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Prepublished online as a Blood First Edition Paper on July 17, 2003; DOI 10.1182/blood-2003-03-0962.

Submitted March 28, 2003
Accepted June 4, 2003
Scaffold attachment region-containing retrovirus vectors improve long-term proviral expression after transplantation of GFP-modified CD34+ baboon repopulating cells
Peter Kurre, Julia Morris, Bobbie Thomasson, Donald B Kohn, and Hans-Peter Kiem*
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA
Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA
Division of Research Immunology/BMT, Children's Hospital Los Angeles, Los Angeles, CA, USA
University of Southern Califnornia School of Medicine, Los Angeles, CA, USA
* Corresponding author; email: hkiem{at}fhcrc.org.
Sustained high-level proviral expression is important for clinical applications of gene therapy. Genetic elements including the -interferon scaffold attachment region (SAR) have been shown to improve transgene expression in hematopoietic cells. We hypothesized that SAR elements might improve expression and allow the preselection of successfully transduced cells. Thus, we transplanted three animals with GFP selected cells, half of which had been transduced with either SAR, or non SAR-containing retrovirus vectors. All animals showed delayed engraftment compared to historic controls (28 vs 15.5 days). GFP marking was seen at levels up to 8%, but declined over the first 6 weeks. Importantly, fluorescence intensity was 2-9-fold increased in progeny of SAR versus non SAR vector-modified cells in all hematopoietic lineages for the duration of follow-up (6-12 months). In conclusion, the use of SAR-containing vectors improved transgene expression which may obviate the need for multi-copy integration to achieve high-level expression and reduce the risk for insertional mutagenesis.

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