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Blood, 15 January 2002, Vol. 99, No. 2, pp. 457-462
GENE THERAPY
Use of blood outgrowth endothelial cells for gene therapy for
hemophilia A
Yi Lin,
Liming Chang,
Anna Solovey,
John F. Healey,
Pete Lollar, and
Robert P. Hebbel
From the Department of Medicine, University of
Minnesota Medical School, Minneapolis, and the Winship Cancer Center,
Emory University, Atlanta, GA.
A culture of human blood outgrowth endothelial cells (BOECs) was
established from a sample of peripheral blood and was transfected using
a nonviral plasmid carrying complementary DNA for modified human
coagulation factor VIII (B domain deleted and replaced with green
fluorescence protein). BOECs were then chemically selected, expanded,
cryopreserved, and re-expanded in culture. Stably transfected BOECs
were administered intravenously daily for 3 days to NOD/SCID mice at 4 cell dose levels (from 5 × 104 to
40 × 104 cells per injection). In 156 days of
observation, mice showed levels of human FVIII that increased with cell
dose and time. Mice in all cell dose groups achieved therapeutic levels
(more than 10 ng/mL) of human FVIII, and mice in the 3 highest
dose groups acquired levels that were normal (100-200 ng/mL) or even above the normal range (highest observed value, 1174 ng/mL). These levels indicate that the BOECs expanded in vivo after administration. When the mice were killed, it was found that BOEC accumulated only in
bone marrow and spleen and that these cells retained endothelial phenotype and transgene expression. Cell doses used here would make
scale-up to humans feasible. Thus, the use of engineered autologous
BOECs, which here resulted in sustained and therapeutic levels of
FVIII, may comprise an effective therapeutic strategy for use in gene
therapy for hemophilia A.

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