Title Inverse correlation of V2(+) T-cell recovery with EBV reactivation after haematopoietic stem cell transplantation
Authors Liu, Jiangying
Bian, Zhilei
Wang, Xiaoyu
Xu, Lan-Ping
Fu, Qiang
Wang, Chenguang
Chang, Ying-Jun
Wang, Yu
Zhang, Xiao-Hui
Jiang, Zhengfan
Huang, Xiao-Jun
Affiliation Peking Univ, Peoples Hosp, Inst Hematol, Beijing Key Lab Hematopoiet Stem Cell Transplant, Beijing, Peoples R China.
Peking Univ, Sch Life Sci, State Key Lab Prot & Plant Gene Res, Beijing, Peoples R China.
Peking Univ, Peoples Hosp, 11 Xizhimen South St, Beijing 100044, Peoples R China.
Keywords haematopoietic stem cell transplantation
immune reconstitution
Epstein-Barr virus (EBV)
gamma delta T
V delta 2 cells
LYMPHOPROLIFERATIVE DISEASE
IMMUNE RECONSTITUTION
LYMPHOCYTES
RISK
PREVENTION
RECIPIENTS
LEUKEMIA
OUTCOMES
ADULTS
BLOOD
Issue Date 2018
Publisher BRITISH JOURNAL OF HAEMATOLOGY
Citation BRITISH JOURNAL OF HAEMATOLOGY. 2018, 180(2), 276-285.
Abstract Epstein-Barr virus (EBV) reactivation remains a life-threatening complication in recipients of a haploidentical haematopoietic stem cell transplantation (haploHSCT). Reconstitution of adaptive T lymphocytes is generally compromised at the early stages following transplant, suggesting an important role of other effector cells in preventing EBV infection. Our previous studies demonstrated that recovery of CD4(-)CD8(-) T cells negatively correlated with EBV reactivation after haploHSCT. In this prospective study on 132 adult patients with haematopoietic malignancy, recovery of T-cell subpopulations was characterized post-haploHSCT. We showed that the median counts of peripheral V delta 2 cells were continuously lower in recipients with EBV reactivation compared with controls at 30, 60 and 90days after haploHSCT (P values: 0.006, <0.001 and 0.019, respectively). Landmark study further indicated that the cumulative incidence of EBV reactivation was significantly decreased in recipients with higher day-30 V delta 2 counts. Activation of V delta 2 cells upon EBV reactivation was accompanied by an induction of cell apoptosis. Cytotoxic effect of V delta 2 cells on EBV-infected cells was confirmed by invitro experiments. Together, our findings uncovered a significant correlation of recovered V delta 2 with EBV reactivation following haploHSCT. These results will help to better understand the intrinsic anti-virus immunity and develop gamma delta T-based therapy strategies after haematopoietic transplantation.
URI http://hdl.handle.net/20.500.11897/500096
ISSN 0007-1048
DOI 10.1111/bjh.15037
Indexed SCI(E)
PubMed
Medline
Appears in Collections: 人民医院
生命科学学院

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