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在Lmo2处有逆转录病毒插入的小鼠白血病可预测逆转录病毒基因治疗后SCID-X1患者诱发的白血病。

Murine leukemias with retroviral insertions at Lmo2 are predictive of the leukemias induced in SCID-X1 patients following retroviral gene therapy.

作者信息

Davé Utpal P, Akagi Keiko, Tripathi Rati, Cleveland Susan M, Thompson Mary A, Yi Ming, Stephens Robert, Downing James R, Jenkins Nancy A, Copeland Neal G

机构信息

Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

PLoS Genet. 2009 May;5(5):e1000491. doi: 10.1371/journal.pgen.1000491. Epub 2009 May 22.

Abstract

Five X-linked severe combined immunodeficiency patients (SCID-X1) successfully treated with autologous bone marrow stem cells infected ex vivo with an IL2RG-containing retrovirus subsequently developed T-cell leukemia and four contained insertional mutations at LMO2. Genetic evidence also suggests a role for IL2RG in tumor formation, although this remains controversial. Here, we show that the genes and signaling pathways deregulated in murine leukemias with retroviral insertions at Lmo2 are similar to those deregulated in human leukemias with high LMO2 expression and are highly predictive of the leukemias induced in SCID-X1 patients. We also provide additional evidence supporting the notion that IL2RG and LMO2 cooperate in leukemia induction but are not sufficient and require additional cooperating mutations. The highly concordant nature of the genetic events giving rise to mouse and human leukemias with mutations at Lmo2 are an encouraging sign to those wanting to use mice to model human cancer and may help in designing safer methods for retroviral gene therapy.

摘要

五名X连锁重症联合免疫缺陷患者(SCID-X1)经含IL2RG的逆转录病毒体外感染自体骨髓干细胞成功治疗后,随后发生了T细胞白血病,其中四名患者在LMO2处存在插入突变。遗传证据也表明IL2RG在肿瘤形成中起作用,尽管这一点仍存在争议。在此,我们表明,在Lmo2处有逆转录病毒插入的小鼠白血病中失调的基因和信号通路,与LMO2高表达的人类白血病中失调的基因和信号通路相似,并且对SCID-X1患者诱导的白血病具有高度预测性。我们还提供了额外的证据支持这样一种观点,即IL2RG和LMO2在白血病诱导中协同作用,但并不充分,还需要其他协同突变。在Lmo2处发生突变的小鼠和人类白血病中产生的遗传事件具有高度一致性,这对那些希望用小鼠模拟人类癌症的人来说是一个令人鼓舞的迹象,并且可能有助于设计更安全的逆转录病毒基因治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3653/2679194/8775cf09ab01/pgen.1000491.g001.jpg

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