Effective and long-term control of EBV PTLD after transfer of peptide-selected T cells.

Abstract:

:Posttransplantation lymphoproliferative disease (PTLD) associated with Epstein-Barr virus (EBV) is a life-threatening complication after allogeneic hematopoietic stem cell transplantation. PTLD is efficiently prevented by adoptive transfer of EBV-specific T cells from the donor. To make EBV-specific T cells available in urgent clinical situations, we developed a rapid protocol for their isolation by overnight stimulation of donor blood cells with peptides derived from 11 EBV antigens, interferon-gamma surface capture, and immunomagnetic separation. Six patients with PTLD received 1 transfusion of EBV-specific T cells. No response was seen in 3 patients who had late-stage disease with multiorgan dysfunction at the time of T-cell transfer. In 3 patients who received T cells at an earlier stage of disease, we observed complete and stable remission of PTLD. Two patients have remained free from EBV-associated disease for more than 2 years. CD8(+) T cells specific for EBV early antigens rapidly expanded after T-cell transfer, temporarily constituted greater than 20% of all peripheral blood lymphocytes, and were maintained throughout the observation period. Thus, a rapid and sustained reconstitution of a protective EBV-specific T-cell memory occurred after the infusion of small numbers of directly isolated EBV-specific T cells.

journal_name

Blood

journal_title

Blood

authors

Moosmann A,Bigalke I,Tischer J,Schirrmann L,Kasten J,Tippmer S,Leeping M,Prevalsek D,Jaeger G,Ledderose G,Mautner J,Hammerschmidt W,Schendel DJ,Kolb HJ

doi

10.1182/blood-2009-08-236356

subject

Has Abstract

pub_date

2010-04-08 00:00:00

pages

2960-70

issue

14

eissn

0006-4971

issn

1528-0020

pii

blood-2009-08-236356

journal_volume

115

pub_type

临床试验,杂志文章,多中心研究

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