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Engraftment of gene–modified umbilical cord blood cells in neonates with adenosine deaminase deficiency

Abstract

Haematopoietic stem cells in umbilical cord blood are an attractive target for gene therapy of inborn errors of metabolism. Three neonates with severe combined immunodeficiency were treated by retroviral–mediated transduction of the CD34+ cells from their umbilical cord blood with a normal human adenosine deaminase complementary DNA followed by autologous transplantation. The continued presence and expression of the introduced gene in leukocytes from bone marrow and peripheral blood for 18 months demonstrates that umbilical cord blood cells may be genetically modified with retroviral vectors and engrafted in neonates for gene therapy.

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References

  1. Giblett, E.R., Anderson, J.E., Cohen, F., Pollara, B. & Meuwissen, H.J. Adenosine-deaminase deficiency in two patients with severely impaired cellular immunity. Lancet 2, 1067–1069 (1972).

    Article  CAS  PubMed  Google Scholar 

  2. Hershfield, M.S. & Mitchell, B.S. Immunodeficiency diseases caused by adenosine deaminase deficiency and purine nucleoside phosphorylase deficiency. in The Metabolic and Molecular Bases of Inherited Disease (eds Scriver, C.R., Beaudet, A.L., Sly, W.S. & Valle, D.) 1725–1768 (McGraw-Hill, New York, 1994).

    Google Scholar 

  3. Parkman, R., Gelfand, E.W., Rosen, F.S., Sanderson, A. & Hirschhorn, R. Severe combined immunodeficiency and adenosine deaminase. New Engl. J. Med. 292, 714–719 (1975).

    Article  CAS  PubMed  Google Scholar 

  4. Weinberg, K.I. & Kohn, D.B. Somatic gene therapy for severe combined immunodeficiency (SCID). in Somatic Gene Therapy (ed. Chang, P.) 31–47 (CRC Press, Boca Raton, 1995).

    Google Scholar 

  5. Blaese, R.M. Development of gene therapy for immunodeficiency: adenosine deaminase deficiency. Pediatr. Res. 33 (suppl.), S49–S55 (1993).

    Article  CAS  PubMed  Google Scholar 

  6. Hershfield, M.S., Chaffee, S. & Sorensen, R.U. Enzyme replacement therapy with PEG-ADA in adenosine deaminase deficiency: Overview and case report of three patients, including two now receiving gene therapy. Pediatr. Res. 33 (suppl.), S42–S48 (1993).

    Article  CAS  PubMed  Google Scholar 

  7. Broxmeyer, H.E., Cooper, S., Yoder, M. & Hangoc, G. Human umbilical cord blood as a source of transplantable hematopoietic stem and progenitor cells. Curr. Topics Microbiol. Immunol. 177, 195–204 (1992).

    CAS  Google Scholar 

  8. Wagner, J.E. et al. Transplantation of umbilical cord blood after myeloablative therapy: Analysis of engraftment. Blood 79, 1874–1881 (1992).

    CAS  PubMed  Google Scholar 

  9. Hock, R.A., Miller, A.D. & Osborne, W.R. Expression of human adenosine deaminase from various strong promoters after gene transfer into human hematopoietic cell lines. Blood 74, 876–881 (1989).

    CAS  PubMed  Google Scholar 

  10. Williams, D.A., Lemischka, I.R., Nathan, D.G. & Mulligan, R.C. Introduction of new genetic material into pluripotent haematopoietic stem cells of the mouse. Nature 310, 476–480 (1984).

    Article  CAS  PubMed  Google Scholar 

  11. Jordan, C.T. & Lemischka, I.R. Clonal and systemic analysis of long-term hematopoiesis in the mouse. Genes Dev. 4, 220–232 (1990).

    Article  CAS  PubMed  Google Scholar 

  12. Triglia, T., Peterson, M.G. & Kemp, D.J. A procedure for in vitro amplification of DNA segments that lie outside the boundaries of known sequences. Nucleic Adds Res. 16, 8186 (1988).

    Article  CAS  Google Scholar 

  13. Ochman, H., Gerber, A.S. & Hartl, D.L. Genetic applications of an inverse polymerase chain reaction. Genetics 120, 621–623 (1988).

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Rill, D.R. et al. Direct demonstration that autologous bone marrow transplantation for solid tumors can return a multiplicity of tumorigenic cells. Blood 84, 380–383 (1994).

