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EBV相关淋巴瘤患者接受EBVST免疫治疗后对EBV蛋白质组的差异性抗体反应。

Differential antibody response to EBV proteome following EBVST immunotherapy in EBV-associated lymphomas.

作者信息

Sarathkumara Yomani D, Van Bibber Nathan W, Liu Zhiwei, Heslop Helen E, Rouce Rayne H, Coghill Anna E, Rooney Cliona M, Proietti Carla, Doolan Denise L

机构信息

Centre for Molecular Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD, Australia.

Institute for Molecular Bioscience, The University of Queensland, Brisbane, QLD, Australia.

出版信息

Blood Adv. 2025 Apr 8;9(7):1658-1669. doi: 10.1182/bloodadvances.2024014937.

Abstract

Epstein-Barr virus (EBV) is associated with a diverse range of lymphomas. EBV-specific T-cell (EBVST) infusions have shown promise in safety and clinical effectiveness in treating EBV-associated lymphomas; however, not all patients respond to T-cell immunotherapies. To identify EBV antigen-specific antibody responses associated with clinical outcomes, we comprehensively characterized antibody responses to the complete EBV proteome using a custom protein microarray in 56 patients with EBV-associated lymphoma who received EBVST infusions in phase 1 clinical trials. Responders (nonprogressors) and nonresponders (progressors) had distinct antibody profiles against EBV. Twenty-five immunoglobulin G (IgG) antibodies were significantly elevated in higher levels in nonresponders than in responders at 3 months after EBVST infusion. Ten of these remained significant after adjustment for sex, age, and cancer type, including LMP2A (4 variants), BGRF1/BDRF1 (2 variants), LMP1, BKRF2, BKRF4, and BALF5. Random forest analysis identified these 10 IgG antibodies as key predictors of clinical response. Paired analyses using blood samples collected at both before infusion and 3 months after EBVST infusion indicated an increase in the mean antibody level for 6 other anti-EBV antibodies (IgG [BGLF2, LF1, and BGLF3]; IgA [BGLF3, BALF2, and BBLF2/3) in nonresponders. Overall, our findings suggest that these EBV-directed antibodies as potential serological markers for predicting clinical responses to EBVST infusions and as therapeutic targets for immunotherapy in EBV-positive lymphomas. These trials were registered at www.clinicaltrials.gov as #NCT01555892 (Cytotoxic T-Lymphocytes for EBV-positive Lymphoma [GRALE]), #NCT02973113 (Nivolumab With Epstein Barr Virus Specific T Cells [EBVSTS], Relapsed/Refractory EBV Positive Lymphoma [PREVALE]), and #NCT02287311 (Most Closely Matched 3rd Party Rapidly Generated LMP, BARF1, and EBNA1 Specific CTL, EBV-Positive Lymphoma [MABEL]).

摘要

爱泼斯坦-巴尔病毒(EBV)与多种淋巴瘤相关。EBV特异性T细胞(EBVST)输注在治疗EBV相关淋巴瘤的安全性和临床有效性方面已显示出前景;然而,并非所有患者都对T细胞免疫疗法有反应。为了确定与临床结果相关的EBV抗原特异性抗体反应,我们使用定制蛋白质微阵列对56例在1期临床试验中接受EBVST输注的EBV相关淋巴瘤患者针对完整EBV蛋白质组的抗体反应进行了全面表征。反应者(无进展者)和无反应者(进展者)对EBV具有不同的抗体谱。在EBVST输注后3个月,25种免疫球蛋白G(IgG)抗体在无反应者中的水平显著高于反应者。在对性别、年龄和癌症类型进行调整后,其中10种抗体仍具有显著性,包括LMP2A(4种变体)、BGRF1/BDRF1(2种变体)、LMP1、BKRF2、BKRF4和BALF5。随机森林分析将这10种IgG抗体确定为临床反应的关键预测指标。使用输注前和EBVST输注后3个月采集的血样进行的配对分析表明,无反应者中另外6种抗EBV抗体(IgG [BGLF2、LF1和BGLF3];IgA [BGLF3、BALF2和BBLF2/3])的平均抗体水平有所增加。总体而言,我们的研究结果表明,这些针对EBV的抗体可作为预测EBVST输注临床反应的潜在血清学标志物,以及EBV阳性淋巴瘤免疫治疗的靶点。这些试验已在www.clinicaltrials.gov上注册,注册号分别为#NCT01555892(用于EBV阳性淋巴瘤的细胞毒性T淋巴细胞[GRALE])、#NCT02973113(纳武单抗联合EBV特异性T细胞[EBVSTS],复发/难治性EBV阳性淋巴瘤[PREVALE])和#NCT02287311(最匹配的第三方快速生成的LMP、BARF1和EBNA1特异性CTL,EBV阳性淋巴瘤[MABEL])。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9502/11995064/7fb423e8fe1a/BLOODA_ADV-2024-014937-ga1.jpg

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