Strategies to enhance T-cell reconstitution in immunocompromised patients

Nat Rev Immunol. 2004 Nov;4(11):856-67. doi: 10.1038/nri1484.


Immune deficiency, together with its associated risks such as infections, is becoming an increasingly important clinical problem owing to the ageing of the general population and the increasing number of patients with HIV/AIDS, malignancies (especially those treated with intensive chemotherapy or radiotherapy) or transplants (of either solid organs or haematopoietic stem cells). Of all immune cells, T cells are the most often affected, leading to a prolonged deficiency of T cells, which has important clinical consequences. Accordingly, strategies to improve the recovery and function of T cells, as we discuss here, should have a direct impact on reducing the morbidity and mortality of many patients and should increase the efficacy of therapeutic and prophylactic vaccinations against microbial pathogens or tumours.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Adoptive Transfer
  • Animals
  • Cytokines / immunology
  • Growth Substances / therapeutic use
  • Hormones / therapeutic use
  • Humans
  • Immune System Diseases / immunology
  • Immune System Diseases / therapy*
  • Mice
  • Stem Cell Transplantation
  • T-Lymphocytes / immunology*
  • Thymus Gland / immunology


  • Cytokines
  • Growth Substances
  • Hormones