    CAS  PubMed  Google Scholar 

  15. Harrison, D.E. Competitive repopulation in unirradiated normal recipients. Blood 81, 2473–2474 (1993).

    CAS  PubMed  Google Scholar 

  16. Stewart, F.M., Crittenden, R.B., Lowry, P.A., Pearson-White, S. & Quesenberry, P.J. Long-term engraftment of normal and post-5-fluorouracil murine marrow into normal nonmyeloablated mice. Blood 81, 2566–2571 (1993).

    CAS  PubMed  Google Scholar 

  17. Wu, D.D. & Keating, A. Hematopoietic stem cells engraft in untreated transplant recipients. Expl. Hematol. 21, 251–256 (1993).

    CAS  Google Scholar 

  18. Van Beusechem, V.W., Kakler, A., Meidt, P.J. & Valerio, D. Long-term expression of human adenosine deaminase in rhesus monkeys transplanted with retrovirus-infected bone marrow cells. Proc. natn. Acad. Sci. U.S.A. 79, 7640–7644 (1992).

    Article  Google Scholar 

  19. Bodine, D.M. et al. Long-term in vivo expression of a murine adenosine deaminase gene in rhesus monkey hematopoietic cells of multiple lineages after retroviral mediated gene transfer into CD34+ bone marrow cells. Blood 82, 1975–1980 (1993).

    CAS  PubMed  Google Scholar 

  20. Brenner, M.K. et al. Gene marking to determine whether autologous marrow infusion restores long-term haemopoiesis in cancer patients. Lancet 342, 1134–1137(1993).

    Article  CAS  PubMed  Google Scholar 

  21. Valera, A., Perales, J.C., Hatzoglou, M. & Bosch, F. Expression of the neomycin-resistance (neo) gene induces alterations in gene expression and metabolism. Hum. Gene Ther. 5, 449–456 (1994).

    Article  CAS  PubMed  Google Scholar 

  22. Von Melchner, H. & Housman, D.E. The expression of neomycin phospho-transferase in human promyelocytic leukemia cells (HL-60) delays their differentiation. Oncogene 2, 137–140 (1988).

    CAS  PubMed  Google Scholar 

  23. Miller, A.D. & Buttimore, C. Redesign of retrovirus packaging cell lines to avoid recombination leading to helper virus production. Molec. cell. Biol. 6, 2895–2902 (1986).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Bassin, R.H., Tuttle, N. & Fischinger, P.J. Isolation of murine sarcoma virus-transformed mouse cells which are negative for leukemia virus from agar suspension cultures. Int. J. Cancer 6, 95–107 (1970).

    Article  CAS  PubMed  Google Scholar 

  25. Hanley, M.E., Nolta, J.A., Parkman, R. & Kohn, D.B. Umbilical cord blood cell transduction by retroviral vectors: Pre-clinical studies to optimize gene transfer. Blood Cells 20, 539–546 (1994).

    CAS  PubMed  Google Scholar 

  26. Hershfield, M.S. et al. Treatment of adenosine deaminase deficiency with polyethylene glycol-modifled adenosine deaminase. New Engl. J. Med. 316, 589–596 (1987).

    Article  CAS  PubMed  Google Scholar 

  27. Nolta, J.A. & Kohn, D.B. Comparison of the effects of growth factors on retroviral vector-mediated gene transfer and the proliferative status of human hematopoietic progenitor cells. Hum. Gene Ther. 1, 257–268 (1990).

    Article  CAS  PubMed  Google Scholar 

  28. Nolta, J.A., Yu, X.J., Bahner, I. & Kohn, D.B. Retroviral mediated transfer of the human glucocerebrosidase gene into cultured Gaucher bone marrow. J. clin. Invest. 90, 343–348 (1992).

    Article  Google Scholar 

  29. Weinberg, K. & Parkman, R. Severe combined immunodeficiency due to a specific defect in the production of interleukin-2. New Engl. J. Med. 322, 1718–1723 (1990).

    Article  CAS  PubMed  Google Scholar 

  30. Chomczynski, P. & Sacchi, N. Single-step method of RNA isolation by acid guanidinium thiocyante-phenol-chloroform extraction. Anal. Biochem. 162, 156–159 (1987).

    Article  CAS  PubMed  Google Scholar 

  31. Arredondo-Vega, F.X. et al. Paradoxical expression of adenosine deaminase in T cell cultured from a patient with adenosine deaminase deficiency and combined immunodeficiency. J. clin. Invest. 86, 444–452 (1990).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Kohn, D., Weinberg, K., Nolta, J. et al. Engraftment of gene–modified umbilical cord blood cells in neonates with adenosine deaminase deficiency. Nat Med 1, 1017–1023 (1995). https://doi.org/10.1038/nm1095-1017

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