[HTML][HTML] Preclinical development of a lentiviral vector for gene therapy of X-linked severe combined immunodeficiency

V Poletti, S Charrier, G Corre, B Gjata… - … Therapy-Methods & …, 2018 - cell.com
V Poletti, S Charrier, G Corre, B Gjata, A Vignaud, F Zhang, M Rothe, A Schambach
Molecular Therapy-Methods & Clinical Development, 2018cell.com
X-linked severe combined immunodeficiency (SCID-X1) is caused by mutations in the
interleukin-2 receptor γ chain gene (IL2RG), and it is characterized by profound defects in T,
B, and natural killer (NK) cell functions. Transplantation of hematopoietic stem/progenitor
cells (HSPCs) genetically corrected with early murine leukemia retrovirus (MLV)-derived
gammaretroviral vectors showed restoration of T cell immunity in patients, but it resulted in
vector-induced insertional oncogenesis. We developed a self-inactivating (SIN) lentiviral …
X-linked severe combined immunodeficiency (SCID-X1) is caused by mutations in the interleukin-2 receptor γ chain gene (IL2RG), and it is characterized by profound defects in T, B, and natural killer (NK) cell functions. Transplantation of hematopoietic stem/progenitor cells (HSPCs) genetically corrected with early murine leukemia retrovirus (MLV)-derived gammaretroviral vectors showed restoration of T cell immunity in patients, but it resulted in vector-induced insertional oncogenesis. We developed a self-inactivating (SIN) lentiviral vector carrying a codon-optimized human IL2RG cDNA driven by the EF1α short promoter (EFS-IL2RG), and we tested its efficacy and safety in vivo by transplanting transduced Il2rg-deficient Lin HSPCs in an Il2rg−/−/Rag2−/− mouse model. The study showed restoration of T, B, and NK cell counts in bone marrow and peripheral blood and normalization of thymus and spleen cellularity and architecture. High-definition insertion site analysis defined the EFS-IL2RG genomic integration profile, and it showed no sign of vector-induced clonal selection or skewing in primarily and secondarily transplanted animals. The study enables a phase I/II clinical trial aimed at restoring both T and B cell immunity in SCID-X1 children upon non-myeloablative conditioning.
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