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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3300-3302.
Prepublished online as a Blood First Edition Paper on December 24, 2003; DOI 10.1182/blood-2003-11-3852.
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GENE THERAPY Brief report
Erythropoietin gene therapy leads to autoimmune anemia in macaques
Guangping Gao,
Corinna Lebherz,
Daniel J. Weiner,
Rebecca Grant,
Roberto Calcedo,
Beth McCullough,
Adam Bagg,
Yi Zhang, and
James M. Wilson
From the Gene Therapy Program, Division of Medical Genetics, Department of Medicine, University of Pennsylvania; Department of Pathology and Laboratory Medicine, University of Pennsylvania; Division of Hematology/Oncology, University of Pennsylvania, Philadelphia; Division of Pulmonary Medicine, Children's Hospital of Philadelphia; and the Wistar Institute, Philadelphia, PA.
Gene therapy is being considered for the delivery of therapeutic proteins. We evaluated the delivery of the hormone erythropoietin (EPO) into cynomolgus macaques through intramuscularly administered adeno-associated virus (AAV) vectors. As expected, the animals developed supraphysiologic levels of EPO and polycythemia. However, severe anemia ensued in some animals because of an autoimmune response to endogenous and transgene derived EPO. This is the first example of gene therapy leading to inadvertent auto-immunity in primates. (Blood. 2004;103: 3300-3302)

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