Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.

A recent study reported that quantitation of cytomegalovirus (CMV)-specific CD8+ T lymphocytes in the graft and monitoring of these T cells might identify hematopoietic stem cell transplantation-recipients at the risk for progressive CMV infection. A 6-year-old girl underwent bone marrow transplanta...

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Main Authors: Komatsu, H, Kogawa, K, Nonoyama, S, Inui, A, Sogo, T, Fujisawa, T, Klenerman, P
Format: Journal article
Language:English
Published: 2006
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author Komatsu, H
Kogawa, K
Nonoyama, S
Inui, A
Sogo, T
Fujisawa, T
Klenerman, P
author_facet Komatsu, H
Kogawa, K
Nonoyama, S
Inui, A
Sogo, T
Fujisawa, T
Klenerman, P
author_sort Komatsu, H
collection OXFORD
description A recent study reported that quantitation of cytomegalovirus (CMV)-specific CD8+ T lymphocytes in the graft and monitoring of these T cells might identify hematopoietic stem cell transplantation-recipients at the risk for progressive CMV infection. A 6-year-old girl underwent bone marrow transplantation from an HLA-identical sibling with a very high frequency of CMV specific tetramer-positive CD8+ T-cells. CMV-specific T-cell immunity was prospectively evaluated using a peptide (HLA-A2, NLVPMVATV). Tetramer assay showed that the frequency of CMV-specific CD8+ T cells of the donor in the peripheral blood was 5.3%, higher than average amongst young children. The frequency of CMV-specific CD8+ T cells of the donor in the graft was 3.7% of CD8+ T-cells. Before transplantation, the frequency of CMV specific CD8+ T cells of the recipient was 0.1% in the peripheral blood. Surprisingly, the frequency of CMV specific CD8+ T cells increased up to 30% of CD8+ T-cells at day 27 after transplantation. IFN-gamma enzyme-linked immunospot assay showed the recipient-T cells had strong responses to the A2-specific NLVPMVATV peptide. Although the phenotypic pattern of the CMV-specific T cells of the recipient was different from those of the donor before transplantation, the phenotype of the donor-derived cells retained their original phenotype in the recipient after transplantation. These finding suggested that active transferred immunity from the graft with a high frequency of CMV-specific CTL could induce a rapid reconstitution of CMV-specific T-cell mediated immunity in pediatric HLA-identical allogenetic bone marrow transplantation. The screening of peripheral blood using HLA-peptide tetramer staining might be beneficial to select donors.
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spelling oxford-uuid:84ce0d25-adee-4201-bbdd-1ca97e4aa09d2022-03-26T21:53:24ZBone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:84ce0d25-adee-4201-bbdd-1ca97e4aa09dEnglishSymplectic Elements at Oxford2006Komatsu, HKogawa, KNonoyama, SInui, ASogo, TFujisawa, TKlenerman, PA recent study reported that quantitation of cytomegalovirus (CMV)-specific CD8+ T lymphocytes in the graft and monitoring of these T cells might identify hematopoietic stem cell transplantation-recipients at the risk for progressive CMV infection. A 6-year-old girl underwent bone marrow transplantation from an HLA-identical sibling with a very high frequency of CMV specific tetramer-positive CD8+ T-cells. CMV-specific T-cell immunity was prospectively evaluated using a peptide (HLA-A2, NLVPMVATV). Tetramer assay showed that the frequency of CMV-specific CD8+ T cells of the donor in the peripheral blood was 5.3%, higher than average amongst young children. The frequency of CMV-specific CD8+ T cells of the donor in the graft was 3.7% of CD8+ T-cells. Before transplantation, the frequency of CMV specific CD8+ T cells of the recipient was 0.1% in the peripheral blood. Surprisingly, the frequency of CMV specific CD8+ T cells increased up to 30% of CD8+ T-cells at day 27 after transplantation. IFN-gamma enzyme-linked immunospot assay showed the recipient-T cells had strong responses to the A2-specific NLVPMVATV peptide. Although the phenotypic pattern of the CMV-specific T cells of the recipient was different from those of the donor before transplantation, the phenotype of the donor-derived cells retained their original phenotype in the recipient after transplantation. These finding suggested that active transferred immunity from the graft with a high frequency of CMV-specific CTL could induce a rapid reconstitution of CMV-specific T-cell mediated immunity in pediatric HLA-identical allogenetic bone marrow transplantation. The screening of peripheral blood using HLA-peptide tetramer staining might be beneficial to select donors.
spellingShingle Komatsu, H
Kogawa, K
Nonoyama, S
Inui, A
Sogo, T
Fujisawa, T
Klenerman, P
Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title_full Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title_fullStr Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title_full_unstemmed Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title_short Bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus-specific T-cells.
title_sort bone marrow transplantation from a pediatric donor with a high frequency of cytomegalovirus specific t cells
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