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Ex vivo T-lymphopoiesis assays assisting corrective treatment choice for genetically undefined T-lymphocytopenia
ZM. Golwala, H. Spiridou Goncalves, RD. Moirangthem, G. Evans, S. Lizot, C. de Koning, A. Garrigue, MM. Corredera, JM. Ocampo-Godinez, E. Howley, S. Kricke, A. Awuah, I. Obiri-Yeboa, R. Rai, N. Sebire, F. Bernard, V. Bordon Cueto De Braem, K....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
- MeSH
- buněčná diferenciace MeSH
- dítě MeSH
- imunofenotypizace MeSH
- kojenec MeSH
- lidé MeSH
- lymfopenie * imunologie MeSH
- lymfopoéza * genetika MeSH
- mladiství MeSH
- předškolní dítě MeSH
- primární imunodeficience terapie genetika imunologie MeSH
- T-lymfocyty * imunologie MeSH
- thymus imunologie MeSH
- transplantace hematopoetických kmenových buněk * metody MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Persistent selective T-lymphocytopenia is found both in SCID and congenital athymia. Without molecular diagnosis, it is challenging to determine whether HCT or thymus transplantation ought to be performed. Ex vivo T-lymphopoiesis assays have been proposed to assist clinical decision-making for genetically undefined patients. We investigated 20 T-lymphocytopenic patients, including 13 patients awaiting first-line treatment and 7 patients with failed immune reconstitution after previous HCT or thymus transplantation. Whilst developmental blocks in ex vivo T-lymphopoiesis indicated hematopoietic cell-intrinsic defects, successful T-lymphocyte differentiation required careful interpretation, in conjunction with clinical status, immunophenotyping, and genetic investigations. Of the 20 patients, 13 proceeded to treatment, with successful immune reconstitution observed in 4 of the 6 patients post-HCT and 4 of the 7 patients after thymus transplantation, the latter including two patients who had previously undergone HCT. Whilst further validation and standardization are required, we conclude that assessing ex vivo T-lymphopoiesis during the diagnostic pathway for genetically undefined T-lymphocytopenia improves patient outcomes by facilitating corrective treatment choice.
Allergy and Immunology Department The Royal Children's Hospital Melbourne Melbourne Australia
CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences Vienna Austria
Center for Translational Immunology University Medical Center Utrecht
Department of Histopathology Great Ormond Street Hospital for Children NHS Foundation Trust
Human Lymphohematopoiesis Laboratory Imagine Institute INSERM UMR 1163 Université Paris Cité
Medical University of Vienna Department of Pediatrics and Adolescent Medicine Vienna Austria
Paediatric Immunology Department University Hospitals of Birmingham Birmingham United Kingdom
Paediatric Onco Haematology Unit Geneva University Hospital
Pediatric Immunology University of Zurich Zurich Switzerland
Princess Maxima Center for Pediatric Oncology Utrecht Netherlands
Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
SIHMDS Haematology Great Ormond Street Hospital for Children NHS Foundation Trust
Citace poskytuje Crossref.org
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