Viral‐specific T cells for Cytomegalovirus retinitis following hematopoietic stem cell transplantation: A success story

Author:

Montiel‐Esparza Raul1ORCID,Michalak Suzanne M.2,Le Anthony Huy Dinh3,Or Christopher2,Nguyen Quan Dong2,Khoury Ruby4,Grimley Michael S.4,Bertaina Alice1,Klinger Edna1,Shah Ami J.1,Wood Edward H.2

Affiliation:

1. Division of Hematology, Oncology, Stem Cell Transplantation and Regenerative Medicine, Department of Pediatrics Stanford University Palo Alto California USA

2. Spencer Center for Vision Research Byers Eye Institute Department of Ophthalmology Stanford University Palo Alto California USA

3. University of Missouri ‐ Kansas City School of Medicine Kansas City Missouri USA

4. Division of Bone Marrow Transplantation and Immune Deficiency Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

Abstract

AbstractCytomegalovirus retinitis (CMVR) following hematopoietic stem cell transplantation (HCT) for a primary immunodeficiency is a rare but highly morbid condition with potential irreversible consequences despite optimal antiviral pharmacotherapy. Viral‐specific T cells (VSTs) pose a promising and safe approach eradicating intractable viral disease. We describe the case of a 21‐month‐old male with Wiskott–Aldrich syndrome (WAS) and CMVR post HCT with sustained long‐term virologic and clinical response after CMV‐specific T‐cell therapy. This case highlights the need to consider VST as an adjunct upfront strategy in refractory CMVR and for routine ophthalmologic screening and surveillance in high‐risk patients post HCT.

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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