{"title":"Virus-specific T cell therapy to treat refractory viral infections in solid organ transplant recipients","authors":"","doi":"10.1016/j.ajt.2024.05.019","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Solid organ transplant recipients require ongoing </span>immunosuppression to prevent </span>acute rejection<span><span><span>, which puts them at risk of opportunistic infections. </span>Viral infections<span> are particularly challenging to prevent and treat as many establish latency and thus cannot be eliminated, whereas targets for small molecule antiviral medications are limited. Resistance to antivirals and unacceptable toxicity also complicate treatment. Virus-specific T cell<span> therapies aim to restore host-specific immunity to opportunistic viruses that is lacking due to ongoing immunosuppressive<span> therapy. This minireview will provide a state-of-the-art update of the current virus-specific T cell pipeline and </span></span></span></span>translational research that is likely to lead to further treatment options for viral infections in solid organ transplant recipients.</span></p></div>","PeriodicalId":123,"journal":{"name":"American Journal of Transplantation","volume":null,"pages":null},"PeriodicalIF":8.9000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Transplantation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1600613524003472","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Solid organ transplant recipients require ongoing immunosuppression to prevent acute rejection, which puts them at risk of opportunistic infections. Viral infections are particularly challenging to prevent and treat as many establish latency and thus cannot be eliminated, whereas targets for small molecule antiviral medications are limited. Resistance to antivirals and unacceptable toxicity also complicate treatment. Virus-specific T cell therapies aim to restore host-specific immunity to opportunistic viruses that is lacking due to ongoing immunosuppressive therapy. This minireview will provide a state-of-the-art update of the current virus-specific T cell pipeline and translational research that is likely to lead to further treatment options for viral infections in solid organ transplant recipients.
实体器官移植受者需要持续的免疫抑制以防止急性排斥反应,这使他们面临机会性感染的风险。病毒感染的预防和治疗尤其具有挑战性,因为许多病毒会潜伏下来,因此无法根除,而小分子抗病毒药物的靶点又很有限。抗病毒药物的抗药性和不可接受的毒性也使治疗复杂化。病毒特异性 T 细胞疗法旨在恢复宿主对机会性病毒的特异性免疫力,而这种免疫力是由于正在进行的免疫抑制治疗而缺乏的。本微型综述将介绍当前病毒特异性 T 细胞疗法的最新进展,以及有可能为实体器官移植受者的病毒感染带来更多治疗选择的转化研究。
期刊介绍:
The American Journal of Transplantation is a leading journal in the field of transplantation. It serves as a forum for debate and reassessment, an agent of change, and a major platform for promoting understanding, improving results, and advancing science. Published monthly, it provides an essential resource for researchers and clinicians worldwide.
The journal publishes original articles, case reports, invited reviews, letters to the editor, critical reviews, news features, consensus documents, and guidelines over 12 issues a year. It covers all major subject areas in transplantation, including thoracic (heart, lung), abdominal (kidney, liver, pancreas, islets), tissue and stem cell transplantation, organ and tissue donation and preservation, tissue injury, repair, inflammation, and aging, histocompatibility, drugs and pharmacology, graft survival, and prevention of graft dysfunction and failure. It also explores ethical and social issues in the field.