用于X连锁重症联合免疫缺陷基因治疗的自失活γ逆转录病毒载体

Self-inactivating gammaretroviral vectors for gene therapy of X-linked severe combined immunodeficiency.

作者信息

Thornhill Susannah I, Schambach Axel, Howe Steven J, Ulaganathan Meera, Grassman Elke, Williams David, Schiedlmeier Bernhard, Sebire Neil J, Gaspar H Bobby, Kinnon Christine, Baum Christopher, Thrasher Adrian J

机构信息

Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London, UK.

出版信息

Mol Ther. 2008 Mar;16(3):590-8. doi: 10.1038/sj.mt.6300393. Epub 2008 Jan 8.

Abstract

Gene therapy for X-linked severe combined immunodeficiency (SCID-X1) has proven highly effective for long-term restoration of immunity in human subjects. However, the development of lymphoproliferative complications due to dysregulated proto-oncogene expression has underlined the necessity for developing safer vector systems. To reduce the potential for insertional mutagenesis, we have evaluated the efficacy of self-inactivating (SIN) gammaretroviral vectors in cellular and in vivo models of SCID-X1. Vectors incorporating an internal human elongation factor-1alpha regulatory element were capable of fully restoring the lymphoid differentiation potential of gammac-deficient lineage negative cells. Multilineage lymphoid reconstitution of a murine model was achieved at a similar level to that achieved by a conventional long-terminal repeat (LTR)-regulated vector used in previous clinical trials. Functional proliferative responses to mitogenic stimuli were also restored, and serum immunoglobulin levels were normalized. The reduced mutagenic potential conferred by SIN vector configurations and alternative non-LTR-based regulatory elements, together with proven efficacy in correction of cellular defects provides an important platform for development of the next phase of clinical trials for SCID-X1.

摘要

针对X连锁重症联合免疫缺陷病(SCID-X1)的基因治疗已被证明对长期恢复人类受试者的免疫力非常有效。然而,由于原癌基因表达失调而导致的淋巴增殖性并发症的出现,凸显了开发更安全载体系统的必要性。为了降低插入诱变的可能性,我们在SCID-X1的细胞和体内模型中评估了自我失活(SIN)γ逆转录病毒载体的功效。整合了内部人延伸因子-1α调控元件的载体能够完全恢复γc缺陷谱系阴性细胞的淋巴分化潜能。在小鼠模型中实现的多谱系淋巴重建水平与先前临床试验中使用的传统长末端重复序列(LTR)调控载体所达到的水平相似。对有丝分裂原刺激的功能性增殖反应也得以恢复,血清免疫球蛋白水平恢复正常。SIN载体构型和替代性非LTR调控元件赋予的诱变潜力降低,以及在纠正细胞缺陷方面已证实的功效,为SCID-X1下一阶段临床试验的开展提供了一个重要平台。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索