [ 3 ]. Adoptive immunotherapy using virus-specific T cells (VSTs) has been explored for over 2 decades [ 4 , 5 ] in patients post-HSCT and has been shown prior phase I-II studies to be safe and effective for treatment or preventions of viral infections including cy-tomegalovirus, Epstein-Barr virus, BK virus, and adenovirus with minimal toxicity and low risk of graft vs host disease [ 6 -9 ]. This review summarizes methodologies to generate VSTs the clinical results utilizing VST therapeutics and the challenges and future directions for the field.(c) 2022 Published by Elsevier Inc.
引用
收藏
页码:10 / 19
页数:10
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