← 返回前沿论文

异基因 HCT 后γδT 细胞重建:细胞治疗的一个平台

英文原题:Gamma delta T-cell reconstitution after allogeneic HCT: A platform for cell therapy.

PubMed 2022/08/29(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

研究概要

异基因造血干细胞移植(allo-HCT)是多种血液病的治愈性平台。

中文摘要

异基因造血干细胞移植(allo-HCT)是多种血液系统疾病的治愈性平台。尽管其治疗获益显著,但移植过程相关的严重免疫缺陷仍是主要挑战,使患者易发生多种并发症。如今,已充分证实快速有效的免疫重建,尤其是T细胞区室的重建,对短期和长期良好结局均至关重要。表达由gamma(γ)和delta(δ)链组成的TCR异二聚体的T细胞在allo-HCT中受到特别关注,因为大量证据表明γδ T细胞可以发挥有利的强效抗肿瘤作用,而不诱导严重的移植物抗宿主病(GVHD)。然而,尽管其在allo-HCT中具有潜在作用,但研究其在allo-HCT后患者中详细重建情况的研究仍然很少。在本综述中,我们旨在阐明当前文献和对γδ T细胞重建动力学的理解,以及可能影响allo-HCT中γδ重建的不同移植相关因素。此外,我们将呈现现有报告中的数据,这些数据支持γδ细胞及其亚群在患者结局中的作用。最后,我们讨论当前和未来的策略,以开发基于γδ细胞的疗法,从而在HCT环境中充分利用γδ细胞的免疫治疗潜力。

展开英文摘要原文

Allogeneic Hematopoietic stem cell transplantation (allo-HCT) is a curative platform for several hematological diseases. Despite its therapeutic benefits, the profound immunodeficiency associated with the transplant procedure remains a major challenge that renders patients vulnerable to several complications. Today, It is well established that a rapid and efficient immune reconstitution, particularly of the T cell compartment is pivotal to both a short-term and a long-term favorable outcome. T cells expressing a TCR heterodimer comprised of gamma (γ) and delta (δ) chains have received particular attention in allo-HCT setting, as a large body of evidence has indicated that γδ T cells can exert favorable potent anti-tumor effects without inducing severe graft versus host disease (GVHD). However, despite their potential role in allo-HCT, studies investigating their detailed reconstitution in patients after allo-HCT are scarce. In this review we aim to shed lights on the current literature and understanding of γδ T cell reconstitution kinetics as well as the different transplant-related factors that may influence γδ reconstitution in allo-HCT. Furthermore, we will present data from available reports supporting a role of γδ cells and their subsets in patient outcome. Finally, we discuss the current and future strategies to develop γδ cell-based therapies to exploit the full immunotherapeutic potential of γδ cells in HCT setting.

论文信息

作者
Gaballa A、Arruda LCM、Uhlin M
单位
Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.Sweden
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2022
原文标识
PubMed 36105821 · DOI 10.3389/fimmu.2022.971709