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GENE THERAPY
From the Hematopoiesis Section, Genetics and Molecular
Biology Branch, National Human Genome Research Institute, National
Institutes of Health, Bethesda, MD; and Systemix, Palo Alto, CA.
The low levels of transduction of human hematopoietic stem cells
(HSCs) with Moloney murine leukemia virus (MLV) vectors have been an obstacle to gene therapy for hematopoietic diseases. It has
been demonstrated that lentivirus vectors are more efficient than MLV
vectors at transducing nondividing cell lines as well as human
CD34+ cells and severe combined immunodeficiency disease
repopulating cells. We compared transduction of cell lines and
Lin Hematopoietic stem cells (HSCs) are an attractive
target for gene therapy of inherited and acquired blood
diseases.1,2 Integration of novel genetic material into
the genome of HSCs would result in continuous production of
hematopoietic cells with the transferred gene and correction of the
disease. The most efficient and most widely used gene transfer system
for integrating genes into HSCs is retrovirus-mediated gene transfer.
Initial work in mouse model systems using a mouse-specific ecotropic
retrovirus vector demonstrated the ability to transduce permanently up
to 35% to 40% of mouse long-term repopulating cells
(LTRCs).3-6 Gene marking and gene transfer studies in
canines,7-9 in nonhuman primates,10-12 and in
humans13-17 demonstrated the possibility to mark LTRCs,
using an amphotropic retrovirus vector, although the efficiency was
much lower, approaching 1%. This low transduction efficiency is a
major obstacle to successful treatment of hematopoietic disease by
gene therapy.
Transduction of any cell with either a Moloney murine leukemia virus
(MLV) or a lentivirus involves at least 3 steps.1,18 With
either virus, the first step involves binding of the retrovirus particles to its specific receptor at the cell surface and entry into
the cytoplasm. We have shown that low levels of amphotropic retrovirus
receptor on HSCs are one important obstacle to
transduction.19,20 We and others have shown that
retroviruses pseudotyped with a vesicular stomatitis virus G (VSV-G)
protein transduce HSCs more efficiently than amphotropic
retroviruses.21,22
After entry into the cell, the RNA genome is reverse transcribed into
double-stranded DNA. This step requires that the target cell has
adequate pools of deoxynucleotides available for DNA synthesis by
reverse transcriptase carried in with the RNA genome.23 MLV and lentivirus differ at the third step. Double-stranded MLV DNA
can only become integrated into the host cell genome after the nuclear
membrane breaks down prior to cell division.18,24 One of
the major limitations to MLV-mediated gene transfer of HSCs is that
HSCs are quiescent, with less than 5% of HSCs in the S,
G2, or M phases of the cell cycle.25-31 In
contrast, double-stranded lentivirus DNA is transported to the nucleus
where it can integrate into the genome without the requirement of cell
division.32-34 Numerous studies23,33-37 have
demonstrated the superiority of lentivirus over MLV vectors for
transduction of human CD34+ cells. Other studies have
demonstrated that nondividing mouse, rat, and human liver, brain, or
muscle cells38-40 and growth-arrested human and mouse
cell lines are efficiently transduced with lentiviral vectors.32,41,42
In this study, we used a co-transduction assay to compare transduction
of mouse HSCs with MLV and lentivirus vectors pseudotyped with the
VSV-G envelope. This assay makes use of an ecotropic retrovirus as an
internal control to demonstrate that HSCs are capable of converting
retrovirus RNA to DNA and to assess HSC cycle status through ecotropic
retrovirus integration. We report that exposure of HSCs to MLV or
lentivirus vectors for 24 hours without cytokines did not result in
transduction. In contrast, exposure of HSCs to MLV and lentivirus
vectors for 96 hours with cytokines resulted in equivalent
transduction. We conclude from this experiment that a large proportion
of HSCs are refractory to lentivirus as well as MLV-mediated transduction.
