Evidence map›Paper›PMID 33462728›Full record

ReviewJournal of clinical immunology2021

Failure of Viral-Specific T Cells Administered in Pre-transplant Settings in Children with Inborn Errors of Immunity.

Laura Alonso, Ana Méndez-Echevarría, Francesc Rudilla, Yasmina Mozo, Pere Soler-Palacin, Luisa Sisinni, David Bueno, Jacques Riviere, Raquel de Paz, Elena Sánchez-Zapardiel and 6 more

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In one paragraph

Review in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 56% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

16 authors at 6 institutions in 1 country.

Laura AlonsoHSCT Department, Hospital Vall d'Hebron, Barcelona, Spain.
Ana Méndez-EchevarríaPaediatric Infectious Diseases Department, La Paz University Hospital, Madrid, Spain. amendezes@yahoo.es.ORCID 0000-0002-7455-9080
Francesc RudillaImmunogenetics and Histocompatibility Laboratory, Banc de Sang i Teixits, Barcelona, Spain.
Yasmina MozoPaediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, Spain.
Pere Soler-PalacinPediatric Infectious Diseases and Immunodeficiencies Unit, Vall d'Hebron Research Institute, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Luisa SisinniPaediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, Spain.
David BuenoPaediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, Spain.
Jacques RivierePediatric Infectious Diseases and Immunodeficiencies Unit, Vall d'Hebron Research Institute, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Raquel de PazHematology Department, La Paz University Hospital, Madrid, Spain.
Elena Sánchez-ZapardielImmunology Department, La Paz University Hospital, Madrid, Spain.
Sergi QuerolCellular Therapy Unit, Cord Blood Bank, Centre Frederic Duran i Jordà, Barcelona, Spain.
Rebeca Rodriguez-PenaImmunology Department, La Paz University Hospital, Madrid, Spain.
Eduardo López-GranadosImmunology Department, La Paz University Hospital, Madrid, Spain.
Ramón GimenoLaboratory of Immunology, Department of Pathology, Hospital del Mar, Barcelona, Spain.
Cristina Díaz de HerediaHSCT Department, Hospital Vall d'Hebron, Barcelona, Spain.
Antonio Pérez-MartínezPaediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, Spain.
Hospital Universitario La Paz · ESBanc de Sang i Teixits · ESUniversitat Autònoma de Barcelona · ESVall d'Hebron Hospital Universitari · ESHospital Del Mar · ESYahoo (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUse of adoptive immunotherapy with virus-specific T cells (VST) in patients with inborn errors of immunity prior to hematopoietic stem cell transplantation (HSCT) has been reported in few patients. We report our experience, reviewing all the cases previously reported.

methodsWe report four children with inborn errors of immunity who received VST infusion in a pre-HSCT setting in two reference centers in Spain and review all inborn errors of immunity cases previously reported.

resultsTaking into account our four cases, nine children have been reported to receive VST prior to HSCT to date: 3 severe combined immunodeficiency, 2 CTPS1 deficiency, 1 dyskeratosis congenital, 1 ORAI1 deficiency, 1 Rothmund-Thomson syndrome, and 1 combined immunodeficiency without confirmed genetic defect. In four patients, immunotherapy resulted in clinical improvement, allowing to proceed to HSCT. In these cases, the infusion was started closely to viral diagnosis [mean time 28 days (IQR; 17-52 days)], and the VST was followed shortly thereafter by HSCT [mean time 28 days (IQR; 10-99 days)]. Viremia was controlled after HSCT in two cases (performed 7 and 36 days after the infusion). Multiple infusions were required in many cases. Five out of nine patients died before receiving HSCT. These patients presented with a prolonged and uncontrolled infection before VST administration [mean time from viral diagnosis to VST infusion was 176 days (IQR; 54-1687)].

conclusionsIn patients with inborn errors of immunity, the efficacy of VST for treating disseminated viral infections in pre-transplant settings seems to have a limited efficacy. However, this therapy could be used in a pre-emptive setting before severe viral disease occurs or closely to HSCT.

Indexed as

Preoperative CareDisease ManagementDisease SusceptibilityGenetic Diseases, InbornHematopoietic Stem Cell TransplantationHumansImmune System DiseasesImmunotherapy, AdoptiveT-Cell Antigen Receptor SpecificityT-LymphocytesTreatment FailureTreatment OutcomeVirus DiseasesimmunotherapyInborn errors of immunityprimary immunodeficiency diseasesviruses

Identifiers

PMID33462728
OpenAlexW3124991807

What OpenQuestion holds

Textmetadata
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.