CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Virus-Specific T Cells: Promising Adoptive T Cell Therapy Against Infectious Diseases Following Hematopoietic Stem Cell Transplantation.
Virus-Specific T Cells: Promising Adoptive T Cell Therapy Against Infectious Diseases Following Hematopoietic Stem Cell Transplantation.
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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。
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.
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