Successful TCRαβ/CD19-Depleted Hematopoietic Cell Transplantation for a Patient With Artemis Deficiency

Author:

Tomomasa Dan1,Isoda Takeshi1ORCID,Mitsuiki Noriko1ORCID,Inoue Kento1ORCID,Nishimura Akira1,Uda Kazuhiro2ORCID,Uchiyama Toru3ORCID,Yamashita Motoi1ORCID,Kamiya Takahiro1,Endo Akifumi1ORCID,Takagi Masatoshi1ORCID,Imai Kohsuke4ORCID,Kajiwara Michiko5,Cowan Morton J.6ORCID,Morio Tomohiro1ORCID,Kanegane Hirokazu7ORCID

Affiliation:

1. Department of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan

2. Division of Infectious Diseases, Tokyo Metropolitan Children’s Medical Center, Tokyo, Japan

3. Department of Human Genetics, National Research Institute for Child Health and Development, Tokyo, Japan

4. Department of Community Pediatrics, Perinatal and Maternal Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan

5. Center for Transfusion Medicine and Cell Therapy, Tokyo Medical and Dental University Hospital, Tokyo, Japan

6. Allergy Immunology and Blood and Marrow Transplant Division, Benioff Children’s Hospital, University of California San Francisco, San Francisco, California

7. Deparment of Child Health and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan

Abstract

Artemis deficiency is characterized by DNA double-strand breaks repairing dysfunction and increased sensitivity to ionizing radiation and alkylating reagents. We describe the first successful case of T-cell receptor [TCR]αβ/CD19-depleted hematopoietic cell transplantation [HCT] for Artemis deficiency in Japan. A 6-month-old Korean boy was diagnosed with Artemis-deficient severe combined immunodeficiency. He had no human leukocyte antigen (HLA)-matched sibling or unrelated donor. Therefore, TCRαβ/CD19-depleted HCT from his haploidentical mother was performed. Despite mixed chimerism in whole blood, T cells achieved complete donor chimerism 6 months after HCT. TCRαβ/CD19-depleted HCT could be an effective treatment for patients with radiation-sensitive severe combined immunodeficiency.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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