Adoptive immunotherapy with antigen-specific T cells during extracorporeal membrane oxygenation (ECMO) for adenovirus-related respiratory failure in a child given haploidentical stem cell transplantation

Autor: Nicola Pirozzi, Alice Bertaina, Sergio Rutella, Ezio Giorda, Matteo Di Nardo, Letizia Pomponia Brescia, Stefano Ceccarelli, Corrado Cecchetti, Antonio Amodeo, Franco Locatelli, Giuseppina Li Pira
Rok vydání: 2013
Předmět:
Zdroj: Pediatric Blood & Cancer. 61:376-379
ISSN: 1545-5009
Popis: We report on the successful infusion of human adenovirus (HAdV)-specific T cells in a child with congenital amegakaryocytic thrombocytopenia, given T-cell-depleted hematopoietic stem cell transplantation (HSCT) from the HLA-haploidentical mother during extracorporeal membrane oxygenation (ECMO) for severe HAdV-related respiratory failure. Donor-derived, interferon (IFN)-γ-secreting HAdV-specific T cells were enriched using the cytokine capture assay, after in vitro stimulation with overlapping peptides from the immunodominant HAdV5 hexon protein. Two weeks after T-cell transfer, viral load decreased and ECMO was discontinued. T-cell responses to HAdV antigens were documented after four weeks and were associated with viral clearance, immune reconstitution and clinical amelioration. Pediatr Blood Cancer 2014;61:376–379. © 2013 Wiley Periodicals, Inc.
Databáze: OpenAIRE