Lentiviral vector-mediated gene transfer in T cells from Wiskott–Aldrich syndrome patients leads to functional correction

L Dupré, S Trifari, A Follenzi, F Marangoni, TL De Lera… - Molecular Therapy, 2004 - cell.com
L Dupré, S Trifari, A Follenzi, F Marangoni, TL De Lera, A Bernad, S Martino, S Tsuchiya…
Molecular Therapy, 2004cell.com
Wiskott–Aldrich syndrome (WAS) is an X-linked primary immunodeficiency with a median
survival below the age of 20 due to infections, severe hemorrhage, and lymphomas.
Transplantation of hematopoietic stem cells from HLA-identical sibling donors is a resolutive
treatment, but is available for a minority of patients. Transplantation of genetically corrected
autologous hematopoietic stem cells or T cells could represent an alternative treatment
applicable to all patients. We investigated whether WAS gene transfer with MMLV-based …
Abstract
Wiskott–Aldrich syndrome (WAS) is an X-linked primary immunodeficiency with a median survival below the age of 20 due to infections, severe hemorrhage, and lymphomas. Transplantation of hematopoietic stem cells from HLA-identical sibling donors is a resolutive treatment, but is available for a minority of patients. Transplantation of genetically corrected autologous hematopoietic stem cells or T cells could represent an alternative treatment applicable to all patients. We investigated whether WAS gene transfer with MMLV-based oncoretroviral and HIV-based lentiviral vectors could restore normal functions of patients' T cells. T cells transduced either with lentiviral vectors expressing the WAS protein (WASP) from the ubiquitous PGK promoter or the tissue-specific WASP promoter or with an oncoretroviral vector expressing WASP from the LTR, reached normal levels of WASP with correction of functional defects, including proliferation, IL-2 production, and lipid raft upregulation. Lentiviral vectors transduced T cells from WAS patients at higher rates, compared to oncoretroviral vectors, and efficiently transduced both activated and naïve WAS T cells. Furthermore, a selective growth advantage of T cells corrected with the lentiviral vectors was demonstrated. The observation that lentiviral vector-mediated gene transfer results in correction of T cell defects in vitro supports their application for gene therapy in WAS patients.
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