Division of Hematology, Department of Medicine, University of Washington, Seattle, WA 98195, USA.
Hum Gene Ther. 2011 Feb;22(2):217-24. doi: 10.1089/hum.2010.072. Epub 2010 Dec 19.
Vector integration can lead to proto-oncogene activation and malignancies during hematopoietic stem cell gene therapy. We previously used foamy virus vectors to deliver the CD18 gene under the control of an internal murine stem cell virus promoter and successfully treated dogs with canine leukocyte adhesion deficiency. Here we have tracked the copy numbers of 11 specific proviruses found in these animals for 36-42 months after transplantation, including examples within or near proto-oncogenes, tumor suppressor genes, and genes unrelated to cancer. We found no evidence for clonal expansion of any of the clones, including those with proviruses in the MECOM gene (MDS1-EVI1 complex). These results suggest that although foamy virus vectors may integrate near proto-oncogenes, this does not necessarily lead to clonal expansion and malignancies. Additionally, we show that copy number estimates of these specific proviruses based on linker-mediated PCR results are different from those obtained by quantitative PCR, but can provide a qualitative assessment of provirus levels.
载体整合可导致造血干细胞基因治疗过程中的原癌基因激活和恶性肿瘤。我们之前使用泡沫病毒载体在内部鼠干细胞病毒启动子的控制下传递 CD18 基因,并成功治疗了患有犬白细胞黏附缺陷症的狗。在此,我们在移植后 36-42 个月跟踪了这些动物中发现的 11 种特定前病毒的拷贝数,包括原癌基因、肿瘤抑制基因和与癌症无关的基因内或附近的例子。我们没有发现任何克隆扩增的证据,包括 MECOM 基因(MDS1-EVI1 复合物)中的前病毒。这些结果表明,尽管泡沫病毒载体可能整合到原癌基因附近,但这不一定导致克隆扩增和恶性肿瘤。此外,我们还表明,基于连接介导的 PCR 结果的这些特定前病毒的拷贝数估计与定量 PCR 获得的结果不同,但可以提供前病毒水平的定性评估。