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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5178-5185.
Prepublished online as a Blood First Edition Paper on March 1, 2007; DOI 10.1182/blood-2006-12-061382.
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Submitted December 21, 2006
Accepted February 15, 2007
Hematopoietic stem cell targeted neonatal gene therapy reverses lethally progressive osteopetrosis in oc/oc mice
Maria K Johansson, Teun J de Vries, Ton Schoenmaker, Mats Ehinger, Ann CM Brun, Anders Fasth, Stefan Karlsson, Vincent Everts, and Johan Richter*
Department of Molecular Medicine and Gene Therapy, Lund University, Lund, Sweden
Department of Periodontology and Oral Cell Biology, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands
Department of Pathology, Lund University, Lund, Sweden
Department of Pediatrics, Goteborg University, Gothenburg, Sweden
* Corresponding author; email: johan.richter{at}med.lu.se.
Infantile malignant osteopetrosis (IMO) is a fatal disease caused by lack of functional osteoclasts and the only available treatment is hematopoietic stem cell (HSC) transplantation. In the majority of patients the TCIRG1 gene, coding for a subunit of a proton pump essential for bone resorption, is mutated. Oc/oc mice have a deletion in the homologue gene (tcigr1) and die at 3-4 weeks, but can be rescued by neonatal transplantation of HSCs. Here HSC targeted gene therapy of osteopetrosis in the oc/oc mouse model was developed. Oc/oc fetal liver cells depleted of Ter119-expressing erythroid cells were transduced with a retroviral vector expressing tcirg1 and GFP, and subsequently transplanted i.p. to irradiated neonatal oc/oc mice. 8/15 mice survived past the normal lifespan of oc/oc mice. In vitro osteoclastogenesis revealed formation of GFP positive osteoclasts and bone resorption, albeit at a lower level than from wild-type cells. The skeletal phenotype was analyzed by X-ray and histopathology and showed partial correction at 8 weeks and almost normalization after 18 weeks. In summary, osteopetrosis in oc/oc mice can be reversed by neonatal transplantation of gene modified HSCs leading to long-term survival. This represents a significant step towards the development of gene therapy for osteopetrosis.

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