Adoptive T‐cell immunotherapy for ganciclovir‐resistant CMV disease after lung transplantation
Infections with cytomegalovirus (CMV) can induce severe complications after solid organ transplantation (SOT). The prognosis for ganciclovir‐resistant CMV infection and disease is particularly poor. Whereas adoptive transfer of CMV‐specific T cells has emerged as a powerful tool in hematopoietic ste...
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Veröffentlicht in: | Clinical & translational immunology 2015-03, Vol.4 (3), p.e35-n/a |
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description | Infections with cytomegalovirus (CMV) can induce severe complications after solid organ transplantation (SOT). The prognosis for ganciclovir‐resistant CMV infection and disease is particularly poor. Whereas adoptive transfer of CMV‐specific T cells has emerged as a powerful tool in hematopoietic stem cell transplant patients, its translation into the SOT setting remains a significant challenge as underlying immunosuppression inhibits the virus‐specific T‐cell response in vivo. Here, we demonstrate successful expansion and adoptive transfer of autologous CMV‐specific T cells from a seronegative recipient of a seropositive lung allograft with ganciclovir‐resistant CMV disease, resulting in the long‐term reconstitution of protective anti‐viral immunity, CMV infection, disease‐free survival and no allograft rejection. |
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The prognosis for ganciclovir‐resistant CMV infection and disease is particularly poor. Whereas adoptive transfer of CMV‐specific T cells has emerged as a powerful tool in hematopoietic stem cell transplant patients, its translation into the SOT setting remains a significant challenge as underlying immunosuppression inhibits the virus‐specific T‐cell response in vivo. Here, we demonstrate successful expansion and adoptive transfer of autologous CMV‐specific T cells from a seronegative recipient of a seropositive lung allograft with ganciclovir‐resistant CMV disease, resulting in the long‐term reconstitution of protective anti‐viral immunity, CMV infection, disease‐free survival and no allograft rejection.</description><identifier>ISSN: 2050-0068</identifier><identifier>EISSN: 2050-0068</identifier><identifier>DOI: 10.1038/cti.2015.5</identifier><identifier>PMID: 25859390</identifier><language>eng</language><publisher>Australia: Nature Publishing Group</publisher><subject>Adoptive transfer ; Antiviral drugs ; Autografts ; Case Report ; Cytokines ; Cytomegalovirus ; Deoxyribonucleic acid ; DNA ; Ganciclovir ; Graft rejection ; Hematopoietic stem cells ; Immunosuppression ; Immunotherapy ; Lung diseases ; Lung transplantation ; Lymphocytes ; Lymphocytes T ; Medical prognosis ; Mortality ; Mutation ; Patients ; Peptides ; Software ; Stem cell transplantation ; Transplants & implants ; Xenografts</subject><ispartof>Clinical & translational immunology, 2015-03, Vol.4 (3), p.e35-n/a</ispartof><rights>2015 The Authors</rights><rights>2015. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2015 Australasian Society for Immunology Inc. 2015 Australasian Society for Immunology Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3775-a586938ef17a64276578f23c96b400334a8695809ad556e2d5e882a7b3862b253</citedby><cites>FETCH-LOGICAL-c3775-a586938ef17a64276578f23c96b400334a8695809ad556e2d5e882a7b3862b253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386617/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386617/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25859390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holmes‐Liew, Chien‐Li</creatorcontrib><creatorcontrib>Holmes, Mark</creatorcontrib><creatorcontrib>Beagley, Leone</creatorcontrib><creatorcontrib>Hopkins, Peter</creatorcontrib><creatorcontrib>Chambers, Daniel</creatorcontrib><creatorcontrib>Smith, Corey</creatorcontrib><creatorcontrib>Khanna, Rajiv</creatorcontrib><title>Adoptive T‐cell immunotherapy for ganciclovir‐resistant CMV disease after lung transplantation</title><title>Clinical & translational immunology</title><addtitle>Clin Transl Immunology</addtitle><description>Infections with cytomegalovirus (CMV) can induce severe complications after solid organ transplantation (SOT). The prognosis for ganciclovir‐resistant CMV infection and disease is particularly poor. Whereas adoptive transfer of CMV‐specific T cells has emerged as a powerful tool in hematopoietic stem cell transplant patients, its translation into the SOT setting remains a significant challenge as underlying immunosuppression inhibits the virus‐specific T‐cell response in vivo. Here, we demonstrate successful expansion and adoptive transfer of autologous CMV‐specific T cells from a seronegative recipient of a seropositive lung allograft with ganciclovir‐resistant CMV disease, resulting in the long‐term reconstitution of protective anti‐viral immunity, CMV infection, disease‐free survival and no allograft rejection.</description><subject>Adoptive transfer</subject><subject>Antiviral drugs</subject><subject>Autografts</subject><subject>Case Report</subject><subject>Cytokines</subject><subject>Cytomegalovirus</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Ganciclovir</subject><subject>Graft rejection</subject><subject>Hematopoietic stem cells</subject><subject>Immunosuppression</subject><subject>Immunotherapy</subject><subject>Lung diseases</subject><subject>Lung transplantation</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Medical prognosis</subject><subject>Mortality</subject><subject>Mutation</subject><subject>Patients</subject><subject>Peptides</subject><subject>Software</subject><subject>Stem cell transplantation</subject><subject>Transplants & implants</subject><subject>Xenografts</subject><issn>2050-0068</issn><issn>2050-0068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc1qFTEYhoMottRuvAAJuBHhHL8kk5_ZCOXgT6HFzdFtyMxkTlNmkjHJHDk7L8Fr9ErMcNpSXbjKB9_Dkzd5EXpJYE2AqXdtdmsKhK_5E3RKgcMKQKinj-YTdJ7SLQAQVgEn4jk6oVzxmtVwipqLLkzZ7S3e_v75q7XDgN04zj7kGxvNdMB9iHhnfOvaIexdLFC0yaVsfMab62-4c8maZLHps414mP0O52h8moZCmOyCf4Ge9WZI9vzuPENfP37Ybj6vrr58utxcXK1aJiVfGa5EzZTtiTSiolJwqXrK2lo0FQBjlSl7rqA2HefC0o5bpaiRDVOCNpSzM_T-6J3mZrRda30JMugputHEgw7G6b833t3oXdjrqhgEkUXw5k4Qw_fZpqxHl5YvMd6GOWkilaylZHK56_U_6G2Yoy_P05TWQAmj9SJ8e6TaGFKKtn8IQ0Av7enSnl7a04vy1eP4D-h9VwWAI_DDDfbwH5XebC-XibM_Xk-mmQ</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Holmes‐Liew, Chien‐Li</creator><creator>Holmes, Mark</creator><creator>Beagley, Leone</creator><creator>Hopkins, Peter</creator><creator>Chambers, Daniel</creator><creator>Smith, Corey</creator><creator>Khanna, Rajiv</creator><general>Nature Publishing Group</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>201503</creationdate><title>Adoptive T‐cell immunotherapy for ganciclovir‐resistant CMV disease after lung transplantation</title><author>Holmes‐Liew, Chien‐Li ; 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subjects | Adoptive transfer Antiviral drugs Autografts Case Report Cytokines Cytomegalovirus Deoxyribonucleic acid DNA Ganciclovir Graft rejection Hematopoietic stem cells Immunosuppression Immunotherapy Lung diseases Lung transplantation Lymphocytes Lymphocytes T Medical prognosis Mortality Mutation Patients Peptides Software Stem cell transplantation Transplants & implants Xenografts |
title | Adoptive T‐cell immunotherapy for ganciclovir‐resistant CMV disease after lung transplantation |
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