[HTML][HTML] Oncogenesis following delivery of a nonprimate lentiviral gene therapy vector to fetal and neonatal mice

M Themis, SN Waddington, M Schmidt, C Von Kalle… - Molecular Therapy, 2005 - cell.com
Molecular Therapy, 2005cell.com
Gene therapy by use of integrating vectors carrying therapeutic transgene sequences offers
the potential for a permanent cure of genetic diseases by stable vector insertion into the
patients' chromosomes. However, three cases of T cell lymphoproliferative disease have
been identified almost 3 years after retrovirus gene therapy for X-linked severe combined
immune deficiency. In two of these cases vector insertion into the LMO2 locus was
implicated in leukemogenesis, demonstrating that a more profound understanding is …
Abstract
Gene therapy by use of integrating vectors carrying therapeutic transgene sequences offers the potential for a permanent cure of genetic diseases by stable vector insertion into the patients' chromosomes. However, three cases of T cell lymphoproliferative disease have been identified almost 3 years after retrovirus gene therapy for X-linked severe combined immune deficiency. In two of these cases vector insertion into the LMO2 locus was implicated in leukemogenesis, demonstrating that a more profound understanding is required of the genetic and molecular effects imposed on the host by vector integration or transgene expression. In vivo models to test for retro- and lentiviral vector safety prior to clinical application are therefore needed. Here we present a high incidence of lentiviral vector-associated tumorigenesis following in utero and neonatal gene transfer in mice. This system may provide a highly sensitive model to investigate integrating vector safety prior to clinical application.
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