Epstein–Barr virus-specific adoptive immunotherapy for progressive multiple sclerosis

Author:

Pender Michael P12,Csurhes Peter A13,Smith Corey2,Beagley Leone2,Hooper Kaye D14,Raj Meenakshi4,Coulthard Alan15,Burrows Scott R12,Khanna Rajiv12

Affiliation:

1. The University of Queensland, School of Medicine, Brisbane, Queensland, Australia

2. QIMR Centre for Immunotherapy and Vaccine Development and Department of Immunology, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia

3. The University of Queensland Centre for Clinical Research, Brisbane, Queensland, Australia

4. Department of Neurology, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

5. Department of Medical Imaging, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

Abstract

Defective control of Epstein–Barr virus (EBV) infection by cytotoxic CD8+ T cells might predispose to multiple sclerosis (MS) by allowing EBV-infected autoreactive B cells to accumulate in the central nervous system. We have treated a patient with secondary progressive MS with in vitro-expanded autologous EBV-specific CD8+ T cells directed against viral latent proteins. This adoptive immunotherapy had no adverse effects and the patient showed clinical improvement with reduced disease activity on magnetic resonance imaging and decreased intrathecal immunoglobulin production. This is the first report of the use of EBV-specific adoptive immunotherapy to treat MS or any other autoimmune disease.

Publisher

SAGE Publications

Subject

Neurology (clinical),Neurology

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