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Prepublished online as a Blood First Edition Paper on August 1, 2002; DOI 10.1182/blood-2001-12-0165.
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Blood, 15 December 2002, Vol. 100, No. 13, pp. 4381-4390
GENE THERAPY
Third-generation, self-inactivating gp91phox
lentivector corrects the oxidase defect in NOD/SCID mouse-repopulating
peripheral blood-mobilized CD34+ cells from patients
with X-linked chronic granulomatous disease
Joachim Roesler,
Sebastian Brenner,
Anatoly A. Bukovsky,
Narda Whiting-Theobald,
Thomas Dull,
Michael Kelly,
Curt I. Civin, and
Harry L. Malech
From the Laboratory of Host Defenses, National
Institute of Allergy and Infectious Diseases, National Institutes of
Health, Bethesda, MD; Cell Genesys, Foster City, CA; and the Sidney
Kimmel Comprehensive Cancer Center, Johns Hopkins University School of
Medicine, Baltimore, MD.
HIV-1-derived lentivectors are promising for gene transfer
into hematopoietic stem cells but require preclinical in vivo
evaluation relevant to specific human diseases. Nonobese
diabetic/severe combined immunodeficient (NOD/SCID) mice accept human
hematopoietic stem cell grafts, providing a unique opportunity for in
vivo evaluation of therapies targeting human hematopoietic diseases. We
demonstrate for the first time that hematopoietic stem cells from
patients with X-linked chronic granulomatous disease (X-CGD) give
rise to X-CGD-phenotype neutrophils in the NOD/SCID model that can be
corrected using VSV-G-pseudotyped, 3rd-generation, self-inactivating (SIN) lentivector encoding gp91phox. We transduced X-CGD
patient-mobilized CD34+ peripheral blood stem cells
(CD34+PBSCs) with lentivector-gp91phox or
amphotropic oncoretrovirus MFGS-gp91phox and
evaluated correction ex vivo and in vivo in NOD/SCID mice. Only
lentivector transduced CD34+PBSCs under ex vivo
conditions nonpermissive for cell division, but both vectors performed
best under conditions permissive for proliferation (multiple growth
factors). Under the latter conditions, lentivector and MFGS achieved
significant ex vivo correction of X-CGD CD34+PBSCs (18%
and 54% of cells expressing gp91phox, associated with 53%
and 163% of normal superoxide production, respectively). However,
lentivector, but not MFGS, achieved significant correction of human
X-CGD neutrophils arising in vivo in NOD/SCID mice that underwent
transplantation (20% and 2.4%, respectively). Thus, 3rd-generation
SIN lentivector-gp91phox performs well as assessed in
human X-CGD neutrophils differentiating in vivo, and our studies
suggest that the NOD/SCID model is generally applicable for in vivo
study of therapies evaluated in human blood cells expressing a specific
disease phenotype.

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