Protection of Stem Cell-Derived Lymphocytes in a Primate AIDS Gene Therapy Model after In Vivo Selection 英文参考文献.docVIP
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Protection of Stem Cell-Derived Lymphocytes in a Primate AIDS Gene Therapy Model after In Vivo Selection 英文参考文献
ProtectionofStemCell-DerivedLymphocytesina
PrimateAIDSGeneTherapyModelafterInVivoSelection
GrantD.Trobridge1,2,RobertA.Wu1,BrianC.Beard1,SumYingChiu1,NinaM.Mun?oz1,Dorotheevon
Laer4,JohnJ.Rossi5,Hans-PeterKiem1,2,3*
1ClinicalResearchDivision,FredHutchinsonCancerResearchCenter,Seattle,Washington,UnitedStatesofAmerica,2DepartmentofMedicine,UniversityofWashington,
Seattle,Washington, United States ofAmerica, 3Department ofPathology, University ofWashington, Seattle, Washington, United States ofAmerica, 4Georg-Speyer-
Haus,InstituteforBiomedicalResearch,Frankfurt,Germany,5DepartmentofMolecularBiology,BeckmanResearchInstituteofCityofHope,Duarte,California,United
StatesofAmerica
Abstract
Background:ThereiscurrentlynoeffectiveAIDSvaccine,emphasizingtheimportanceofdevelopingalternativetherapies.
Recently,apatientwassuccessfullytransplantedwithallogeneic,naturallyresistantCCR5-negative(CCR5D32)cells,setting
the stage for transplantation of naturally resistant, or genetically modified stem cells as a viable therapy for AIDS.
Hematopoietic stem cell (HSC) gene therapy using vectors that express various anti-HIV transgenes has also been
attemptedinclinicaltrials,butinefficientgenetransferinthesestudieshasseverelylimitedthepotentialofthisapproach.
Herewe evaluated HSC gene transfer of ananti-HIV vector in the pigtailed macaque (Macaca nemestrina) model,which
closelymodelshumantransplantation.
MethodsandFindings:WeusedlentiviralvectorsthatinhibitedbothHIV-1andsimianimmunodeficiencyvirus(SIV)/HIV-1
(SHIV)chimeravirusinfection,andalsoexpressedaP140Kmutantmethylguaninemethyltransferase(MGMT)transgeneto
select gene-modified cells by adding chemotherapy drugs. Following transplantation and MGMT-mediated selection we
demonstratedtransgeneexpressioninover7%ofstem-cellderivedlymphocytes.Thehighmarkinglevelsallowedusto
demonstrateprotectionfromSHIVinlymphocytesderivedfromgene-modifiedmacaquelong-termrepopulatingcellsthat
expressed an HIV-1 fusion inhibitor. We observed a statistically s
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