Adoptive cellular therapy for early cytomegalovirus infection after allogeneic stem-cell transplantation with virus-specific T-cell lines

KS Peggs, S Verfuerth, A Pizzey, N Khan, M Guiver… - The Lancet, 2003 - thelancet.com
KS Peggs, S Verfuerth, A Pizzey, N Khan, M Guiver, PA Moss, S Mackinnon
The Lancet, 2003thelancet.com
Adoptive transfer of CMV-specific T cells offers the potential for reconstitution of viral
immunity after allogeneic transplantation. However, the logistics of producing virus-specific T-
cell clones has limited the application of cellular therapies. We treated 16 patients for CMV
infection with polyclonal CMV-specific T-cell lines generated by short-term culture. Massive
in-vivo expansions of CMV-specific cytotoxic T lymphocytes were observed, resulting in
reconstitution of viral immunity. In eight cases antiviral drugs were not required, and …
Summary
Adoptive transfer of CMV-specific T cells offers the potential for reconstitution of viral immunity after allogeneic transplantation. However, the logistics of producing virus-specific T-cell clones has limited the application of cellular therapies. We treated 16 patients for CMV infection with polyclonal CMV-specific T-cell lines generated by short-term culture. Massive in-vivo expansions of CMV-specific cytotoxic T lymphocytes were observed, resulting in reconstitution of viral immunity. In eight cases antiviral drugs were not required, and subsequent episodes of reactivation occurred in only two patients. Our findings indicate that application of CMV-specific cell lines is both feasible and effective in a clinical environment.
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