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同种异体干细胞移植后复发白血病患者的 HA-1 特异性 T 细胞系的生成和管理:一项初步研究。

Generation and administration of HA-1-specific T-cell lines for the treatment of patients with relapsed leukemia after allogeneic stem cell transplantation: a pilot study.

机构信息

Department of Clinical Pharmacy and Toxicology, L0-P, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands.

出版信息

Haematologica. 2012 Aug;97(8):1205-8. doi: 10.3324/haematol.2011.053371. Epub 2012 Apr 17.

Abstract

Since HA-1-specific T cells have been shown to make a significant contribution to the clinical responses in patients with relapsed leukemia, we investigated the feasibility of adoptive transfer of in vitro induced HA-1-specific CD8 positive T cells to patients with relapsed leukemia after allogeneic stem cell transplantation. The in vitro generation of clinical grade HA-1-specific T-cell lines from HA-1 negative donors was seen to be feasible and 3 patients were treated with HA-1-specific T-cell lines. No toxicity after infusion was observed. Although in one patient, during a period of stable disease, HA-1-specific T cells could be detected in the peripheral blood and bone marrow, these patients had no clear clinical response.

摘要

由于已经证明 HA-1 特异性 T 细胞对复发性白血病患者的临床反应有重要贡献,我们研究了在异基因干细胞移植后将体外诱导的 HA-1 特异性 CD8 阳性 T 细胞过继转移到复发性白血病患者中的可行性。从 HA-1 阴性供体中体外产生临床级 HA-1 特异性 T 细胞系是可行的,有 3 名患者接受了 HA-1 特异性 T 细胞系的治疗。输注后未观察到毒性。尽管在一名患者中,在疾病稳定期间,外周血和骨髓中可以检测到 HA-1 特异性 T 细胞,但这些患者没有明显的临床反应。

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