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Prepublished online as a Blood First Edition Paper on July 5, 2002; DOI 10.1182/blood-2002-02-0599.
Submitted February 27, 2002
The Terry Fox Laboratory, BC Cancer Agency, Vancouver, BC, Canada * Corresponding author; email: ceaves{at}bccancer.bc.ca.
Transfer of therapeutic genes to human hematopoietic stem cells (HSCs) using complex vectors at clinically relevant efficiencies remains a major challenge. Recently we described a stable retroviral vector that sustains long-term expression of GFP and a human ß-globin gene in the erythroid progeny of transduced murine HSCs. We now report the efficient transduction of primitive human CD34+ fetal liver or cord blood cells with this vector and expression of the ß-globin transgene in the erythroid progeny of these human cells for at least 2 months. After growth factor pre-stimulation and then a 2-3 day exposure to the virus, 35-55% GFP+ progeny were seen in assays of transduced colony-forming cells, primitive erythroid precursors that generate large numbers of glycophorin A-positive cells in 3-week suspension cultures, and 6-week long-term culture-initiating cells. In immunodeficient mice injected with unselected infected cells, 5-15% of the human cells regenerated in the marrow (including the erythroid cells) were GFP+ 3 and 6 weeks post-transplant. Importantly, the numbers of GFP+ human lymphoid and either granulopoietic or erythroid cells in individual mice 6 weeks post-transplant were significantly correlated, indicative of the initial transduction of human multi-potent cells with in vivo repopulating activity. Expression of the transduced ß-globin gene in human cells obtained directly from the mice or after their differentiation into erythroid cells in vitro was demonstrated by reverse transcriptase-PCR using specific primers. These experiments represent a significant step towards the realization of a gene therapy approach for human ß-globin gene disorders.
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