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Blood, 1 October 2005, Vol. 106, No. 7, pp. 2530-2533.
Prepublished online as a Blood First Edition Paper on June 2, 2005; DOI 10.1182/blood-2005-03-1115.


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Submitted March 18, 2005
Accepted May 23, 2005

Recurrent retroviral vector integration at the MDS1-EVI1 locus in non-human primate hematopoietic cells

Boris Calmels, Cole Ferguson, Mikko O Laukkanen, Rima Adler, Marion Faulhaber, Hyeoung-Joon Kim, Stephanie Sellers, Peiman Hematti, Manfred Schmidt, Christof von Kalle, Keiko Akagi, Robert E Donahue, and Cynthia E Dunbar*

Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD, USA
Chonnam National University Hospital, Gwangju, Korea, Republic of
University of Freiburg, Freiburg, Germany
University of Freiburg, Freiburg, Germany; Children's Hospital Research Foundation, Cincinnati, OH, USA
Mouse Cancer Genetics Program, Center for Cancer Research, National Cancer Institute, Frederick, MD, USA

* Corresponding author; email: dunbarc{at}nhlbi.nih.gov.

Recent reports linking insertional activiation of LMO2 following gene therapy for X-SCID have led to a re-evaluation of risks following gene therapy with retroviral vectors. In our analysis of 702 integration sites in rhesus macaques transplanted up to 7 years previously with autologous CD34+ cells transduced with amphotropic MLV-derived retroviral vectors containing marker genes, we detected insertion into one locus, the MDS1-EVI1 region, a total of 14 times in 9 animals. MDS1-EVI1 integrations were observed stably long-term, primarily in myeloid cells. We hypothesize that this over-representation likely results from an impact on the self-renewal and engraftment potential of CD34+ progenitor cells via insertional mutagenesis at this specific locus. There is no evidence of ongoing in vivo clonal expansion of the MDS1-EVI1 populations, and all animals are hematologically normal without evidence for leukemia. Characterization of integration sites in this relevant pre-clinical model provides critical information for gene therapy risk assessment as well as identification of genes controlling hematopoiesis.


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