Adoptive cell therapy against EBV-related malignancies: a survey of clinical results.
BACKGROUND
Epstein-Barr Virus (EBV) infection is associated with a heterogeneous group of tumors, including lymphoproliferative disorders, Hodgkin's disease, nasopharyngeal carcinoma and Burkitt's lymphoma. As such neoplastic disorders express viral antigens, they can be treated by adoptive immunotherapy strategies relying mostly on in vitro generation and expansion of virus-specific cytotoxic T lymphocytes (CTL), which can be administered to patients for both prophylaxis and treatment.


OBJECTIVE
We reviewed results obtained in all clinical trials reported thus far employing anti-EBV adoptive immunotherapy for different virus-related malignancies.


METHODS
'PTLD after HSCT', 'PTLD after SOT', 'NPC', 'HD', 'SCAEBV' and 'extranodal NK/T cell lymphoma', in combination with 'Adoptive immunotherapy' and 'Adoptive transfer', were used as search keys for papers in PubMed.


CONCLUSIONS
Although the heterogeneity of different studies precludes their collection for a meta-analysis, it can be inferred that adoptive therapy with EBV-specific CTL is safe, well tolerated and particularly effective in the case of most immunogenic tumors, like post-transplant lymphoproliferative disease.
Merlo
Anna
A
University of Padova, Department of Oncology and Surgical Sciences, Via Gattamelata 64, I-35128 Padova, Italy.
Turrini
Riccardo
R
Dolcetti
Riccardo
R
Zanovello
Paola
P
Amadori
Alberto
A
Rosato
Antonio
A
D019264:Adoptive Transfer; D002051:Burkitt Lymphoma / Q000628:therapy* / Q000821:virology; D003625:Data Collection; D018380:Hematopoietic Stem Cell Transplantation; D004854:Herpesvirus 4, Human / Q000302:isolation & purification*; D006689:Hodgkin Disease / Q000628:therapy* / Q000821:virology; D006801:Humans; D008232:Lymphoproliferative Disorders / Q000628:therapy* / Q000821:virology; D009303:Nasopharyngeal Neoplasms / Q000628:therapy* / Q000821:virology