A new way of identifying viral pathogens reactivating in cellular therapy products

Anthony L Cunningham1, Kenneth Micklethwaite1

  • 1Centres for Virus Research and Cancer Research, The Westmead Institute for Medical Research, Faculty of Medicine and Health, University of Sydney, Westmead, NSW, Australia.

PubMed

Insights

Researchers identified viruses that reactivate in human cells for cellular therapy. They found human herpesvirus 6 infrequently reactivates in chimeric antigen receptor (CAR) T cells after activation.

Area of Science:

  • Virology
  • Immunology
  • Cellular Therapy

Background:

  • Viral reactivation poses a risk in cellular therapies.
  • Identifying such viruses is crucial for patient safety and therapy efficacy.

Purpose of the Study:

  • To develop a method for identifying viral pathogens that can reactivate in human cells used for therapy.
  • To assess the reactivation potential of specific viruses in chimeric antigen receptor (CAR) T cells.

Main Methods:

  • Utilized search engines and databases to identify potentially reactivating viruses.
  • Tested viral reactivation in T-cell cultures, focusing on human herpesvirus 6 (HHV-6).
  • Evaluated viral reactivation in vitro and in vivo within CAR T cells.

Main Results:

  • Human herpesvirus 6 was identified as a virus capable of reactivation.
  • HHV-6 reactivation was observed infrequently in CAR T cells following T-cell activation.
  • The study demonstrated a novel methodology for detecting viral reactivation in cellular therapy products.

Conclusions:

  • The developed methodology can identify viral pathogens that reactivate in cellular therapies.
  • HHV-6 reactivation is infrequent in CAR T cells but warrants monitoring.
  • This approach holds potential clinical utility for other cellular therapies like allogeneic CAR T cells and induced pluripotent stem cells.