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Prepublished online as a Blood First Edition Paper on September 5, 2002; DOI 10.1182/blood-2002-07-2131.
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Blood, 15 January 2003, Vol. 101, No. 2, pp. 485-491
GENE THERAPY
Gene therapy of apolipoprotein E-deficient mice using a novel
macrophage-specific retroviral vector
Peter J. Gough and
Elaine W. Raines
From the Department of Pathology, University of
Washington, Seattle.
The use of retroviral gene transfer into hematopoietic stem cells
for human gene therapy has been hampered by the absence of retroviral
vectors that can generate long-lasting, lineage-specific gene
expression. We developed self-inactivating retroviral vectors that
incorporate gene-regulatory elements from the macrophage-restricted human CD68 gene. Through the transplantation of transduced
murine hematopoietic stem cells (HSCs), we show that a vector
incorporating a 342-base pair (bp) fragment of 5' flanking sequence
from the CD68 gene, in addition to the CD68 first intron,
was able to direct macrophage-specific expression of an enhanced green
fluorescent protein (EGFP) reporter gene in inflammatory cell
exudates and lymphoid organs in vivo. Levels of EGFP expression
generated by this vector were greater than those generated by a
standard Moloney murine leukemia retroviral vector, and they were
stable for at least a year after transplantation of transduced HSCs. To
evaluate the ability of this vector to generate therapeutically useful levels of gene expression, we transplanted apolipoprotein E
(ApoE)-deficient HSCs transduced with a virus encoding ApoE into
ApoE-deficient mice. Macrophages from these mice expressed levels of
ApoE that were comparable to those from wild-type mice, and
vector-driven expression of ApoE in macrophages was sufficient to
reverse both hypercholesterolemia and atherosclerotic lesion
development. The future application of this retroviral vector should
provide a powerful tool to further elucidate macrophage function and
for human gene therapy.

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