Evidence map›Paper›PMID 33459417›Full record

ArticleAnnals of neurology2021

Adoptive Transfer of JC Virus-Specific T Lymphocytes for the Treatment of Progressive Multifocal Leukoencephalopathy.

Giulia Berzero, Sabrina Basso, Luca Stoppini, Andrea Palermo, Anna Pichiecchio, Matteo Paoletti, Federica Lucev, Simonetta Gerevini, Andrea Rossi, Elisa Vegezzi and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.2field-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

36 citing papers in PubMed, 62 citations in OpenAlex.

  1. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
    Review
  2. Review
  3. JC Polyomavirus Infection: A Narrative Review.Infectious diseases and therapy · 2025
    Review
  4. Article
  5. Article
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  10. Review
  11. Virus-Specific T-Cell Therapy for the Management of Viral Infections in the Immunocompromised.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    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

22 authors at 7 institutions in 3 countries.

Giulia Berzero *Neuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0001-8798-9058
Sabrina Basso *Cell Factory, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Luca StoppiniCell Factory, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Andrea PalermoNeuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0001-8057-9398
Anna PichiecchioDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Matteo PaolettiNeuroradiology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Federica LucevNeuroradiology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Simonetta GereviniDepartment of Neuroradiology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Andrea RossiNeuroradiology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Elisa VegezziNeuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Luca DiamantiNeuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Paola BiniNeuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Matteo GastaldiNeuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Serena DelbueDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.ORCID 0000-0002-3199-9369
Cesare PerottiTransfusion Service, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Elena SeminariInfectious Disease Department, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Maura FaraciHSCT Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Mario LuppiDepartment of Medical and Surgical Sciences, Section of Hematology, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria Policlinico, Modena, Italy.
Fausto BaldantiMolecular Virology, IRCCS Fondazione Policlinico San Matteo, University of Pavia, Pavia, Italy.
Marco ZeccaPediatric Hematology-Oncology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Enrico Marchioni *Neuroncology Unit, IRCCS Mondino Foundation, Pavia, Italy.
Patrizia Comoli *Cell Factory, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Foundation Center · USPoliclinico San Matteo Fondazione · ITUniversity of Pavia · ITIstituto Giannina Gaslini · ITOspedale Papa Giovanni XXIII · ITUniversity of Milan · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProgressive multifocal leukoencephalopathy (PML) is still burdened by high mortality in a subset of patients, such as those affected by hematological malignancies. The aim of this study was to analyze the safety and carry out preliminary evaluation of the efficacy of polyomavirus JC (JCPyV)-specific T cell therapy in a cohort of hematological patients with PML.

methodsBetween 2014 and 2019, 9 patients with a diagnosis of "definite PML" according to the 2013 consensus who were showing progressive clinical deterioration received JCPyV-specific T cells. Cell lines were expanded from autologous or allogenic peripheral blood mononuclear cells by stimulation with JCPyV antigen-derived peptides.

resultsNone of the patients experienced treatment-related adverse events. In the evaluable patients, an increase in the frequency of circulating JCPyV-specific lymphocytes was observed, with a decrease or clearance of JCPyV viral load in cerebrospinal fluid. In responsive patients, transient appearance of punctate areas of contrast enhancement within, or close to, PML lesions was observed, which was interpreted as a sign of immune control and which regressed spontaneously without the need for steroid treatment. Six of 9 patients achieved PML control, with 5 alive and in good clinical condition at their last follow-up.

interpretationAmong other novel treatments, T cell therapy is emerging as a viable treatment option in patients with PML, particularly for those not amenable to restoration of specific immunity. Neurologists should be encouraged to refer PML patients to specialized centers to allow access to this treatment strategy. ANN NEUROL 2021;89:769-779.

Indexed as

JC VirusT-LymphocytesAdolescentAdoptive TransferAgedCohort StudiesDisease ProgressionFemaleHumansLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMaleMiddle AgedTreatment OutcomeViral Load

Identifiers

PMID33459417
PMCPMC8248385
OpenAlexW3123809965

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Registered trials

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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.