Natural and adoptive T-cell immunity against herpes family viruses after allogeneic hematopoietic stem cell transplantation

Immunotherapy. 2011 Jun;3(6):771-88. doi: 10.2217/imt.11.47.

Abstract

Reactivated infections with herpes family-related cytomegalovirus, Epstein-Barr virus and varicella zoster virus are serious and sometimes life-threatening complications for patients undergoing allogeneic hematopoietic stem cell transplantation. The pathogenesis of these infections critically involves the slow and inefficient recovery of antiviral T-cell immunity after transplantation. Although efficient drugs to decrease viral load during this vulnerable period have been developed, long-term control of herpes viruses and protection from associated diseases require the sufficient reconstitution of virus-specific memory T cells. To heal the deficiency by immunotherapeutic means, numerous research groups have developed antiviral vaccines and strategies based on the adoptive transfer of virus-specific T cells. This article summarizes the substantial progress made in this field during the past two decades and gives future perspectives about challenges that need to be addressed before antigen-specific immunotherapy against herpes family viruses can be implemented in general clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adaptive Immunity / immunology*
  • Animals
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Herpesviridae Infections / etiology
  • Herpesviridae Infections / immunology*
  • Herpesviridae Infections / prevention & control
  • Humans
  • Immunity, Innate / immunology*
  • Immunization / methods
  • T-Lymphocytes / immunology*