Mice
Enrichment of mouse HSCs
Lentiviral and retroviral vector construction and production The packaging plasmid, pHIV![]() contains the sequence of the
human immunodeficiency virus 1 (HIV-1) NL4-3 isolate with deletions of
(1) both LTRs, (2) 33 base pairs (bp) of the packaging signal ( ) 5'
to the gag gene, (3) 1587 bp of the env gene, (4) the vpu gene, and (5)
the nef gene. All the other genes are unaffected. Transcription of the
HIV genes is under the control of the cytomegalovirus (CMV)
60promoter, derived from the pCI vector (Promega, WI).
pHIV![]() is a modification of pHIV-PV.43 The transfer
vector, pHLPEGFP contains sequences from the HIV-1 NL4-3 isolate,
including (1) both LTRs; (2) 1251 bp of the 5' end of gag; (3) 715 bp
of the 3' end of pol, which contains the central polypurine tract and
transcriptional enhancer sequences; and (5) 977 bp of env, containing
the REV response element and the second exon of tat. The nef and rev
coding sequences are disrupted by the insertion of the PGK promoter and the EGFP marker gene (Clontech, CA). All of the HIV-based vectors are
modifications of pHIV-AP
G P E F V .43
The murine retroviral system used for comparison consists of the
packaging construct, pCMV-gp,44 that contains the sequence encoding gag and pol from Mo-MLV under the control of the CMV promoter from pCI, and the vector, pLEGFP, that is a derivative of
pLN45 with the neo gene replaced by EGFP. The envelope used for pseudotyping in this system is expressed by pCIGL, which
contains the VSV-G gene46,47 under the control of the
CMV promoter from pCI (Figure 1).
To generate viral supernatants, 293T cells (1 × 107) were plated in a 10-cm dish and transfected with 3 constructs (10 µg packaging construct, 5 µg envelope construct, and 20 µg vector), by Ca2PO4 precipitation (Clontech, CA). The transfection supernatant was collected after 24, 48, and 72 hours, pooled, and filtered through a 0.45-µm filter. The ecotropic retrovirus was obtained from Transduction of cell lines Both the MLV-VSV-G and the lentivirus VSV-G supernatant were tested against HeLa and 3T3 cells actively growing or growth inhibited by contact and serum deprivation or aphidicolin (Sigma, St. Louis, MO). Cells were plated in a 75-cm2 tissue culture flask (Corning, Corning, NY) in 10 mL of improved minimum essential medium (IMEM; Gibco, Gaithersburg, MD) supplemented with 10% fetal bovine serum (FBS) (Hyclone, Logan, UT) and heat inactivated for 1 hour at 56°C.Growth inhibition. Cells were grown to confluence and serum deprived with 0.1% FCS and ITS liquid media supplement 100× (Sigma, St. Louis, MO) in IMEM for 72 hours before transduction. After transduction, the cells were maintained under the same conditions for 72 hours before analysis. Aphidicolin. Cells were grown for 48 hours then cultured in IMEM-10% FCS supplemented with aphidicolin 15 µg/mL for 24 hours before transduction, during transduction, and for 72 hours before analysis. Actively growing cells. Cells were plated for 48 hours before transduction and analyzed 72 hours after transduction. All transductions were done by placing a 1:5 dilution (with IMEM ± FCS, ± aphidicolin) of the MLV-GFP or the lentivirus-GFP supernatant over the cells for 24 hours. Transduction efficiency was measured by flow cytometry analysis, using a FACScan (Becton Dickinson, San Jose, CA) for GFP expression and Southern blot analysis for GFP gene integration by standard technique.48 Cell cycle analysis was made for each cell line at the moment of transduction under the conditions as cited above, using a NuCycl-PI kit (Exalpha, Boston, MA) according to the manufacturer specifications. Co-transduction of mouse Lin mouse BM cells were plated at a density of 1 to 2 × 105 cells/mL in suspension culture plates
(Corning, NY). Transduction medium consisted of lentivirus VSV-G
containing supernatant or MMLV VSV-G containing supernatant diluted
1:10 (experiments 1 and 2) and 1:5 in ecotropic MMLV supernatant and 6 µg/mL polybrene (Sigma, St. Louis, MO). One portion of cells was
transduced for 24 hours in the absence of cytokines with a supernatant
change after 12 hours, the remaining cells were transduced for 96 hours in medium supplemented with cytokines, 100 ng/mL rat stem cell factor
(SCF), 50 ng/mL human interleukin 6 (IL-6; both provided by Amgen,
Thousand Oaks, CA), and 10 ng/mL murine IL-3 (PeproTech, Rocky Hill,
NJ). The medium was changed every 24 hours. After transduction, the
cells were transplanted into W/Wv
recipients by tail vein injection. Repopulation of the recipients with
donor cells was demonstrated by cellulose acetate electrophoresis analysis of hemoglobin from peripheral blood.49 At 16 weeks posttransplantation, DNA was extracted from 300 µL of
peripheral blood collected by retro-orbital venous sinus puncture.
