Evidence map›Paper›PMID 30646564›Full record

ReviewCells2019

Adoptive T Cell Therapy Strategies for Viral Infections in Patients Receiving Haematopoietic Stem Cell Transplantation.

Giorgio Ottaviano, Robert Chiesa, Tobias Feuchtinger, Mark A Vickers, Anne Dickinson, Andrew R Gennery, Paul Veys, Stephen Todryk

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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  17. Stem cell therapy for COVID-19 pneumonia.Molecular biomedicine · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Giorgio OttavianoDepartment of Paediatrics, Milano-Bicocca University, Fondazione MBBM/San Gerardo Hospital, 20900 Monza, Italy. g.ottaviano2@campus.unimib.it.
Robert ChiesaBlood & Marrow Transplant Unit, Great Ormond Street Hospital, UCL, London WC1N 3JH, UK. robert.chiesa@gosh.nhs.uk.
Tobias FeuchtingerDepartment of Pediatric Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Dr. von Hauner University Children's Hospital, LMU, 80337 Munich, Germany. tobias.feuchtinger@med.uni-muenchen.de.ORCID 0000-0002-8517-9681
Mark A VickersScottish National Blood Transfusion Service, Blood Transfusion Centre, Foresterhill Road, Aberdeen AB25 2ZW, UK. m.a.vickers@abdn.ac.uk.
Anne DickinsonHaematological Sciences, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. anne.dickinson@newcastle.ac.uk.
Andrew R GenneryInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. andrew.gennery@newcastle.ac.uk.ORCID 0000-0002-6218-1324
Paul VeysBlood & Marrow Transplant Unit, Great Ormond Street Hospital, UCL, London WC1N 3JH, UK. paul.veys@gosh.nhs.uk.
Stephen TodrykInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. stephen.todryk@northumbria.ac.uk.
Great Ormond Street Hospital · GBGreat North Children's Hospital · GBNewcastle University · GBNorthumbria University · GBUniversity Children's Hospital Tübingen · DEUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse outcomes following virus-associated disease in patients receiving allogeneic haematopoietic stem cell transplantation (HSCT) have encouraged strategies to control viral reactivation in immunosuppressed patients. However, despite timely treatment with antiviral medication, some viral infections remain refractory to treatment, which hampers outcomes after HSCT, and are responsible for a high proportion of transplant-related morbidity and mortality. Adoptive transfer of donor-derived lymphocytes aims to improve cellular immunity and to prevent or treat viral diseases after HSCT. Early reports described the feasibility of transferring nonspecific lymphocytes from donors, which led to the development of cell therapy approaches based on virus-specific T cells, allowing a targeted treatment of infections, while limiting adverse events such as graft versus host disease (GvHD). Both expansion and direct selection techniques have yielded comparable results in terms of efficacy (around 70⁻80%), but efficacy is difficult to predict for individual cases. Generating bespoke products for each donor⁻recipient pair can be expensive, and there remains the major obstacle of generating products from seronegative or poorly responsive donors. More recent studies have focused on the feasibility of collecting and infusing partially matched third-party virus-specific T cells, reporting response rates of 60⁻70%. Future development of this approach will involve the broadening of applicability to multiple viruses, the optimization and cost-control of manufacturing, larger multicentred efficacy trials, and finally the creation of cell banks that can provide prompt access to virus-specific cellular product. The aim of this review is to summarise present knowledge on adoptive T cell manufacturing, efficacy and potential future developments.

Indexed as

AdultChildDirected Tissue DonationGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansImmunotherapy, AdoptiveT-LymphocytesVirus Diseasesadoptive cell therapyhaematopoietic stem cell transplantationthird party donorviral infections

Identifiers

PMID30646564
PMCPMC6356262
OpenAlexW2908909305

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.