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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-07-2105.
HEMATOPOIESIS
From the Department of Biomedical Sciences, Creighton
University, Omaha, NE.
Congenital blood disorders are common and yet clinically
challenging globin disorders. Gene therapy continues to serve as a
potential therapeutic method to treat these disorders. While tremendous
advances have been made in vivo, gene delivery protocols and vector
prototypes still require optimization. Alternative cis-acting promoter elements derived from VL30
retroelements have been effective in expressing tissue-specific
transgene expression in vivo in nonerythroid cells. VL30 promoter
elements were isolated from ELM-I-1 erythroid progenitor cells upon
erythropoietin (epo) treatment. These promoters were inserted into a
VL30-derived expression vector and reintroduced into the ELM-I-1 cells.
Retroviral and lentiviral model systems are close
to being utilized for hemoglobinopathy human gene therapy
trials.1 Incorporation of cis-acting regulatory
components of the globin gene, including the locus control region
(LCR), initially caused aberrant RNA processing. Modifications have
allowed significant levels of recombinant globin gene expression to be
achieved.2-4 Retroviral vectors using the promoter from
the red cell membrane protein ankyrin have shown position-independent,
copy number-dependent expression of the A variation on virally derived LTR vector components is the use of
retrotransposon-based VL30 U3 promoter sequences. Mouse VL30s include
more than 100 different promoter variations within the endogenous
genome, have limited sequence homology to murine retroviruses,8 and are activated by
transformation,9,10 growth factors,11,12
steroids,13 and cytokines.14 VL30 promoters
have been characterized for tissue-specific expression in
vitro15,16 and in vivo.17 Hematopoietic VL30
elements14 and specialized erythropoietin
(epo)-responsive erythroid progenitor cell lines have been
probed.20 However, these clones have not been assessed in
the context other than their native configuration. Therefore, VL30
promoter elements within a heterologous construct were reintroduced
into erythroid progenitor cells. These expression assays determined
that the ELM 5 (BVL-1-like) VL30 clone provided sustained reporter
gene expression in erythroid progenitor cells in vitro.
VL30 promoter selections
Electroporation into ELM-I-1 erythroid progenitor cells
X-gal staining of VLIBAG-transfected cells Transfected cells were stained with X-gal (X-galactopyranoside 1 mg/mL in N,N,-dimethyl formamide) along with X-gal staining solution (20 mM K3Fe(CN)6; 20 mM K4Fe(CN)6 3H20; 1.5 mM MgCl2 in phosphate-buffered saline [PBS], pH 7.4) and incubated for 20 hours at 37°C.21ONPG hydrolysis of cell lysates from stably transfected ELM cells Transfected ELM cells (2.5 × 105 to 4 × 105/mL) were grown for 3 days in uninduced (0.55 U/mL) and epo-induced (10 U/mL) growth conditions in T75 Falcon flasks (Fisher, Pittsburgh, PA) for 3 days. Cell lysates were monitored through duplicate assays performed in triplicate. Using the -Gal Assay Kit (Invitrogen, Carlsbad, CA), the specific
activity of the cell lysates (nanomoles of
o-nitrophenyl- -D-galactopyranoside [ONPG] hydrolyzed per
milligram of total protein) from each vector construct was calculated
and normalized to the total protein concentration (Pierce, Rockford,
IL). The uninduced VLIBAG vector's expression was defined from each
time point as 1 nmol of ONPG hydrolyzed per milligram of protein in 30 minutes at 37°C.
Statistical analysis of expression assays Raw data from each assay were assessed through a paired correlated groups Student t test using the InStat program (GraphPad Software, Version 3.01). Probability (P) values that were less than .05 were considered significant.
VL30 promoter isolations Degenerate VL30-specific primers were used to reverse transcribe (RT) a single-stranded 3' U3 promoter complementary DNA (cDNA)20 (Figure 1A). Polymerase chain reaction (PCR) was used to synthesize and amplify double-stranded cDNA clones from MEL and ELM-I-1 cell RNA. VL30 promoter clones were identified and classified.20 The MEL/ELM clone was conserved between both erythroid progenitor cell lines and was grouped with members of the VL30 subgroup IV.21 The other 5 promoters were categorized in subgroup III.21 Clone ELM 5 showed homology (97%) to a previously identified VL30 element, BVL-1 (GenBank no. X17124),14,22 and contained a putative erythropoietin-activated Jak2/STAT5 recognition site.23 Sequences of the ELM 5 and MEL/ELM clones encoded 3 GATA-1 sites20 and 2 B10 Ras-responsive elements.12 Confirmatory ribonuclease protection of the various VL30 promoters verified the expression of the isolated VL30 promoters.20
The VL30 promoters MEL/ELM and ELM 5 were cloned into the promoter regions of the VL30-derived expression vector, VLIBAG (GenBank no. AF062997), for electroporation into the ELM cells (Figure 1A). A fibroblast-specific VL30 promoter, NVL3,17,24 as well as the positive control, the retroviral vector RVBAG,25 were also electroporated into the ELM cells. Transfected cells were grown in selective media and initially stained with X-gal 2 weeks after transfection to confirm the constructs' reporter gene expression (Figure 1B-E). In contrast to the control NVL3 promoter, MEL/ELM and ELM 5 constructs showed insignificant reporter gene expression levels in transformed fibroblast cell lines (data not shown). Transfected ELM cell ONPG hydrolysis assays The transfected ELM cells were grown simultaneously under uninduced (0.5 U/mL epo) and epo-induced (10 U/mL epo) growth conditions. The specific activity for each of the transfected cells was monitored over 2-week intervals for 16 weeks.The NVL3 control promoter in the VLIBAG construct showed little
activity throughout the time-course assay (Figure
2). The specific activity of the positive
control vector, RVBAG, was greatest after 2 weeks in culture and showed
minimal expression by the 12th week (Figure 2). ELM cells transfected
with the novel MEL/ELM promoter showed significant
In summary, erythroid-specific VL30 promoters were isolated, confirmed for their apparent epo-responsive behavior,20 and cloned into an expression vector, VLIBAG. Reintroduction of the novel constructs into the ELM cells revealed that the ELM 5 (BVL-1-like) promoter was able to express itself consistently during the 16-week assay period. This promoter was able to direct sustainable expression levels throughout the time course assay and continued to express itself past 16 weeks in culture. The incorporation of this promoter within the flanking LTR regions of contemporary vectors may allow for sustained therapeutic levels of transgenic globin expression.
We thank James Grunkemeyer, Daniel Meehan, and Dominic Cosgrove from Boys Town National Research Hospital for providing the VLIBAG vector and technical assistance and thank Mike Hendrickson for assistance in preparing the figures for this document.
Submitted July 15, 2002; accepted October 4, 2002.
Prepublished online as Blood First Edition Paper, October 24, 2002; DOI 10.1182/blood-2002-07-2105.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Joseph A. Knezetic, Department of Biomedical Sciences, Creighton University, 2500 California Plaza, Omaha, NE; e-mail: joek{at}creighton.edu.
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© 2003 by The American Society of Hematology.
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