Polymerase chain reaction (PCR) was performed on 400 ng of DNA, using
reagents and protocols obtained from the manufacturer (Perkin Elmer).
Primers were as follows: mouse -globin (sense primer, 5'GAA GTT GGG
TGC TTG GAG AC3'; anti-sense primer, 5'GAG ACT GCT CCC TAG AAT CG3'; fragment size 401 bp; annealing 56°C), LacZ (sense primer, 5'GCC GAC
ACC AGA CTA AGA AC3'; anti-sense primer, 5'CCT CTT CGC TAT TAC GCC
AG3'; fragment size 289 bp, annealing 66°C), and EGFP (sense primer,
5'CCA TGT GAT CGC GCT GCT TCT CG3'; anti-sense primer, 3'GGC CAC AAG
TTC AGC GTG TC3'; fragment size 586 bp, annealing 68°C). Thirty-five
cycles were performed for all samples at 94°C for 30 seconds
(denaturing), annealing for 30 seconds at primer-specific temperature,
and at 72°C for 30 seconds (extension), using a GeneAmp PCR System
9700 (Perkin Elmer). The PCR products were resolved on a 5%
polyacrylamide gel.
Transduction was also analyzed by flow cytometry. Peripheral blood (50 µL) was collected by retro-orbital sinus puncture, and red cells were lysed, using ACK Lysing Buffer (BioWhittaker, Walkersville, MD). White cells were resuspended in PBS (Biofluids, Rockville MD) and supplemented with 5% FCS. The cells were then analyzed for green fluorescence, using FACSvantage (Becton Dickinson, San Jose, CA). Dead cells were excluded, using propidium iodide stain, and negative green fluorescence was set at less than 1%, using cells from a naive mouse. Transduction of different lineages was also evaluated by staining the cells with CD3-phycoerythrin (PE), B-220-PE, Mac-1-PE (PharMingen, San Diego, CA). Cells were incubated 30 minutes at 4°C with the antibody at 0.5 µg/106 cells/100 µL. After staining, the cells were washed once and resuspended in DMEM-5% FCS for analysis. DNA was extracted from the BM, spleen, and thymus of repopulated animals. Southern blot analysis using standard methods48 was performed on DNA digested with Sst 1 (Gibco BRL, Gaithersburg, MD) to estimate the number of integrated provirus. Stem cell transduction was demonstrated by insertion-site analysis of DNA digested with Nco1. The filters were probed with a 32P-labeled probe for GFP.
Retrovirus titering Slot blot analysis of the MLV-VSV-G-EGFP (M-GFP) and lentivirus VSV-G-EGFP (L-GFP) was performed on stocks used in each experiment and compared to slot blot analysis of an ecotropic-GFP retrovirus with a titer at approximately 5 × 106 virus particles/mL (evaluated by NIH-3T3 cell transduction, data not shown). The titers of the MLV and the lentivirus supernatants in each experiment were evaluated to be at least 5 × 107 viral particles/mL, the L-GFP titer being somewhat higher than M-GFP (Figure 2). Evaluation of M-GFP and L-GFP titers by transduction of NIH-3T3 cells and 293T cells with serial dilutions of each supernatant gave an estimated titer of more than 107 viral particles/mL for both (data not shown), the titers of L-GFP being slightly higher than M-GFP as demonstrated by the slot blot analysis. In the first 2 murine HSC transduction experiments, the cells were exposed to a multiplicity of infection (MOI) of 5 to 10. In the last experiment, the MOI was 10 to 20.
