2018
DOI: 10.1016/j.exphem.2018.03.006
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A comparison of intrauterine hemopoietic cell transplantation and lentiviral gene transfer for the correction of severe β-thalassemia in a HbbTh3/+ murine model

Abstract: HighlightsThe HbbTh3/+ mouse is a good model of severe thalassemia for in utero therapy.In utero and postnatal transplantation with immunosuppression resulted in better chimerism.In utero gene therapy produced partial hematological correction but not full rescue.Both strategies need further optimization to overcome the hostile microenvironment.

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Cited by 11 publications
(10 citation statements)
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“…14,15 Recipients not meeting the initial threshold chimerism were difficult to boost with serial postnatal booster transplants, even with chemoradiation for immunosuppression and to increase hemopoietic niche availability. 19,23,36,37 In these studies, allogenic IUT comprised the transplantation of BALB/c cells into purebred B6 fetuses and only ~30% of mice were chimeras after IUT. 14,15,23,37,38 Transplanted doses and HSC source ranged from 2.5E+6 fetal liver MNC/ pup to 20E+6 BM cells/pup resulting in dose-dependent chimerism.…”
Section: Discussionmentioning
confidence: 99%
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“…14,15 Recipients not meeting the initial threshold chimerism were difficult to boost with serial postnatal booster transplants, even with chemoradiation for immunosuppression and to increase hemopoietic niche availability. 19,23,36,37 In these studies, allogenic IUT comprised the transplantation of BALB/c cells into purebred B6 fetuses and only ~30% of mice were chimeras after IUT. 14,15,23,37,38 Transplanted doses and HSC source ranged from 2.5E+6 fetal liver MNC/ pup to 20E+6 BM cells/pup resulting in dose-dependent chimerism.…”
Section: Discussionmentioning
confidence: 99%
“…Initial chimerism above this threshold promotes antigen‐specific NK downregulation and increased Treg activity in the host (through NK receptor calibration and thymic clearance of alloreactive effector T cells), inducing adaptive immune tolerance needed for stable long‐term engraftment, while sub‐threshold chimerism was predictive of engraftment loss via reactive effector T and NK cells 14,15 . Recipients not meeting the initial threshold chimerism were difficult to boost with serial postnatal booster transplants, even with chemoradiation for immunosuppression and to increase hemopoietic niche availability 19,23,36,37 . In these studies, allogenic IUT comprised the transplantation of BALB/c cells into purebred B6 fetuses and only ~30% of mice were chimeras after IUT 14,15,23,37,38 .…”
Section: Discussionmentioning
confidence: 99%
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“…In utero hematopoietic stem cell transplantation (IUT) represents potential cure for congenital hematological disorders with advantages over conventional postnatal transplantation, particularly avoidance of myeloablation, 1 but immune barriers cause poor engraftment, hampering clinical application. [2][3][4][5] Conventional dendritic cells (cDC) activate CD8 and CD4 T-cells via subtypes cDC1 and cDC2 respectively, [6][7][8] mediating antigen-specific tolerance by altering helper T-cell (Th) balance 9,10 and cytokine expression. [11][12][13] Active maternal-fetal trafficking occurs throughout pregnancy, 14,15 increasing after invasive procedures like IUT.…”
Section: Discussionmentioning
confidence: 99%
“…www.nature.com/scientificreports www.nature.com/scientificreports/ in need. However, many trials have encountered difficulties in genetically manipulating HSCs efficiently [45][46][47] . Understanding the resistance mechanisms and developing methods to overcome them will help many researchers and impact the broader perspectives of stem cell utilization in regenerative medicine.…”
Section: Csh-enhanced Transduction Does Not Limit Transplantation Int...mentioning
confidence: 99%