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