Transduction of cell lines with MLV and lentivirus vectors Actively dividing or growth-inhibited HeLa and NIH-3T3 cells were transduced with equivalent amounts of M-GFP and L-GFP retrovirus particles and assayed by fluorescence-activated cell sorter (FACS) and Southern blot analyses for GFP expression and proviral integration. Of actively dividing HeLa and 3T3 cells transduced with the M-GFP, 79% and 34%, respectively, expressed GFP. When transduced with L-GFP, 60% and 24%, respectively, expressed GFP. Of contact-inhibited and serum-deprived HeLa and 3T3 cells transduced with M-GFP, 7.4% and 5.4%, respectively, expressed GFP, whereas 39% and 42% of the same cells transduced with L-GFP, respectively, expressed GFP. Of HeLa and NIH-3T3 cells transduced with M-GFP while growth inhibited with aphidicolin, 1.8% and 0.2% expressed GFP, whereas 13.5% and 11.5% of the same cells transduced with L-GFP expressed GFP. Southern blot analysis of DNA extracted from the cells showed compatible results (Figure 3 and Table 1). These results are consistent with previous findings, demonstrating that MLV and lentivirus vectors are equally efficient at transducing dividing cell lines from either mouse or human, but that lentivirus vectors are more efficient at transducing growth-arrested cell lines than MLV vectors. Cell cycle analysis demonstrated that there was at least a 2-fold decrease in the S/G2/M fraction for both 3T3 and HeLa cells under contact inhibition or aphidicolin (data not shown). This incomplete inhibition of the cell cycle may explain why some MLV-mediated transduction in the growth-inhibited cells is observed.
Transduction of mouse HSCs with MLV and lentiviral vectors To compare transduction of mouse HSCs by lentivirus vectors to transduction with MLV vectors, we used a co-transduction assay in which each group of cells was transduced with a LacZ ecotropic MLV vector as a control. This internal control is used to establish that the HSCs can convert viral RNA to DNA. Furthermore, because the ecotropic virus particles contain an MLV vector, ecotropic transduction indicates that some HSCs are dividing. The co-transduction was performed with the MLV eco-LACZ and either the VSV-G M-GFP (MLV group) or VSV-G L-GFP (lentivirus group). Two different transduction protocols were tested on lineage-negative BM cells. In the first protocol, Lin
cells were cultured for 24 hours in virus-containing medium without cytokines with a medium change after 12 hours. In the second protocol, Lin cells were cultured for 96 hours in virus-containing
medium supplemented with IL-3, IL-6, and SCF, with a medium change
every 24 hours. Following transduction, the cells were collected and
injected in W/Wv recipients.
Cellulose acetate hemoglobin electrophoresis performed 5 to 6 weeks
after transplant demonstrated conversion of all the transplanted
animals (heterozygous Hbbs/Hbbd
"single/diffuse" hemoglobin) to the phenotype of the donor animals (homozygous Hbbs/Hbbs "single" hemoglobin),
indicating repopulation by donor cells (Figure
4).
Transduction was analyzed using a PCR assay of DNA extracted from
peripheral blood of the transplanted animals 13 to 16 weeks after
transplant. Analysis of animals injected with cells transduced for 24 hours without cytokines revealed that the ecotropic proviral sequences
were not detectable in any of the animals (0 of 30) from either the MLV
or lentivirus groups. The M-GFP proviral sequences were detected in 1 of 15 animals and the L-GFP sequences were detected in 1 of 15 animals,
both at low levels (Figure 5 and Table
2). Analysis of animals injected with
cells transduced for 96 hours in the presence of cytokines revealed
that the ecotropic proviral sequences were detectable in 12 of 15 animals from the MLV group and in 14 of 15 animals from the lentivirus
group, indicating that some of the HSCs were capable of converting
viral RNA to DNA and were dividing. M-GFP proviral sequences were
detected in 10 of 15 animals, and L-GFP proviral sequences were
detected in 10 of 15 animals (Figure 5 and Table 2), indicating
equivalent transduction with both MLV and lentivirus vectors under
these conditions. The PCR reaction was validated by analyzing serial dilution of DNA extracted from both a LacZ retrovirus producer cell
line and a GFP with a known copy number. Both were sensitive to 1/1000
copy number and in a linear range up to at least 1/10 copy number. Each
analysis was run in parallel with DNA samples, containing 0.001 or
0.005, 0.05, and 0.1 copies/cell. The negative animals all had less
than 0.001 copies/cell. In the first 2 experiments, the positive
animals contained approximately 0.01 copies/cell. In the third
experiment, the positive animals contained approximately 0.1 copies/cell for M-GFP-mediated transduction and approximately 0.05 copies/cell for L-GFP-mediated transduction.
