Hanawa Hideki, Yamamoto Motoko, Zhao Huifen, Shimada Takashi, Persons Derek A
Department of Biochemistry and Molecular Biology, Nippon Medical School, Tokyo, Japan.
Mol Ther. 2009 Apr;17(4):667-74. doi: 10.1038/mt.2009.1. Epub 2009 Feb 17.
Hematopoietic cell gene therapy using retroviral vectors has achieved success in clinical trials. However, safety issues regarding vector insertional mutagenesis have emerged. In two different trials, vector insertion resulted in the transcriptional activation of proto-oncogenes. One strategy for potentially diminishing vector insertional mutagenesis is through the use of self-inactivating lentiviral vectors containing the 1.2-kb insulator element derived from the chicken beta-globin locus. However, use of this element can dramatically decrease both vector titer and transgene expression, thereby compromising its practical use. Here, we studied lentiviral vectors containing either the full-length 1.2-kb insulator or the smaller 0.25-kb core element in both orientations in the partially deleted long-terminal repeat. We show that use of the 0.25-kb core insulator rescued vector titer by alleviating a postentry block to reverse transcription associated with the 1.2-kb element. In addition, in an orientation-dependent manner, the 0.25-kb core element significantly increased transgene expression from an internal promoter due to improved transcriptional termination. This element also demonstrated barrier activity, reducing variability of expression due to position effects. As it is known that the 0.25-kb core insulator has enhancer-blocking activity, this particular insulated lentiviral vector design may be useful for clinical application.
使用逆转录病毒载体的造血细胞基因疗法在临床试验中取得了成功。然而,与载体插入诱变相关的安全问题已经出现。在两项不同的试验中,载体插入导致原癌基因的转录激活。一种可能减少载体插入诱变的策略是使用含有源自鸡β-珠蛋白基因座的1.2 kb绝缘子元件的自失活慢病毒载体。然而,使用该元件会显著降低载体滴度和转基因表达,从而影响其实际应用。在此,我们研究了在部分缺失的长末端重复序列中,两种方向上分别含有全长1.2 kb绝缘子或较小的0.25 kb核心元件的慢病毒载体。我们发现,使用0.25 kb核心绝缘子通过减轻与1.2 kb元件相关的逆转录进入后阻滞来挽救载体滴度。此外,以方向依赖的方式,0.25 kb核心元件由于转录终止改善而显著增加了来自内部启动子的转基因表达。该元件还表现出屏障活性,减少了由于位置效应导致的表达变异性。由于已知0.25 kb核心绝缘子具有增强子阻断活性,这种特殊的绝缘慢病毒载体设计可能对临床应用有用。