Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Institute of Blood and Marrow Transplantation, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China.
Eur J Haematol. 2018 Sep;101(3):283-290. doi: 10.1111/ejh.13131. Epub 2018 Aug 3.
Epstein-Barr virus (EBV) viremia and post-transplant lymphoproliferative disease (PTLD) are severe complications after hematopoietic stem cell transplantation (HSCT). A series of risk factors have been found to predict EBV viremia and PTLD, including the T-cell depletion, reduced intensity conditioning, and alternative donor. The rituximab pre-emptive therapy could improve PTLD prognosis significantly, but the trigger of initiating rituximab pre-emptive therapy has not been well established. Additionally, EBV-specific cytotoxic T cell (CTL) is a promising approach to treat EBV-PTLD.
EB 病毒血症和移植后淋巴组织增生性疾病(PTLD)是造血干细胞移植(HSCT)后的严重并发症。已经发现了一系列危险因素可以预测 EBV 血症和 PTLD,包括 T 细胞耗竭、强度降低的预处理和替代供体。利妥昔单抗的抢先治疗可以显著改善 PTLD 的预后,但尚未确定启动利妥昔单抗抢先治疗的触发因素。此外,EBV 特异性细胞毒性 T 细胞(CTL)是治疗 EBV-PTLD 的一种有前途的方法。