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Letter
Nature Medicine 12, 348 - 353 (2006)
Published online: 19 February 2006 | doi:10.1038/nm1365
Effective gene therapy with nonintegrating lentiviral vectors
Rafael J Yáñez-Muñoz1,2,10,11, Kamaljit S Balaggan3,11, Angus MacNeil3, Steven J Howe1, Manfred Schmidt4,5, Alexander J Smith3, Prateek Buch3, Robert E MacLaren3, Patrick N Anderson6, Susie E Barker3, Yanai Duran3, Cynthia Bartholomae4,5, Christof von Kalle4,5,7, John R Heckenlively8, Christine Kinnon1, Robin R Ali1,3 & Adrian J Thrasher1,9
Abstract
Retroviral and lentiviral vector integration into host-cell chromosomes carries with it a finite chance of causing insertional mutagenesis1. This risk has been highlighted by the induction of malignancy in mouse models, and development of lymphoproliferative disease in three individuals with severe combined immunodeficiency–X1 (refs. 2,3). Therefore, a key challenge for clinical therapies based on retroviral vectors is to achieve stable transgene expression while minimizing insertional mutagenesis. Recent in vitro studies have shown that integration-deficient lentiviral vectors can mediate stable transduction4, 5, 6. With similar vectors, we now show efficient and sustained transgene expression in vivo in rodent ocular and brain tissues. We also show substantial rescue of clinically relevant rodent models of retinal degeneration. Therefore, the high efficiency of gene transfer and expression mediated by lentiviruses can be harnessed in vivo without a requirement for vector integration. For therapeutic application to postmitotic tissues, this system substantially reduces the risk of insertional mutagenesis.
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