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Blood, 1 November 2003, Vol. 102, No. 9, pp. 3117-3119.
Prepublished online as a Blood First Edition Paper on July 17, 2003; DOI 10.1182/blood-2003-03-0962.


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GENE THERAPY
Brief report

Scaffold attachment region–containing retrovirus vectors improve long-term proviral expression after transplantation of GFP-modified CD34+ baboon repopulating cells

Peter Kurre, Julia Morris, Bobbie Thomasson, Donald B. Kohn, and Hans-Peter Kiem

From the Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; the Departments of Pediatrics and Medicine, University of Washington School of Medicine, Seattle, WA; the Division of Research Immunology/Bone Marrow Transplantation, Children's Hospital Los Angeles, Los Angeles, CA; and the University of Southern California Keck School of Medicine, Los Angeles, CA.

Sustained high-level proviral expression is important for clinical applications of gene therapy. Genetic elements including the {beta}-interferon scaffold attachment region (SAR) have been shown to improve transgene expression in hematopoietic cells. We hypothesized that SAR elements might improve expression and allow the preselection of successfully transduced cells. Thus, we transplanted green fluorescent protein (GFP)–selected cells, half of which had been transduced with either SAR or non–SAR-containing retrovirus vectors, into 3 animals. All animals showed delayed engraftment compared with historic controls (28 vs 15.5 days). GFP marking was seen at levels up to 8% but declined over the first 6 weeks. Importantly, fluorescence intensity was 2- to 9-fold increased in progeny of SAR versus non–SAR vector–modified cells in all hematopoietic lineages for the duration of follow-up (6-12 months). In conclusion, the use of SAR-containing vectors improved transgene expression in hematopoietic repopulating cells, which may obviate the need for multicopy integration to achieve high-level expression and reduce the risk for insertional mutagenesis.


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