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CMV-TCR-T cells are a form of adoptive cell therapy in which patient or donor-derived T lymphocytes are genetically engineered to express a transgenic T cell receptor (TCR) that specifically recognizes cytomegalovirus (CMV) antigens presented by certain human leukocyte antigen (HLA) molecules. This approach enables the rapid production of large numbers of virus-targeted effector T cells capable of recognizing and lysing CMV-infected or tumor cells. The most common target is the immunodominant pp65 protein of CMV. Compared to conventional cytotoxic T lymphocyte (CTL) therapy, these engineered TCR-T cells can be manufactured more efficiently and may offer improved specificity and safety due to their reliance on physiological signaling pathways. Clinical studies have demonstrated that adoptive transfer of CMV-specific TCR-engineered T cells is feasible, safe, and effective as pre-emptive or salvage therapy for patients with refractory or reactivated CMV infection following hematopoietic stem cell transplantation (HSCT), particularly after haploidentical peripheral blood stem cell transplantation[1][2][4][5].
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