Chen J, Reeves L, Sanburn N, Croop J, Williams D A, Cornetta K
Department of Medicine, Division of Hematology/Oncology, Indiana University School of Medicine, Indianapolis 46202, USA.
Virology. 2001 Mar 30;282(1):186-97. doi: 10.1006/viro.2001.0826.
Investigators conducting retroviral gene therapy trials are required to monitor for the presence of replication-competent retrovirus (RCR). The required testing utilizes a combination of biologic assays and molecular tests using PCR. In the course of a human clinical gene therapy trial, we detected 4070A viral envelope sequences in CD34(+) peripheral blood stem cells 2 days after transduction using a PCR-based assay, suggesting the presence of RCR. The supernatant and producer cells used for vector generation had been negative in extensive screening using the extended S(+)/L(-) assay. The presence of a replication-competent virus was subsequently excluded by a combination of biologic and PCR analyses. The source of the 4070A viral envelope sequences was determined to be packaging cell line DNA in the vector supernatant. The analysis of a variety of vector supernatants by quantitative real-time PCR revealed 4070A envelope DNA sequences from the packaging cell line in concentrations equivalent to approximately 50-500 focus-forming units per milliliter of wild-type 4070A virus. When PCR was performed after reverse transcriptase treatment of supernatant (i.e., assessing both RNA and DNA content), 4070A envelope sequence concentrations ranged from 10(2) to 3.5 x 10(3) focus-forming units per milliliter of wild-type 4070A virus. Our data indicate that PCR should not be used to analyze transduced cells for RCR within the first 2 weeks of vector exposure. Furthermore, investigators using PCR to analyze transduction efficiency shortly after vector exposure may experience false-positive findings.
进行逆转录病毒基因治疗试验的研究人员需要监测复制型逆转录病毒(RCR)的存在情况。所需检测采用生物学检测和基于PCR的分子检测相结合的方法。在一项人类临床基因治疗试验过程中,我们在转导后2天使用基于PCR的检测方法在CD34(+)外周血干细胞中检测到4070A病毒包膜序列,提示存在RCR。用于产生载体的上清液和生产细胞在使用扩展的S(+)/L(-)检测进行的广泛筛选中均为阴性。随后通过生物学和PCR分析相结合的方法排除了复制型病毒的存在。4070A病毒包膜序列的来源被确定为载体上清液中的包装细胞系DNA。通过定量实时PCR对多种载体上清液进行分析,结果显示来自包装细胞系的4070A包膜DNA序列浓度相当于每毫升野生型4070A病毒约50 - 500个集落形成单位。当对上清液进行逆转录酶处理后进行PCR(即同时评估RNA和DNA含量)时,4070A包膜序列浓度范围为每毫升野生型4070A病毒10(2)至3.5 x 10(3)个集落形成单位。我们的数据表明,在载体暴露后的前2周内,不应使用PCR分析转导细胞中的RCR。此外,在载体暴露后不久使用PCR分析转导效率的研究人员可能会出现假阳性结果。