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异体基因严重急性呼吸系统综合征冠状病毒 2 特异性 T 细胞治疗免疫功能低下患者持续性 2019 冠状病毒病。

Therapy With Allogeneic Severe Acute Respiratory Syndrome Coronavirus-2-Specific T Cells for Persistent Coronavirus Disease 2019 in Immunocompromised Patients.

机构信息

Department of Medicine, Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Department of Medicine, Division of Hematology and Oncology, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

出版信息

Clin Infect Dis. 2023 Sep 11;77(5):696-702. doi: 10.1093/cid/ciad233.

Abstract

We administered severe acute respiratory syndrome coronavirus-2 viral-specific T cells (VSTs) under emergency investigational new drug applications to 6 immunocompromised patients with persistent coronavirus disease 2019 (COVID-19) and characterized clinical and virologic responses. Three patients had partial responses after failing other therapies but then died. Two patients completely recovered, but the role of VSTs in recovery was unclear due to concomitant use of other antivirals. One patient had not responded to 2 courses of remdesivir and experienced sustained recovery after VST administration. The use of VSTs in immunocompromised patients with persistent COVID-19 requires further study.

摘要

我们根据紧急调查性新药申请,为 6 名患有持续性 2019 冠状病毒病(COVID-19)的免疫功能低下患者施用了严重急性呼吸综合征冠状病毒 2 型病毒特异性 T 细胞(VST),并对临床和病毒学反应进行了特征描述。3 名患者在其他疗法失败后出现部分缓解,但随后死亡。2 名患者完全康复,但由于同时使用了其他抗病毒药物,VST 在康复中的作用尚不清楚。1 名患者在接受了 2 个疗程的瑞德西韦治疗后没有反应,在接受 VST 治疗后持续康复。在持续性 COVID-19 免疫功能低下患者中使用 VST 需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95f2/10495124/23375f54f449/ciad233f1.jpg

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