Patients in whom CMV-specific cytotoxic T lymphocytes (CTL) were studied prospectively after allografting
Group/patient no. . | Donor . | HLA allele . | CMV-specific CTL . | CMV reactivation (days after SCT) . | GVHD grade . | Follow-up (days after SCT) . | ||
---|---|---|---|---|---|---|---|---|
Day first detected . | As % of CD8+ count at peak . | Peak absolute cell count (× 105 cells) . | ||||||
Group 1 (recipient +/donor + for CMV) | ||||||||
1 | S | A2 | 32 | 12 | 250 | 82 | III | 214 |
2 | S | A2 | 31 | 1.5 | 53 | ND | 0 | 143 |
3 | S | A2 | 31 | 0.7 | 2.1 | ND | I | 120 |
4 | S | A2 | 48 | 3.3 | 369 | ND | II | 531 |
5 | S | B7 | 43 | 10.1 | 409 | ND | II | 351 |
6 | S | A2 | 21 | 21.0 | 162 | ND | III | 90 (90†) |
7 | S | B7 | 55* | 3.2 | 195 | 47 & 139 | III | 338 |
8 | S | A2 | 77* | 0.18 | ND | ND | 0 | 122 |
9 | S | A2 | 81* | 4.6 | 310 | 52 | II | 516 |
10 | V | B7 | 116 | 1.2-5 | 64 | 56 & 126 | II | 521 |
11 | V | A2 | 112 | 5.9 | 20 | 20 & 150 | III | 337 |
12 | V | A2; B7 | 100 | 0.1; 2.9 | 8.6; 112 | 27 | 0 | 210 (286†) |
Group 2 (recipient +/donor − for CMV) | ||||||||
13 | S | A2 | ND | ND | ND | ND | 0 | 363 |
14 | S | A2 | ND | ND | ND | ND | 0 | 193 |
15 | V | A2 | ND | ND | ND | ND | II | 353 |
16 | V | A2 | ND | ND | ND | ND | 0 | 161 |
17 | V | A2 | 149 | 0.6 | ND | 33 & 114 | III | 208 |
Group 3 (recipient −/donor + for CMV) | ||||||||
18 | S | B7 | ND | ND | ND | ND | 0 | 120 |
19 | 1 antigen m/m | A2 | ND | ND | ND | ND | 0 | 296 |
20 | V | B7 | 160 | 0.8 | 4 | ND | II | 173 (201†) |
21 | V | A2; B7 | ND | ND | ND | ND | 0 | 177 (232†) |
22 | V | A2; B7 | ND | ND | ND | ND | 0 | 451 |
23 | V | A2 | ND | ND | ND | ND | 0 | 392 |
24 | V | A2 | ND | ND | ND | ND | 0 | 180 |
Group/patient no. . | Donor . | HLA allele . | CMV-specific CTL . | CMV reactivation (days after SCT) . | GVHD grade . | Follow-up (days after SCT) . | ||
---|---|---|---|---|---|---|---|---|
Day first detected . | As % of CD8+ count at peak . | Peak absolute cell count (× 105 cells) . | ||||||
Group 1 (recipient +/donor + for CMV) | ||||||||
1 | S | A2 | 32 | 12 | 250 | 82 | III | 214 |
2 | S | A2 | 31 | 1.5 | 53 | ND | 0 | 143 |
3 | S | A2 | 31 | 0.7 | 2.1 | ND | I | 120 |
4 | S | A2 | 48 | 3.3 | 369 | ND | II | 531 |
5 | S | B7 | 43 | 10.1 | 409 | ND | II | 351 |
6 | S | A2 | 21 | 21.0 | 162 | ND | III | 90 (90†) |
7 | S | B7 | 55* | 3.2 | 195 | 47 & 139 | III | 338 |
8 | S | A2 | 77* | 0.18 | ND | ND | 0 | 122 |
9 | S | A2 | 81* | 4.6 | 310 | 52 | II | 516 |
10 | V | B7 | 116 | 1.2-5 | 64 | 56 & 126 | II | 521 |
11 | V | A2 | 112 | 5.9 | 20 | 20 & 150 | III | 337 |
12 | V | A2; B7 | 100 | 0.1; 2.9 | 8.6; 112 | 27 | 0 | 210 (286†) |
Group 2 (recipient +/donor − for CMV) | ||||||||
13 | S | A2 | ND | ND | ND | ND | 0 | 363 |
14 | S | A2 | ND | ND | ND | ND | 0 | 193 |
15 | V | A2 | ND | ND | ND | ND | II | 353 |
16 | V | A2 | ND | ND | ND | ND | 0 | 161 |
17 | V | A2 | 149 | 0.6 | ND | 33 & 114 | III | 208 |
Group 3 (recipient −/donor + for CMV) | ||||||||
18 | S | B7 | ND | ND | ND | ND | 0 | 120 |
19 | 1 antigen m/m | A2 | ND | ND | ND | ND | 0 | 296 |
20 | V | B7 | 160 | 0.8 | 4 | ND | II | 173 (201†) |
21 | V | A2; B7 | ND | ND | ND | ND | 0 | 177 (232†) |
22 | V | A2; B7 | ND | ND | ND | ND | 0 | 451 |
23 | V | A2 | ND | ND | ND | ND | 0 | 392 |
24 | V | A2 | ND | ND | ND | ND | 0 | 180 |
For patients who were positive for both HLA A*0201 and HLA B*0702, the results for the HLA A*0201 tetramer are shown first, followed by the results for the B*0702 tetramer.
S indicates sibling; V, volunteer unrelated donor; ND, not detected; and 1 HLA antigen mismatch.
First sample studied.
Day of death.