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Prepublished online as a Blood First Edition Paper on May 24, 2002; DOI 10.1182/blood-2002-03-0792.
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Blood, 15 September 2002, Vol. 100, No. 6, pp. 2026-2031
GENE THERAPY
Pharmacologically regulated in vivo selection in a large
animal
Tobias Neff,
Peter A. Horn,
Victor E. Valli,
Allen M. Gown,
Scott Wardwell,
Brent L. Wood,
Christof von Kalle,
Manfred Schmidt,
Laura J. Peterson,
Julia C. Morris,
Robert E. Richard,
Tim Clackson,
Hans-Peter Kiem, and
C. Anthony Blau
From the Divisions of Hematology and Oncology,
Department of Medicine, and the Department of Laboratory Medicine,
University of Washington, Seattle; the Clinical Research Division, Fred
Hutchinson Cancer Research Center, Seattle, WA; the Department of
Veterinary Pathobiology, University of Illinois, Urbana; PhenoPath
Laboratories, Seattle, WA; ARIAD Gene Therapeutics, Cambridge, MA; and
Department I of Internal Medicine and Institute for Molecular Medicine
and Cell Research, University of Freiburg, Germany.
The inefficiency of gene transfer has greatly hindered gene
therapy. In vivo selection may increase the frequency of genetically modified cells, thereby circumventing this critical limitation. Here we
demonstrate regulated in vivo selection in a large animal. CD34+ cells from 2 dogs were engineered to express a
conditional derivative of the thrombopoietin receptor (F36Vmpl).
Activation of the receptor through administration of a dimerizing drug,
AP20187, produced reversible, drug-dependent rises in genetically
modified red cells, white cells, and platelets in both animals, with
minimal side effects. Cell growth switches could greatly enhance the
efficacy and applicability of gene and cell therapy.

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