scholarly journals Successful Outcome of Programmed Death 1 Blockade Plus GemOx for Epstein-Barr Virus-Associated Primary Nodal T/NK Cell Lymphoma: A Case Report

2021 ◽  
Vol 11 ◽  
Author(s):  
Liang Xia ◽  
Han-Shuo Zhang ◽  
Jing Bao ◽  
Yu-Chen Zhao ◽  
Hai-Long Xia

Epstein-Barr virus (EBV)-associated lymph nodal T/NK cell lymphoma (nodal TNKL) is a rare and aggressive malignancy with an extremely poor prognosis. Although treatments of extranodal NK/T cell lymphoma are frequently reported, the characteristics and pathogenesis of EBV-associated nodal TNKL are different. However, there is no known effective therapy regimen at present. Here, we reported the clinical efficacy and feasibility of the programmed death 1 (PD-1) blockade therapy regimen in an elderly female patient with EBV-associated nodal TNKL. The patient failed to respond to cyclophosphamide, doxorubicin, vindesine, and prednisone regimen but achieved complete response after three cycles of anti-PD-1 antibody (tislelizumab) combined with gemcitabine and oxaliplatin (GemOx) regimen. The finding indicated that tislelizumab combined with the GemOx regimen may be a potent salvage regimen for EBV-associated nodal TNKL.

Immunology ◽  
2017 ◽  
Vol 152 (4) ◽  
pp. 660-676 ◽  
Author(s):  
Maria T. Cencioni ◽  
Roberta Magliozzi ◽  
Richard Nicholas ◽  
Rehiana Ali ◽  
Omar Malik ◽  
...  

2004 ◽  
Vol 12 (3) ◽  
pp. 265-272 ◽  
Author(s):  
Satoru Kase ◽  
Hironobu Adachi ◽  
Mitsuhiko Osaki ◽  
Masanao Murakami ◽  
Takeshi Sairenji ◽  
...  

2015 ◽  
Vol 46 (7) ◽  
pp. 981-990 ◽  
Author(s):  
Yoon Kyung Jeon ◽  
Jo-Heon Kim ◽  
Ji-Youn Sung ◽  
Jae Ho Han ◽  
Young-Hyeh Ko

2009 ◽  
Vol 83 (18) ◽  
pp. 9068-9078 ◽  
Author(s):  
Delphine Sauce ◽  
Martin Larsen ◽  
Rachel J. M. Abbott ◽  
Andrew D. Hislop ◽  
Alison M. Leese ◽  
...  

ABSTRACT In immunocompetent individuals, the stability of the herpesvirus-host balance limits opportunities to study the disappearance of a virus-specific CD8+ T-cell response. However, we noticed that in HLA-A*0201-positive infectious mononucleosis (IM) patients undergoing primary Epstein-Barr virus (EBV) infection, the initial CD8 response targets three EBV lytic antigen-derived epitopes, YVLDHLIVV (YVL), GLCTLVAML (GLC), and TLDYKPLSV (TLD), but only the YVL and GLC reactivities persist long-term; the TLD response disappears within 10 to 27 months. While present, TLD-specific cells remained largely indistinguishable from YVL and GLC reactivities in many phenotypic and functional respects but showed unique temporal changes in two markers of T-cell fate, interleukin 7 receptor alpha (IL-7Rα; CD127) and programmed death 1 (PD-1). Thus, following the antigen-driven downregulation of IL-7Rα seen on all populations in acute IM, in every case, the TLD-specific population recovered expression unusually quickly post-IM. As well, in four of six patients studied, TLD-specific cells showed very strong PD-1 upregulation in the last blood sample obtained before the cells’ disappearance. Our data suggest that the disappearance of this individual epitope reactivity from an otherwise stable EBV-specific response (i) reflects a selective loss of cognate antigen restimulation (rather than of IL-7-dependent signals) and (ii) is immediately preceded, and perhaps mediated, by PD-1 upregulation to unprecedented levels.


Blood ◽  
2019 ◽  
Vol 134 (25) ◽  
pp. 2261-2270 ◽  
Author(s):  
Alexandre S. Cristino ◽  
Jamie Nourse ◽  
Rachael A. West ◽  
Muhammed Bilal Sabdia ◽  
Soi C. Law ◽  
...  

This article reports a novel mechanism by which Epstein-Barr virus (EBV) microRNA (miRNA) plays a role to fine-tune the expression of LMP1-driven amplification of inhibitory checkpoint programmed death ligand 1 (PD-L1) and PD-L2 in EBV+ diffuse large B-cell lymphoma. Identification and understanding of the immune checkpoint regulation via miRNA may enable potential novel RNA-based therapies to emerge.


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