Adoptive T-cell therapy with CD45RA-depleted donor in the treatment of cytomegalovirus disease in immunocompromised non-transplant patients

Antivir Ther. 2019;24(4):313-319. doi: 10.3851/IMP3307.

Abstract

Cytomegalovirus (CMV) infections can induce severe complications in immunosuppressed patients. Currently, ganciclovir represents the preferred treatment option; however, in patients with resistance or toxicity related to ganciclovir, the therapeutic options are limited.Cellular immunity plays an important role in the control of viral infections. Adoptive T-cell therapy can contribute to recovering immunological function in immunosuppressed patients. Selective T-cell depletion targeting CD45RA enhances early T-cell recovery and can represent a salvage therapy. In this study, an immunocompromised non-transplanted patient with CMV disease and toxicity to conventional therapy was successfully treated by adoptive transfer of CD45RA-depleted T-cells.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cytomegalovirus Infections / etiology
  • Cytomegalovirus Infections / therapy*
  • Cytomegalovirus Infections / virology
  • DNA, Viral
  • Donor Selection
  • Flow Cytometry
  • Humans
  • Immunocompromised Host*
  • Immunoglobulin G / immunology
  • Immunotherapy, Adoptive* / methods
  • Leukocyte Common Antigens / metabolism*
  • Male
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism*
  • Tissue Donors
  • Treatment Outcome
  • Viral Load

Substances

  • DNA, Viral
  • Immunoglobulin G
  • Leukocyte Common Antigens