P. Tiberghien, Use of suicide gene-expressing donor T-cells to control alloreactivity after haematopoietic stem cell transplantation, J INTERN M, 249(4), 2001, pp. 369-377
Citations number
43
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Conditional ablation of alloreactive donor T-cells to prevent or treat graf
t-versus-host disease (GvHD) in the context of allogeneic haematopoietic st
em cell transplantation could significantly contribute to expand the use of
alloreactivity as a treatment modality, The prevention and treatment of Gv
HD induced by herpes simplex virus 1-thymidine kinase (HS-tk)-expressing do
nor T-cells by ganciclovir (GCV) has been demonstrated. Early clinical find
ings suggest that the use of such cells early or late after transplantation
is associated with no acute toxicity. persistent circulation of the gene-m
odified cells (GMC) and GCV-sensitive GvHD. However, a number of limitation
s such as reduced immune function of gene-modified T-cells, immunogenicity
of GMC as well as presence of a truncated HS-tk gene have emerged and need
to be addressed.