Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder

BackgroundEpstein–Barr virus-associated post-transplant lymphoproliferative disorder (EBV-PTLD) is a potentially fatal complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Rituximab has been proven to dramatically improve the prognosis of patients with EBV reactivation...

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Main Authors: Nan Yan, Na Wang, Peiling Zhang, Gaoxiang Wang, Xia Mao, Dan Peng, Dong Kuang, Liting Chen, Li Zhu, Jianfeng Zhou, Yicheng Zhang, Yang Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Oncology
Subjects:
EBV
ALL
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.709370/full
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spelling doaj-de9b8cafa2d0435a98f5e22dbc5cc5672021-07-22T14:50:16ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-07-011110.3389/fonc.2021.709370709370Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative DisorderNan Yan0Na Wang1Na Wang2Peiling Zhang3Peiling Zhang4Gaoxiang Wang5Gaoxiang Wang6Xia Mao7Xia Mao8Dan Peng9Dong Kuang10Liting Chen11Liting Chen12Li Zhu13Li Zhu14Jianfeng Zhou15Jianfeng Zhou16Yicheng Zhang17Yicheng Zhang18Yang Cao19Yang Cao20Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Nuclear Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaDepartment of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaImmunotherapy Research Center for Hematologic Diseases of Hubei Province, Wuhan, ChinaBackgroundEpstein–Barr virus-associated post-transplant lymphoproliferative disorder (EBV-PTLD) is a potentially fatal complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Rituximab has been proven to dramatically improve the prognosis of patients with EBV reactivation and PTLD. However, reports on the curative management of refractory PTLD are scarce.Case PresentationIn this report, we describe the successful management of two patients with EBV-PTLD with chimeric antigen receptor T-cell (CAR-T) therapy.ConclusionThe present results demonstrated that patients with EBV-PTLD may benefit from CAR-T therapy and that the toxicity is manageable. Further studies are needed to verify these findings.https://www.frontiersin.org/articles/10.3389/fonc.2021.709370/fullCAR-THSCTPTLDEBVALL
collection DOAJ
language English
format Article
sources DOAJ
author Nan Yan
Na Wang
Na Wang
Peiling Zhang
Peiling Zhang
Gaoxiang Wang
Gaoxiang Wang
Xia Mao
Xia Mao
Dan Peng
Dong Kuang
Liting Chen
Liting Chen
Li Zhu
Li Zhu
Jianfeng Zhou
Jianfeng Zhou
Yicheng Zhang
Yicheng Zhang
Yang Cao
Yang Cao
spellingShingle Nan Yan
Na Wang
Na Wang
Peiling Zhang
Peiling Zhang
Gaoxiang Wang
Gaoxiang Wang
Xia Mao
Xia Mao
Dan Peng
Dong Kuang
Liting Chen
Liting Chen
Li Zhu
Li Zhu
Jianfeng Zhou
Jianfeng Zhou
Yicheng Zhang
Yicheng Zhang
Yang Cao
Yang Cao
Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
Frontiers in Oncology
CAR-T
HSCT
PTLD
EBV
ALL
author_facet Nan Yan
Na Wang
Na Wang
Peiling Zhang
Peiling Zhang
Gaoxiang Wang
Gaoxiang Wang
Xia Mao
Xia Mao
Dan Peng
Dong Kuang
Liting Chen
Liting Chen
Li Zhu
Li Zhu
Jianfeng Zhou
Jianfeng Zhou
Yicheng Zhang
Yicheng Zhang
Yang Cao
Yang Cao
author_sort Nan Yan
title Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
title_short Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
title_full Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
title_fullStr Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
title_full_unstemmed Case Report: Successful Chimeric Antigen Receptor T Cell Therapy in Haploidentical-Allogeneic Stem Cell Transplant Patients With Post-Transplant Lymphoproliferative Disorder
title_sort case report: successful chimeric antigen receptor t cell therapy in haploidentical-allogeneic stem cell transplant patients with post-transplant lymphoproliferative disorder
publisher Frontiers Media S.A.
series Frontiers in Oncology
issn 2234-943X
publishDate 2021-07-01
description BackgroundEpstein–Barr virus-associated post-transplant lymphoproliferative disorder (EBV-PTLD) is a potentially fatal complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Rituximab has been proven to dramatically improve the prognosis of patients with EBV reactivation and PTLD. However, reports on the curative management of refractory PTLD are scarce.Case PresentationIn this report, we describe the successful management of two patients with EBV-PTLD with chimeric antigen receptor T-cell (CAR-T) therapy.ConclusionThe present results demonstrated that patients with EBV-PTLD may benefit from CAR-T therapy and that the toxicity is manageable. Further studies are needed to verify these findings.
topic CAR-T
HSCT
PTLD
EBV
ALL
url https://www.frontiersin.org/articles/10.3389/fonc.2021.709370/full
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