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Blood, 15 November 2000, Vol. 96, No. 10, pp. 3392-3398
GENE THERAPY
High-level transgene expression in human hematopoietic
progenitors and differentiated blood lineages after transduction with
improved lentiviral vectors
Patrick Salmon,
Vincent Kindler,
Odile Ducrey,
Bernard Chapuis,
Rudolf H. Zubler, and
Didier Trono
From the Department of Genetics and Microbiology and
Division of Hematology, Faculty of Medicine, Geneva,
Switzerland.
Recent experiments point to the great value of lentiviral vectors
for the transduction of human hematopoietic stem cells (hHSCs). Vectors
used so far, however, have been poorly satisfying in terms of either
biosafety or efficiency of transgene expression. Herein is described
the results obtained with human immunodeficiency virus-based vectors
optimized in both of these aspects. It is thus shown that vectors
containing the EF1 and, to a lesser extent, the phosphoglycerate
kinase (PGK) promoter, govern high-level gene expression in human
hematopoietic progenitors as well as derived hematopoietic
lineages of therapeutic relevance, such as erythrocytes,
granulocytes, monocytes, dendritic cells, and megakaryocytes.
EF1 promoter-containing lentiviral vectors can also induce strong
transgene expression in primary T lymphocytes isolated from peripheral
blood. A self-inactivating design did not affect the performance of
EF1 promoter-based vectors but significantly reduced expression from
the PGK promoter. This negative effect could nevertheless be largely
rescued by inserting the post-transcriptional regulatory element of
woodchuck hepatitis virus upstream of the vector 3' long terminal
repeat. These results have important practical implications for the
genetic treatment of lymphohematologic disorders as well as for the
study of hematopoiesis via the lentivector-mediated modification of hHSCs.

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