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Prepublished online as a Blood First Edition Paper on July 5, 2002; DOI 10.1182/blood-2002-02-0599.
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Blood, 15 August 2002, Vol. 100, No. 4, pp. 1257-1264
GENE THERAPY
Expression of a human -globin transgene in erythroid cells
derived from retrovirally transduced transplantable human fetal liver
and cord blood cells
Franck E. Nicolini,
Suzan Imren,
Il-Hoan Oh,
R. Keith Humphries,
Philippe Leboulch,
Mary E. Fabry,
Ronald L. Nagel, and
Connie J. Eaves
From the Terry Fox Laboratory, British Columbia Cancer
Agency and University of British Columbia, Vancouver, BC, Canada;
Harvard-MIT, Division of Health Sciences and Technology,
Massachusetts Institute of Technology, Cambridge; Genetix
Pharmaceuticals, Cambridge, MA; and Albert Einstein College of
Medicine, Bronx, NY.
Transfer of therapeutic genes to human hematopoietic stem
cells (HSCs) using complex vectors at clinically relevant efficiencies remains a major challenge. Recently we described a stable retroviral vector that sustains long-term expression of green fluorescent protein
(GFP) and a human -globin gene in the erythroid progeny of
transduced murine HSCs. We now report the efficient transduction of
primitive human CD34+ fetal liver or cord blood cells with
this vector and expression of the -globin transgene in the erythroid
progeny of these human cells for at least 2 months. After growth factor
prestimulation and then a 2- to 3-day exposure to the virus, 35% to
55% GFP+ progeny were seen in assays of transduced
colony-forming cells, primitive erythroid precursors that generate
large numbers of glycophorin A+ cells in 3-week suspension
cultures, and 6-week long-term culture-initiating cells. In
immunodeficient mice injected with unselected infected cells, 5% to
15% of the human cells regenerated in the marrow (including the
erythroid cells) were GFP+ 3 and 6 weeks after
transplantation. Importantly, the numbers of GFP+ human
lymphoid and either granulopoietic or erythroid cells in individual
mice 6 weeks after transplantation were significantly correlated,
indicative of the initial transduction of human multipotent cells with
in vivo repopulating activity. Expression of the transduced -globin
gene in human cells obtained directly from the mice or after their
differentiation into erythroid cells in vitro was demonstrated by
reverse transcriptase-polymerase chain reaction using specific
primers. These experiments represent a significant step toward the
realization of a gene therapy approach for human -globin gene disorders.

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G. F. Atweh, J. DeSimone, Y. Saunthararajah, H. Fathallah, R. S. Weinberg, R. L. Nagel, M. E. Fabry, and R. J. Adams
Hemoglobinopathies
Hematology,
January 1, 2003;
2003(1):
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