Treatment of relapsing HPV diseases by restored function of natural killer cells
New England Journal of Medicine Sep 07, 2021
Lisco A, Hsu AP, Dimitrova D, et al. - This study’s findings demonstrate that natural killer (NK) cytotoxicity seems to play a role in containing human papillomavirus (HPV) colonization and the ensuing HPV-related hyperplastic or dysplastic lesions.
Researchers presented the case of a young man who had encephalitis caused by the herpes simplex virus during adolescence and currently presented with multiple recurrent skins and mucosal lesions caused by HPV.
The individual was observed to have a pathogenic germline mutation in the X-linked interleukin-2 receptor subunit gamma gene, which was somatically reverted in T cells but not in NK cells.
It was shown that allogeneic hematopoietic-cell transplantation led to the restoration of NK cytotoxicity, with normalization of the skin microbiome and persistent remission of all HPV-related diseases.
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