Ryu Byoung Y, Evans-Galea Marguerite V, Gray John T, Bodine David M, Persons Derek A, Nienhuis Arthur W
Department of Hematology, St Jude Children's Research Hospital, Memphis, TN 38105, USA.
Blood. 2008 Feb 15;111(4):1866-75. doi: 10.1182/blood-2007-04-085506. Epub 2007 Nov 8.
Pathogenic activation of the LMO2 proto-oncogene by an oncoretroviral vector insertion in a clinical trial for X-linked severe combined immunodeficiency (X-SCID) has prompted safety concerns. We used an adeno-associated virus vector to achieve targeted insertion of a gamma-retroviral long terminal repeat (LTR) driving a GFP expression cassette with flanking loxP sites in a human T-cell line at the precise location of vector integration in one of the patients with X-SCID. The LTR-GFP cassette was inserted into the first intron of the LMO2 gene, resulting in strong activation of LMO2. Cre-mediated cassette exchange was used to replace the original LTR-GFP cassette with one flanked by insulator elements leading to a several fold reduction in LMO2 expression. The LTR-GFP cassette was also replaced with a globin gene regulatory cassette that failed to activate the LMO2 gene in lymphoid cells. A gamma-retroviral vector with 2 intact LTRs resulted in activation of the LMO2 gene when inserted into the first intron, but a self-inactivating lentiviral vector with an internal cellular promoter and flanking insulator elements did not activate the LMO2 gene. Thus, this system is useful for comparing the safety profiles of vector cassettes with various regulatory elements for their potential for proto-oncogene activation.
在一项针对X连锁重症联合免疫缺陷病(X-SCID)的临床试验中,一个致癌逆转录病毒载体的插入导致LMO2原癌基因的致病性激活,引发了安全担忧。我们使用腺相关病毒载体,在一名X-SCID患者的人T细胞系中,于载体整合的精确位置实现了一个驱动带有侧翼loxP位点的GFP表达盒的γ逆转录病毒长末端重复序列(LTR)的靶向插入。LTR-GFP盒被插入到LMO2基因的第一个内含子中,导致LMO2的强烈激活。利用Cre介导的盒式交换,用一个侧翼带有绝缘子元件的盒式结构替换了原来的LTR-GFP盒式结构,使LMO2表达降低了几倍。LTR-GFP盒式结构也被一个在淋巴细胞中未能激活LMO2基因的珠蛋白基因调控盒式结构所取代。一个带有2个完整LTR的γ逆转录病毒载体插入到第一个内含子时会导致LMO2基因的激活,但一个带有内部细胞启动子和侧翼绝缘子元件的自失活慢病毒载体并未激活LMO2基因。因此,该系统有助于比较带有各种调控元件的载体盒式结构在激活原癌基因方面的安全性。