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
Hauptverfasser: Holmes‐Liew, Chien‐Li, Holmes, Mark, Beagley, Leone, Hopkins, Peter, Chambers, Daniel, Smith, Corey, Khanna, Rajiv
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container_issue 3
container_start_page e35
container_title Clinical & translational immunology
container_volume 4
creator Holmes‐Liew, Chien‐Li
Holmes, Mark
Beagley, Leone
Hopkins, Peter
Chambers, Daniel
Smith, Corey
Khanna, Rajiv
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.
doi_str_mv 10.1038/cti.2015.5
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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 &amp; implants ; Xenografts</subject><ispartof>Clinical &amp; translational immunology, 2015-03, Vol.4 (3), p.e35-n/a</ispartof><rights>2015 The Authors</rights><rights>2015. 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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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