Antigen-specific T-lymphocyte function after cord blood transplantation

Biol Blood Marrow Transplant. 2006 Dec;12(12):1335-42. doi: 10.1016/j.bbmt.2006.08.036.

Abstract

It has not been possible to determine the singular contribution of naive T lymphocytes to antigen-specific immunity after hematopoietic stem cell transplantation (HSCT), because of the confounding effects of donor-derived antigen-specific T lymphocytes present in most hematopoietic stem cell (HSC) products. Because umbilical cord blood contains only naive T lymphocytes, we longitudinally evaluated the recipients of unrelated cord blood transplantation (UCBT) for the presence of T lymphocytes with specificity for herpesviruses, to determine the contribution of the naive T lymphocytes to antigen-specific immune reconstitution after HSCT. Antigen-specific T lymphocytes were detected early after UCBT (herpes simplex virus on day 29; cytomegalovirus on day 44; varicella zoster virus on day 94). Overall, 66 of 153 UCBT recipients developed antigen-specific T lymphocytes to 1 or more herpesviruses during the evaluation period. The likelihood of developing antigen-specific T lymphocyte function was not associated with immunophenotypic T lymphocyte reconstitution, transplant cell dose, primary disease, or acute and chronic graft-versus-host disease. These results indicate that naive T lymphocytes present in the HSC inoculum can contribute to the generation of antigen-specific T-lymphocyte immunity early after transplantation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Antibodies, Viral / blood
  • Cell Lineage
  • Child
  • Child, Preschool
  • Clinical Trials, Phase II as Topic / statistics & numerical data
  • Cord Blood Stem Cell Transplantation*
  • Cytomegalovirus / immunology
  • Cytomegalovirus / physiology
  • Cytomegalovirus Infections / diagnosis
  • Cytomegalovirus Infections / immunology
  • Cytomegalovirus Infections / prevention & control
  • Cytomegalovirus Infections / virology
  • False Negative Reactions
  • Female
  • Fetal Blood / immunology
  • Follow-Up Studies
  • Graft vs Host Disease / etiology
  • Graft vs Host Disease / immunology
  • Herpes Simplex / diagnosis
  • Herpes Simplex / immunology
  • Herpes Simplex / prevention & control
  • Herpes Simplex / virology
  • Herpes Zoster / diagnosis
  • Herpes Zoster / immunology
  • Herpes Zoster / prevention & control
  • Herpes Zoster / virology
  • Herpesvirus 3, Human / immunology
  • Herpesvirus 3, Human / physiology
  • Humans
  • Infant
  • Infant, Newborn
  • Infections / immunology
  • Infections / mortality
  • Male
  • Multicenter Studies as Topic / statistics & numerical data
  • Postoperative Complications / immunology
  • Postoperative Complications / mortality
  • Postoperative Period
  • Simplexvirus / immunology
  • Simplexvirus / physiology
  • T-Cell Antigen Receptor Specificity*
  • T-Lymphocyte Subsets / immunology*
  • Time Factors
  • Treatment Outcome
  • Virus Activation

Substances

  • Antibodies, Viral