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Blood, 1 December 2003, Vol. 102, No. 12, pp. 3934-3937.
Prepublished online as a Blood First Edition Paper on July 24, 2003; DOI 10.1182/blood-2003-05-1424.
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GENE THERAPY Brief report
Dose finding with retroviral vectors: correlation of retroviral vector copy numbers in single cells with gene transfer efficiency in a cell population
Olga S. Kustikova,
Anke Wahlers,
Klaus Kühlcke,
Birgit Stähle,
Axel R. Zander,
Christopher Baum, and
Boris Fehse
From the Department of Bone Marrow Transplantation, University Hospital Eppendorf, Hamburg, Germany; Europäisches Institut für Forschung und Entwicklung von Transplantationsstrategien (EUFETS) AG, Idar-Oberstein, Germany; Department of Hematology and Oncology, Hannover Medical School, Germany; and Division of Experimental Hematology, Cincinnati Children's Research Foundation, OH.
Retroviral vectors are commonly used in clinical gene therapy, but recent observations of insertional oncogene activation in preclinical and clinical settings have forced a discussion of their safety. Here we investigated the relationship between retroviral transduction efficiency in mass cultures and the actual number of integrated vector copies in single cells using K562 leukemia and primary CD34+ cells. We found an exponential increase of integration numbers correlated to gene transfer rates and a linear increase of expression levels with insertion frequency. On average we detected one vector insertion per transduced cell for a gene transfer of less than 30%, 3 for 60%, and approximately 9 for 90% (in K562). Clonal analysis revealed strikingly increased variations of both transgene copy numbers (more than 20-fold in primary cells) and expression levels associated with higher transduction. Therefore, limiting retroviral gene transfer to approximately 30% may be suggested to avoid generating clones containing multiple insertions.

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