Immunological aspects of HTLV-1 persistence; for the prevention and treatment of Adult T-cell leukaemia-lymphoma (ATL).

IF 2.1 4区 医学 Q3 HEMATOLOGY
Leukemia research Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI:10.1016/j.leukres.2024.107635
Devon A Weterings, Aileen G Rowan, Lucy B Cook
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引用次数: 0

Abstract

Human T-cell leukaemia virus type-1 (HTLV-1) causes the highly aggressive malignancy adult T-cell leukaemia-lymphoma (ATL) in approximately 5 % of chronically infected carriers. HTLV-1 persists in the host by enhancing survival of infected-T-cells despite the presence of a strong immune response. Therefore, asymptomatic HTLV-1 carriers have a lifelong balance between infected cell proliferation and the host antiviral immune response. However, this immunological balance is lost in patients with ATL. Reliable treatment options are lacking and there is urgent need for new treatment strategies to improve the dismal prognosis of ATL. In this review, we present a summary of the current knowledge on the immunological aspects of HTLV-1 persistence and the immune alterations observed in ATL, and discuss how the recent emerging advances in adoptive immunotherapy may offer a prevention and treatment option for ATL.

HTLV-1持久性的免疫学方面;用于预防和治疗成人t细胞白血病淋巴瘤(ATL)。
人类t细胞白血病病毒1型(HTLV-1)在大约5 %的慢性感染携带者中引起高度侵袭性恶性成人t细胞白血病淋巴瘤(ATL)。尽管存在强烈的免疫反应,HTLV-1通过增强被感染t细胞的存活而在宿主中持续存在。因此,无症状HTLV-1携带者在感染细胞增殖和宿主抗病毒免疫应答之间存在终身平衡。然而,ATL患者失去了这种免疫平衡。目前缺乏可靠的治疗方案,迫切需要新的治疗策略来改善ATL的预后。在这篇综述中,我们总结了目前关于HTLV-1持久性和ATL中观察到的免疫改变的免疫学方面的知识,并讨论了最近在过继性免疫治疗方面的新进展如何为ATL提供预防和治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Leukemia research
Leukemia research 医学-血液学
CiteScore
4.00
自引率
3.70%
发文量
259
审稿时长
1 months
期刊介绍: Leukemia Research an international journal which brings comprehensive and current information to all health care professionals involved in basic and applied clinical research in hematological malignancies. The editors encourage the submission of articles relevant to hematological malignancies. The Journal scope includes reporting studies of cellular and molecular biology, genetics, immunology, epidemiology, clinical evaluation, and therapy of these diseases.
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