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EBV-specific cytotoxic T lymphocytes (EBV-CTLs) are an investigational autologous cell therapy developed by Baylor College of Medicine for the treatment of Epstein-Barr virus (EBV)-associated malignancies. The therapy involves the ex vivo expansion of a patient's own T cells, which are primed to recognize and eliminate cells expressing EBV-specific antigens, specifically Latent Membrane Protein 1 (LMP1) and Latent Membrane Protein 2 (LMP2). These viral proteins are frequently expressed in EBV-positive Hodgkin lymphoma, non-Hodgkin lymphoma, and certain plasma cell neoplasms. By restoring or enhancing the host's cellular immune response against these viral targets, the therapy aims to induce tumor regression in patients with relapsed or refractory disease. Early clinical iterations of this therapy at Baylor utilized neomycin resistance gene marking to track the persistence and localization of the infused CTLs in vivo.
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