DNA was extracted from BM, spleen, and thymus of 2 mice in both the
96-hour M-GFP-transduced and L-GFP-transduced groups. Southern blot
analysis was performed on DNA digested with Sst1 and probed
with a GFP probe. The M-GFP provirus yields a 2.3-kilobase (kb)
fragment and the L-GFP provirus yields a 5.4-kb fragment. The GFP gene
was detectable in the BM, spleen, and thymus of all the animals
analyzed (Figure 6). For insertion-site
analysis, Southern blot analyses were performed also on DNA digested
with Nco1, which cuts once in both proviruses, and probed
with a GFP probe. Identical cell-virus junction fragments were detected
in the bone, spleen, and thymus of animals in both groups. Although the
cell population obtained from the BM, spleen, and thymus do not
represent pure populations, this result indicates a likely transduction
of stem cells by both M-GFP and L-GFP (Figure 6).
GFP expression in peripheral blood of the animals was analyzed by FACS.
A naive mouse was used as a negative control, and dead cells were
excluded by propidium iodide staining. In 2 experiments, 6 weeks after
transplant, GFP could not be detected in the peripheral blood of either
M-GFP- or L-GFP-transduced mice, both in the 24-hour or in the
96-hour protocol. In the third experiments, GFP could not be detected
in the animals transplanted with cells transduced at 24 hours. In the
animals transplanted with cells transduced at 96 hours with M-GFP, 6 weeks after transplant, GFP was detectable in all animals at an average
of 3.4% of positive cells (range 1.17-6.09; data not shown). Sixteen
weeks after transplant, GFP was no longer detectable. In the animals
transplanted with cells transduced at 96 hours with L-GFP, 6 weeks
after transplant, GFP was detectable in all the animals at an average
of 2.11% (range 1.09-2.99). Sixteen weeks after transplant, GFP
expression was still detectable in 2 animals (levels 3.4% and 7.9%).
Lineage-specific expression was analyzed by staining the cells with
CD3-PE, B220-PE, and Mac-1-PE. Double-positive cells (GFP and PE) were
observed for all lineages analyzed (Figure
7). For animals transduced with M-GFP,
although most have approximately 0.1 copies/cell in the peripheral
blood, the fact that no GFP is detectable by FACS implies silencing of
the GFP gene. There was also some silencing in the animals transduced
with L-GFP, although at a lower level, which leads us to believe that a
gene driven by a retroviral LTR is more prone to silencing in mouse
HSCs than a gene driven by a pgk promoter.
A consistent observation in human and large-animal gene transfer studies has been the inefficient transduction of hematopoietic stem cells with MLV vectors10,11,14,50 The low transduction efficiency has been attributed to different factors: low retrovirus titer, lack of integration of the retrovirus into the genome because of quiescence of the stem cells, or insufficient number of retrovirus receptors on the cell surface. Lentivirus vectors have been shown to transduce nondividing cells, leading to the hypothesis that lentivirus vectors should transduce HSCs at higher frequencies than MLV vectors. Our results, comparing MLV and lentivirus transduction of growth-arrested mouse and human cells lines, are consistent with a large body of published work, demonstrating superior transduction of nondividing cells by lentivirus vectors as demonstrated, for example, by Mochizuki et al39 and by Naldini et al.41 Mochizuki et al39 found that on contact-inhibited human skin fibroblast and rat cerebellar neurons, lentivirus vectors transduced 20% to 30% of the cells while MLV transduction was nearly undetectable. Naldini et al41 found that on growth-arrested HeLa cells, lentivirus vectors transduced 70% to 90% of the cells and MLV vectors only of 5% to 8%. On rat fibroblast lentivirus vectors transduced 17% to 50% of the cells and MLV vectors 1% to 11%. Our results, comparing MLV- and lentivirus-transducing mouse HSCs, indicate that HSC transduction with lentivirus occurs under conditions that also promote MLV transduction. In contrast to growth-arrested cells lines that are mostly in G1/S (in aphidicolin)51 or G2 (radiation),52 HSCs are primarily in G0.31,53,54 We have omitted 5-fluorouracil treatment of donor cells and fibronectin from our transduction protocol because these transduction conditions are postulated to recruit or signal HSCs into cell cycle. We hypothesize that resting G0 HSCs are