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Blood, 1 September 2004, Vol. 104, No. 5, pp. 1281-1290.
Prepublished online as a Blood First Edition Paper on May 13, 2004; DOI 10.1182/blood-2003-09-3044.


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Submitted September 4, 2003
Accepted April 15, 2004

Sustained correction of B cell development and function in a murine model of X-linked agammaglobulinemia (XLA) using retroviral-mediated gene transfer

Phyllis W Yu, Ruby S Tabuchi, Roberta M Kato, Alexander Astrakhan, Stephanie Humblet-Baron, Kevin Kipp, Keun Chae, Wilfried Ellmeier, Owen N Witte, and David J Rawlings*

Molecular Biology Institute, Howard Hughes Medical Institute, University Of California, Los Angeles, CA, USA
Pediatrics, University Of California, Los Angeles, CA, USA
Pediatrics, University Of Washington, Seattle, WA, USA
Institute Of Immunology, Medical University, Vienna, Austria
Molecular Biology Institute, Howard Hughes Medical Institute, University Of California, Los Angeles, CA, USA; Department Of Microbiology And Molecular Genetics, University Of California, Los Angeles, CA, USA
Immunology, University Of Washington, Seattle, WA, USA; Pediatrics, University Of Washington, Seattle, WA, USA

* Corresponding author; email: drawling{at}u.washington.edu.

X-linked agammaglobulinemia (XLA) is a human immunodeficiency caused by mutations in Bruton's tyrosine kinase (Btk) and characterized by an arrest in early B-cell development, near absence of serum immunoglobulin, and recurrent bacterial infections. Using Btk and Tec doubly deficient mice (Btk-/Tec-) as a model for XLA, we determined if Btk gene therapy could be used to correct this disorder. Bone marrow (BM) from 5-fluorouracil (5FU) treated Btk-/Tec- mice was transduced with a retroviral vector expressing human Btk, MSCV-huBtk-SAR (MBS), and transplanted into Btk-/Tec- recipients. Mice engrafted with transduced hematopoietic cells exhibited rescue of both primary and peripheral Btk-dependent, B-lineage development, recovery of peritoneal B1 B cells, and correction of serum IgM and IgG3 levels. Gene transfer also restored T-independent type II immune responses and proliferation in response to B-cell antigen receptor (BCR) engagement. B-cell progenitors derived from Btk-transduced stem cells exhibited a progressive selective advantage as demonstrated by Btk staining. BM derived from primary recipients of Btk-transduced stem cells also rescued Btk dependent function in secondary transplanted hosts. Together, these data demonstrate that gene transfer into hematopoietic stem cells can reconstitute Btk-dependent B-cell development and function in vivo, and strongly support the feasibility of pursuing Btk gene transfer for XLA.


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XLA gene therapy turns a corner
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Blood 2004 104: 1236. [Full Text] [PDF]



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