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Blood, 15 June 2002, Vol. 99, No. 12, pp. 4394-4399
GENE THERAPY
Induction of T-cell tolerance to an MHC class I alloantigen by
gene therapy
Jessamyn Bagley,
Chaorui Tian,
David H. Sachs, and
John Iacomini
From the Transplantation Biology Research Center,
Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Induction of immunologic tolerance to alloantigens is a major goal
in the field of transplantation. Here, we demonstrate that efficient
transduction and expression of a retrovirally transduced major
histocompatibility complex (MHC) class I gene
(H-2Kb) in bone marrow (BM)-derived cells,
resulting in a permanent state of hematopoietic molecular chimerism,
induces stable tolerance to the transduced gene product. Reconstitution
of lethally irradiated syngeneic recipients with BM transduced with
virus encoding H-2Kb resulted in life-long
expression of the retroviral gene product on the surface of BM-derived
hematopoietic lineages including Sca-1+, lineage negative,
hematopoietic progenitors. T cells from mice receiving MHC-transduced
BM were unable to kill targets expressing H-2Kb
but were able to respond to third-party controls. Mice reconstituted with H-2Kb-transduced BM exhibited long-term
acceptance of H-2Kb mismatched skin grafts but
were able to rapidly reject third-party control grafts. Thus, gene
therapy approaches may be used to induce T-cell tolerance.

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