Pretransplant Mobilization with Granulocyte Colony-Stimulating Factor Improves B-Cell Reconstitution by Lentiviral Vector Gene Therapy in SCID-X1 Mice
Autor: | Adriaan R.A. Riegman, Rana Yadak, Marshall W. Huston, Helen de Boer, Niek P. van Til, Yvette van Helsdingen, Gerard Wagemaker |
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Přispěvatelé: | İç Hastalıkları, Neurology, Clinical Genetics, Hematology |
Rok vydání: | 2014 |
Předmět: |
Male
Transplantation Conditioning Genetic enhancement medicine.medical_treatment T-Lymphocytes Genetic Vectors Hematopoietic stem cell transplantation Research & Experimental Medicine X-Linked Combined Immunodeficiency Diseases Lymphocyte Depletion Bone Marrow Stem Cell Transplantation Mice Transduction Genetic Granulocyte Colony-Stimulating Factor Genetics medicine Animals Molecular Biology Hematopoietic Stem Cell Mobilization Research Articles Genetics & Heredity Mice Knockout Severe combined immunodeficiency B-Lymphocytes business.industry Lentivirus Hematopoietic Stem Cell Transplantation Hematopoietic stem cell Genetic Therapy medicine.disease Hematopoietic Stem Cells Granulocyte colony-stimulating factor Disease Models Animal medicine.anatomical_structure Biotechnology & Applied Microbiology Immunology Molecular Medicine Female Bone marrow business Interleukin Receptor Common gamma Subunit |
Zdroj: | Human Gene Therapy, 25(10), 905-914. Mary Ann Liebert Inc. |
ISSN: | 1043-0342 |
DOI: | 10.1089/hum.2014.101 |
Popis: | Hematopoietic stem cell (HSC) gene therapy is a demonstrated effective treatment for X-linked severe combined immunodeficiency (SCID-X1), but B-cell reconstitution and function has been deficient in many of the gene therapy treated patients. Cytoreductive preconditioning is known to improve HSC engraftment, but in general it is not considered for SCID-X1 since the poor health of most of these patients at diagnosis and the risk of toxicity preclude the conditioning used in standard bone marrow stem cell transplantation. We hypothesized that mobilization of HSC by granulocyte colony-stimulating factor (G-CSF) should create temporary space in bone marrow niches to improve engraftment and thereby B-cell reconstitution. In the present pilot study supplementing our earlier preclinical evaluation (Huston et al., 2011), Il2rg(-/-) mice pretreated with G-CSF were transplanted with wild-type lineage negative (Lin(-)) cells or Il2rg(-/-) Lin(-) cells transduced with therapeutic IL2RG lentiviral vectors. Mice were monitored for reconstitution of lymphocyte populations, level of donor cell chimerism, and antibody responses as compared to 2 Gy total body irradiation (TBI), previously found effective in promoting B-cell reconstitution. The results demonstrate that G-CSF promotes B-cell reconstitution similar to low-dose TBI and provides proof of principle for an alternative approach to improve efficacy of gene therapy in SCID patients without adverse effects associated with cytoreductive conditioning. |
Databáze: | OpenAIRE |
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