Abstract
Humans lacking the ZAP-70 protein tyrosine kinase present with an absence of CD8+ T cells and defective CD4+ T cells in the periphery. This severe combined immunodeficiency is fatal unless treated by allogeneic bone marrow transplantation. However, in the absence of suitable marrow donors, the development of alternative forms of therapy is desirable. Because lymphocytes are long-lived, it is possible that introduction of the wild-type ZAP-70 gene into CD4+ ZAP-70-deficient T cells will restore their immune function in vivo. Initial investigations evaluating the feasibility of gene therapy for ZAP-70 deficiency were performed using HTLV-I-transformed lymphocytes. Although transformation was useful in circumventing problems associated with the maintenance of ZAP-70-deficient T cells and low gene transfer levels, the presence of HTLV-I precluded any biological studies. Here, we investigated a retrovirus-mediated approach for the correction of primary T cells derived from two ZAP-70-deficient patients. Upon introduction of the wild-type ZAP-70 gene, TCR-induced MAPK activation, IL-2 secretion and proliferation were restored to approximately normal levels. Importantly, this gain-of-function was associated with a selective growth advantage of gene-corrected cells, thereby indicating the feasibility of a gene therapy-based strategy.
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Acknowledgements
We are grateful to V Dardalhon, C Rebouissou, A Weiss, and P Jourdan for their assistance and J Clot for important insight. NN was supported by a fellowship from the AFM and MS is supported by a fellowship from the Fundacion YPF. We thank Christophe Duperray for his expertise and assistance with FACS sorting. Dr Ikunoshin Kato and Setsuko Yoshimura of Takara Shuzo Co. are generously acknowledged for providing the recombinant fibronectin fragment and for their continuing assistance. Supported by grants from the March of Dimes grant #6-FY99–406, the AFM, ARC, INSERM and CNRS (to NT), and JZKF.Ulm.CO.5 (to KS).
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Steinberg, M., Swainson, L., Schwarz, K. et al. Retrovirus-mediated transduction of primary ZAP-70-deficient human T cells results in the selective growth advantage of gene-corrected cells: implications for gene therapy. Gene Ther 7, 1392–1400 (2000). https://doi.org/10.1038/sj.gt.3301249
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DOI: https://doi.org/10.1038/sj.gt.3301249
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