resistant to both MLV and lentivirus transduction. Support for this hypothesis can be found in related work with other systems. Naldini et al41 observed that cells lines maintained in G0 for longer periods were transduced by lentivirus vectors with a lower efficiency. Park et al,55 in an in vivo experiment of mouse liver cell transduction, observed decreased lentivirus-mediated transduction of noncycling hepatocytes. Our results are consistent with failure of G0 cells to either reverse transcribe viral RNA23,56,57 or to allow integration into the genome.58 Other studies33-35,37,43 have examined transduction of CD34+ cells, whether in vitro or in severe combined immunodeficiency (NOD/SCID) repopulation assay. All of these studies have demonstrated better transduction with lentivirus vectors compared with MLV. Our results differ from those results. One explanation may be that we have focused on the transduction of LTRCs, as opposed to the transduction of a mixture of LTRCs and progenitor cells. Our model of mouse transplantation may be identifying only a subset of stem and progenitor cells capable of long-term repopulation. We believe that our mouse model is a closer model to human HSCs than the NOD/SCID model. It is well demonstrated that lentiviruses transduce SCID repopulating cells (SRCs) efficiently (up to 30%),34 but there is no data regarding human or nonhuman primate HSC transduction using a lentivirus vector. However, some investigators have demonstrated high transduction efficiency of SRCs in NOD/SCID models using an amphotropic MLV (up to 30%).59 In our mouse model, the transduction efficiency of mouse HSCs using an amphotropic retrovirus was very low,19,22 just like the one observed in human trials.14 We have previously demonstrated that a VSV-G-pseudotyped MLV was as efficient at transducing mouse HSCs as an ecotropic retrovirus.22 In the present study, both MLV and lentivirus are almost as efficient as the ecotropic MLV control for transduction of mouse HSCs in dividing cells, which is an improvement over what was seen with an amphotropic-pseudotyped MLV in the same model. It is possible that lentivirus vectors may perform better in human HSCs than in mouse HSCs. However, on the basis of similarity of MLV and lentivirus transduction of mouse and human cell lines, as well as the transduction of primary mouse and rat liver and neuronal cells, we favor the explanation that integration of lentivirus vectors into mouse and human HSCs occurs under the same conditions. It has been shown that the transduction efficiency of human CD34+ cells using a VSV-G-pseudotyped lentivirus vector increased significantly with the MOI, up to an MOI of 1000.23 In contrast, Miyoshi et al34 did not see a significant increase in transduction efficiency when increasing the MOI from 60 to 300. Also, Rebel et al60 were able to transduce 25% of the SRCs, using a VSV-G MLV with a high MOI (130-260). The MOI used here was low (5-10). Doubling the MOI increased the transduction efficiency for both the MLV and the lentivirus vectors. On the basis of these results and the literature findings, we have no reason to believe that a further increase in the MOI would advantage the lentivirus vector over the MLV vector. Our packaging plasmid is capable of expressing the HIV-1 vpr accessory gene, which has been shown to be cytostatic, or even of inducing apoptosis in target cells.61 Because the lentivirus vector was able to transduce prestimulated mouse HSCs, we do not believe this is the reason for the low transduction efficiency of unstimulated HSCs. In summary, lentivirus vectors were not able to transduce mouse HSCs without cytokine stimulation, and both lentivirus and MLV vectors performed equally in our mouse co-transduction assay when cells were transduced in cytokine-containing medium. Although cell division may not be necessary for lentivirus vector integration, progression to the G1 stage may be required. Our data suggest that protocols for HSC transduction may continue to depend on cell cycle progression to allow efficient integration of either MLV or lentivirus vectors.
Submitted May 23, 2000; accepted July 14, 2000.
J.L.D. is an employee of Systemix Inc.
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: David M. Bodine, Hematopoiesis Section, GMBB, NHGRI, 49 Convent Dr, Rm 3A11, NIH, Bethesda, MD 20892-4442; e-mail: tedyaz{at}nhgri.nih.gov.
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