Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
19
pubmed:dateCreated
2009-11-6
pubmed:databankReference
pubmed:abstractText
Viral infection or reactivation remains a major cause of morbidity and mortality after allogeneic stem cell transplantation. We now show that infusions of single cytotoxic T lymphocyte (CTL) lines (5 x 10(6)-1.35 x 10(8) cells/m(2)) with specificity for 2 commonly detected viruses, Epstein-Barr virus (EBV) and adenovirus, can be safely administered to pediatric transplantation recipients receiving partially human leukocyte antigen-matched and haploidentical stem cell grafts (n = 13), without inducing graft-versus-host disease. The EBV-specific component of the CTLs expanded in vivo and persisted for more than 12 weeks, but the adenovirus-specific component only expanded in vivo in the presence of concomitant adenoviral infection. Nevertheless, adenovirus-specific T cells could be detected for at least 8 weeks in peripheral blood, even in CTL recipients without viral infection, provided the adenovirus-specific component of their circulating lymphocytes was first expanded by exposure to adenoviral antigens ex vivo. After infusion, none of these 13 high-risk recipients developed EBV-associated lymphoproliferative disease, while 2 of the subjects had resolution of their adenoviral disease. Hence, bispecific CTLs containing both EBV- and adenovirus-specific T cells can safely reconstitute an antigen responsive "memory" population of CTLs after human leukocyte antigen-mismatched stem cell transplantation and may provide antiviral activity. This trial was registered at www.clinicaltrials.gov as #NCT00590083.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1528-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:day
5
pubmed:volume
114
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
4283-92
pubmed:dateRevised
2011-9-5
pubmed:meshHeading
pubmed-meshheading:19700662-Adenovirus Infections, Human, pubmed-meshheading:19700662-Adenoviruses, Human, pubmed-meshheading:19700662-Adolescent, pubmed-meshheading:19700662-Cell Line, pubmed-meshheading:19700662-Child, pubmed-meshheading:19700662-Child, Preschool, pubmed-meshheading:19700662-DNA, Viral, pubmed-meshheading:19700662-Epstein-Barr Virus Infections, pubmed-meshheading:19700662-Female, pubmed-meshheading:19700662-Herpesvirus 4, Human, pubmed-meshheading:19700662-Histocompatibility Testing, pubmed-meshheading:19700662-Humans, pubmed-meshheading:19700662-Immunologic Memory, pubmed-meshheading:19700662-Immunotherapy, Adoptive, pubmed-meshheading:19700662-Infant, pubmed-meshheading:19700662-Lymphocyte Depletion, pubmed-meshheading:19700662-Male, pubmed-meshheading:19700662-Stem Cell Transplantation, pubmed-meshheading:19700662-T-Lymphocytes, Cytotoxic, pubmed-meshheading:19700662-Tissue Donors, pubmed-meshheading:19700662-Transplantation, Homologous
pubmed:year
2009
pubmed:articleTitle
Cytotoxic T lymphocyte therapy with donor T cells prevents and treats adenovirus and Epstein-Barr virus infections after haploidentical and matched unrelated stem cell transplantation.
pubmed:affiliation
Center for Cell and Gene Therapy and Departments of Pediatrics, Immunology, Medicine, and Virology, Baylor College of Medicine, Texas Children's Hospital and the Methodist Hospital, Houston, TX 77030, USA. amleen@txccc.org
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural