Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.

Here we report a unique situation in which an early and synchronized Epstein-Barr virus (EBV) reactivation was induced by a 6-day course of treatment with a humanized CD3-specific monoclonal antibody in patients with recent onset of type 1 diabetes. The virologic and immunologic analysis demonstrate...

Повний опис

Бібліографічні деталі
Автори: Keymeulen, B, Candon, S, Fafi-Kremer, S, Ziegler, A, Leruez-Ville, M, Mathieu, C, Vandemeulebroucke, E, Walter, M, Crenier, L, Thervet, E, Legendre, C, Pierard, D, Hale, G, Waldmann, H, Bach, J, Seigneurin, J, Pipeleers, D, Chatenoud, L
Формат: Journal article
Мова:English
Опубліковано: 2010
_version_ 1826263233121484800
author Keymeulen, B
Candon, S
Fafi-Kremer, S
Ziegler, A
Leruez-Ville, M
Mathieu, C
Vandemeulebroucke, E
Walter, M
Crenier, L
Thervet, E
Legendre, C
Pierard, D
Hale, G
Waldmann, H
Bach, J
Seigneurin, J
Pipeleers, D
Chatenoud, L
author_facet Keymeulen, B
Candon, S
Fafi-Kremer, S
Ziegler, A
Leruez-Ville, M
Mathieu, C
Vandemeulebroucke, E
Walter, M
Crenier, L
Thervet, E
Legendre, C
Pierard, D
Hale, G
Waldmann, H
Bach, J
Seigneurin, J
Pipeleers, D
Chatenoud, L
author_sort Keymeulen, B
collection OXFORD
description Here we report a unique situation in which an early and synchronized Epstein-Barr virus (EBV) reactivation was induced by a 6-day course of treatment with a humanized CD3-specific monoclonal antibody in patients with recent onset of type 1 diabetes. The virologic and immunologic analysis demonstrated that this reactivation was transient, self-limited, and isolated, associated with the rapid advent of an EBV-specific T-cell response. The anti-CD3 antibody administration induced short-lasting immunosuppression and minor yet clear-cut signs of T-cell activation that preceded viral reactivation. Early posttransplant monitoring of renal and islet allograft recipients showed that no comparable phenomenon was observed after the administration of full-dose immunosuppressive therapy. This EBV reactivation remains of no apparent clinical concern over the long term and should not preclude further development of therapeutic anti-CD3 antibodies. This phenomenon may also direct new research avenues to understand the still ill-defined nature of stimuli triggering EBV reactivation in vivo.
first_indexed 2024-03-06T19:48:28Z
format Journal article
id oxford-uuid:2326342b-d94f-4bac-a13d-b0eba3992985
institution University of Oxford
language English
last_indexed 2024-03-06T19:48:28Z
publishDate 2010
record_format dspace
spelling oxford-uuid:2326342b-d94f-4bac-a13d-b0eba39929852022-03-26T11:42:47ZTransient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2326342b-d94f-4bac-a13d-b0eba3992985EnglishSymplectic Elements at Oxford2010Keymeulen, BCandon, SFafi-Kremer, SZiegler, ALeruez-Ville, MMathieu, CVandemeulebroucke, EWalter, MCrenier, LThervet, ELegendre, CPierard, DHale, GWaldmann, HBach, JSeigneurin, JPipeleers, DChatenoud, LHere we report a unique situation in which an early and synchronized Epstein-Barr virus (EBV) reactivation was induced by a 6-day course of treatment with a humanized CD3-specific monoclonal antibody in patients with recent onset of type 1 diabetes. The virologic and immunologic analysis demonstrated that this reactivation was transient, self-limited, and isolated, associated with the rapid advent of an EBV-specific T-cell response. The anti-CD3 antibody administration induced short-lasting immunosuppression and minor yet clear-cut signs of T-cell activation that preceded viral reactivation. Early posttransplant monitoring of renal and islet allograft recipients showed that no comparable phenomenon was observed after the administration of full-dose immunosuppressive therapy. This EBV reactivation remains of no apparent clinical concern over the long term and should not preclude further development of therapeutic anti-CD3 antibodies. This phenomenon may also direct new research avenues to understand the still ill-defined nature of stimuli triggering EBV reactivation in vivo.
spellingShingle Keymeulen, B
Candon, S
Fafi-Kremer, S
Ziegler, A
Leruez-Ville, M
Mathieu, C
Vandemeulebroucke, E
Walter, M
Crenier, L
Thervet, E
Legendre, C
Pierard, D
Hale, G
Waldmann, H
Bach, J
Seigneurin, J
Pipeleers, D
Chatenoud, L
Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title_full Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title_fullStr Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title_full_unstemmed Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title_short Transient Epstein-Barr virus reactivation in CD3 monoclonal antibody-treated patients.
title_sort transient epstein barr virus reactivation in cd3 monoclonal antibody treated patients
work_keys_str_mv AT keymeulenb transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT candons transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT fafikremers transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT zieglera transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT leruezvillem transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT mathieuc transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT vandemeulebrouckee transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT walterm transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT crenierl transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT thervete transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT legendrec transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT pierardd transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT haleg transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT waldmannh transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT bachj transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT seigneurinj transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT pipeleersd transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients
AT chatenoudl transientepsteinbarrvirusreactivationincd3monoclonalantibodytreatedpatients