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病毒特异性 T 细胞:造血干细胞移植后对抗感染性疾病的有前景的过继性 T 细胞疗法

英文原题:Virus-Specific T Cells: Promising Adoptive T Cell Therapy Against Infectious Diseases Following Hematopoietic Stem Cell Transplantation.

查看英文原题

Virus-Specific T Cells: Promising Adoptive T Cell Therapy Against Infectious Diseases Following Hematopoietic Stem Cell Transplantation.

PubMed 2022/11/04(内容时间) Adv Pharm Bull Q1 · IF 4.7(JCR 2025)

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中文摘要

造血干细胞移植(HSCT)是多种血液系统疾病的一种挽救性治疗方法。由于骨髓抑制及其较长的恢复期,继发感染如巨细胞病毒(CMV)、EB病毒(EBV)和腺病毒(AdV)是HSCT病例发病和死亡的主要原因。抗病毒药物的耐药性促使研究人员开发过继性T细胞疗法,如病毒特异性T细胞疗法。这些研究面临重大挑战,如寻找最有效的T细胞扩增方法、分离预期亚型、确定终末细胞群体的功能、产品质量控制以及注射后的临床并发症。本综述讨论了HSCT后的病毒感染、慢性病毒感染期间T细胞的特征、病毒特异性T细胞(VSTs)在难治性感染中的应用、生产VSTs的标准方法及其局限性、VSTs的临床经验,重点关注结果和副作用,这可能有助于患者决策和进一步研究。

展开英文摘要原文

Hematopoietic stem cell transplantation (HSCT) is a life-saving therapy for various hematologic disorders. Due to the bone marrow suppression and its long recovery period, secondary infections, like cytomegalovirus (CMV), Epstein-Bar virus (EBV), and adenovirus (AdV), are the leading causes of morbidity and mortality in HSCT cases. Drug resistance to the antiviral pharmacotherapies makes researchers develop adoptive T cell therapies like virus-specific T cell therapy.

These studies have faced major challenges such as finding the most effective T cell expansion methods, isolating the expected subtype, defining the functionality of the end-cell population, product quality control, and clinical complications after the injection.

This review discusses the viral infections after HSCT, T cells characteristics during chronic viral infection, application of virus-specific T cells (VSTs) for refractory infections, standard methods for producing VSTs and their limitation, clinical experiences on VSTs, focusing on outcomes and side effects that can be helpful in decision-making for patients and further researches.

论文信息

作者
Jalili A、Hajifathali A、Mohammadian M、Sankanian G、Sayahinouri M、Dehghani Ghorbi M、Roshandel E、Aghdami N
第一作者单位
Department of Applied Cell Sciences, Faculty of Basic Sciences and Advanced Medical Technologies, Royan Institute, ACECR, Tehran, Iran.Iran
通讯作者单位
Department of Stem Cells and Developmental Biology at Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran.Iran
文献类型
综述
期刊
Advanced pharmaceutical bulletin2023 Jul
原文标识
PubMed 37646062 · DOI 10.34172/apb.2023.046