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体内造血干细胞基因治疗使用双模块 HDAd5/35++ 载体治愈镰状细胞病小鼠模型。

In Vivo HSC Gene Therapy Using a Bi-modular HDAd5/35++ Vector Cures Sickle Cell Disease in a Mouse Model.

机构信息

Department of Medicine, Division of Medical Genetics, University of Washington, Seattle, WA 98195, USA.

Department of Medicine, Division of Medical Genetics, University of Washington, Seattle, WA 98195, USA; Gene and Cell Therapy Center, Hematology Department, George Papanicolaou Hospital, Thessaloniki 57010, Greece.

出版信息

Mol Ther. 2021 Feb 3;29(2):822-837. doi: 10.1016/j.ymthe.2020.09.001. Epub 2020 Sep 5.

Abstract

We have recently reported that, after in vivo hematopoietic stem cell/progenitor (HSPC) transduction with HDAd5/35++ vectors, SB100x transposase-mediated γ-globin gene addition achieved 10%-15% γ-globin of adult mouse globin, resulting in significant but incomplete phenotypic correction in a thalassemia intermedia mouse model. Furthermore, genome editing of a γ-globin repressor binding site within the γ-globin promoter by CRISPR-Cas9 results in efficient reactivation of endogenous γ-globin. Here, we aimed to combine these two mechanisms to obtain curative levels of γ-globin after in vivo HSPC transduction. We generated a HDAd5/35++ adenovirus vector (HDAd-combo) containing both modules and tested it in vitro and after in vivo HSPC transduction in healthy CD46/β-YAC mice and in a sickle cell disease mouse model (CD46/Townes). Compared to HDAd vectors containing either the γ-globin addition or the CRISPR-Cas9 reactivation units alone, in vivo HSC transduction of CD46/Townes mice with the HDAd-combo resulted in significantly higher γ-globin in red blood cells, reaching 30% of that of adult human α and β chains and a complete phenotypic correction of sickle cell disease.

摘要

我们最近报道称,在体内造血干细胞/祖细胞(HSPC)转导 HDAd5/35++ 载体后,SB100x 转座酶介导的 γ-珠蛋白基因添加可实现成年小鼠球蛋白的 10%-15% γ-珠蛋白,从而在中间型地中海贫血小鼠模型中实现显著但不完全的表型校正。此外,CRISPR-Cas9 对 γ-珠蛋白启动子内的 γ-珠蛋白抑制结合位点进行基因组编辑可有效重新激活内源性 γ-珠蛋白。在这里,我们旨在结合这两种机制,在体内 HSPC 转导后获得治愈水平的 γ-珠蛋白。我们生成了一种含有这两个模块的 HDAd5/35++ 腺病毒载体(HDAd-combo),并在健康的 CD46/β-YAC 小鼠和镰状细胞病小鼠模型(CD46/Townes)中进行了体外和体内 HSPC 转导测试。与仅含有 γ-珠蛋白添加或 CRISPR-Cas9 再激活单元的 HDAd 载体相比,HDAd-combo 对 CD46/Townes 小鼠的体内 HSC 转导导致红细胞中的 γ-珠蛋白显著增加,达到成人人类 α 和 β 链的 30%,并完全校正镰状细胞病的表型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c45b/7854285/e87d79c2a2a4/fx1.jpg

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