Abstract:Foamy virus (FV) vectors are promising for hematopoietic stem cell (HSC) gene therapy but preclinical data on the clonal composition of FV vector transduced human repopulating cells is needed. Human CD34+ human cord blood cells were transduced with an FV vector encoding a methylguanine methyltransferase (MGMT)P140K transgene, transplanted into immunodeficient NOD/SCID IL2Rγnull (NSG) mice, and selected in vivo for gene-modified cells. The retroviral insertion site (RIS) profile of repopulating clones was exami… Show more
“…We also did not identify clonal dominance within any of the samples, consistent with FV vector-transduced samples being highly polyclonal with and without an insulator. 41,66 Despite these similarities, a significant reduction in the number of observed integration sites within hotspots was observed when FV vectors were insulated. The effect is seen as early as 5 days after vector exposure and increases over time as indicated by a significant increase in the number of observed integrations within hotspots in uninsulated FV vector-transduced samples (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…[41][42][43] The GV vector CL-SGN was generated from pCAG-GFP, a gift from F. Gage (plasmid no. 16664; Addgene, Cambridge, MA), 44 where an SFFV EGFP neomycin cassette was cloned in between the EcoRI sites, using standard molecular biology techniques.…”
Section: Vector Production and Titermentioning
confidence: 99%
“…PERL scripts querying oncogene databases were used to assess integrations within and near known proto-oncogenes as previously described. 20,41 Retroviral integration site (RIS) data sets were divided into a minimum of three nonoverlapping randomly selected matched size data sets of 1588 unique RIS for hotspot analysis.…”
Section: Transduction Of Human Cord Blood Cd34mentioning
Retroviral vector-mediated gene therapy is promising, but genotoxicity has limited its use in the clinic. Genotoxicity is highly dependent on the retroviral vector used, and foamy viral (FV) vectors appear relatively safe. However, internal promoters may still potentially activate nearby genes. We developed insulated FV vectors, using four previously described insulators: a version of the well-studied chicken hypersensitivity site 4 insulator (650cHS4), two synthetic CCCTC-binding factor (CTCF)-based insulators, and an insulator based on the CCAAT box-binding transcription factor/nuclear factor I (7xCTF/NF1). We directly compared these insulators for enhancer-blocking activity, effect on FV vector titer, and fidelity of transfer to both proviral long terminal repeats. The synthetic CTCF-based insulators had the strongest insulating activity, but reduced titers significantly. The 7xCTF/NF1 insulator did not reduce titers but had weak insulating activity. The 650cHS4-insulated FV vector was identified as the overall most promising vector. Uninsulated and 650cHS4-insulated FV vectors were both significantly less genotoxic than gammaretroviral vectors. Integration sites were evaluated in cord blood CD34+ cells and the 650cHS4-insulated FV vector had fewer hotspots compared with an uninsulated FV vector. These data suggest that insulated FV vectors are promising for hematopoietic stem cell gene therapy.
“…We also did not identify clonal dominance within any of the samples, consistent with FV vector-transduced samples being highly polyclonal with and without an insulator. 41,66 Despite these similarities, a significant reduction in the number of observed integration sites within hotspots was observed when FV vectors were insulated. The effect is seen as early as 5 days after vector exposure and increases over time as indicated by a significant increase in the number of observed integrations within hotspots in uninsulated FV vector-transduced samples (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…[41][42][43] The GV vector CL-SGN was generated from pCAG-GFP, a gift from F. Gage (plasmid no. 16664; Addgene, Cambridge, MA), 44 where an SFFV EGFP neomycin cassette was cloned in between the EcoRI sites, using standard molecular biology techniques.…”
Section: Vector Production and Titermentioning
confidence: 99%
“…PERL scripts querying oncogene databases were used to assess integrations within and near known proto-oncogenes as previously described. 20,41 Retroviral integration site (RIS) data sets were divided into a minimum of three nonoverlapping randomly selected matched size data sets of 1588 unique RIS for hotspot analysis.…”
Section: Transduction Of Human Cord Blood Cd34mentioning
Retroviral vector-mediated gene therapy is promising, but genotoxicity has limited its use in the clinic. Genotoxicity is highly dependent on the retroviral vector used, and foamy viral (FV) vectors appear relatively safe. However, internal promoters may still potentially activate nearby genes. We developed insulated FV vectors, using four previously described insulators: a version of the well-studied chicken hypersensitivity site 4 insulator (650cHS4), two synthetic CCCTC-binding factor (CTCF)-based insulators, and an insulator based on the CCAAT box-binding transcription factor/nuclear factor I (7xCTF/NF1). We directly compared these insulators for enhancer-blocking activity, effect on FV vector titer, and fidelity of transfer to both proviral long terminal repeats. The synthetic CTCF-based insulators had the strongest insulating activity, but reduced titers significantly. The 7xCTF/NF1 insulator did not reduce titers but had weak insulating activity. The 650cHS4-insulated FV vector was identified as the overall most promising vector. Uninsulated and 650cHS4-insulated FV vectors were both significantly less genotoxic than gammaretroviral vectors. Integration sites were evaluated in cord blood CD34+ cells and the 650cHS4-insulated FV vector had fewer hotspots compared with an uninsulated FV vector. These data suggest that insulated FV vectors are promising for hematopoietic stem cell gene therapy.
“…23,24 These properties contribute to their safety as established in the canine model 21,25,26 and in the murine xenotransplantation model. 20,[27][28][29] We previously demonstrated the feasibility of in vivo gene therapy in canine SCID-X1 with IV injection of FV vector expressing human codon optimized gC driven by the short elongation factor-1 a promoter (EF1a; EF1a.gC.FV). 30 Successful lymphocyte expansion was reported in these animals, but clonal diversity and T-cell receptor (TCR) repertoire were low, which prompted further optimization of our method.…”
Key Points• IV delivery of FV vector using the phosphoglycerate kinase promoter outperforms EF1a-containing vector in the canine SCID-X1 model.• G-CSF/AMD3100 mobilization before in vivo FV vector delivery improves kinetics and clonal diversity of lymphocyte reconstitution.
“…We have published statistical tools for analysis of such data and applied these tools to track several gene therapy trials 20, 21, 25, 26, 34, 35, 36, 37, 38, 39. Other groups have also used related methods 6, 8, 24, 40, 41, 42, 43, 44…”
Analysis of sites of newly integrated DNA in cellular genomes is important to several fields, but methods for analyzing and visualizing these datasets are still under development. Here, we describe tools for data analysis and visualization that take as input integration site data from our INSPIIRED pipeline. Paired-end sequencing allows inference of the numbers of transduced cells as well as the distributions of integration sites in target genomes. We present interactive heatmaps that allow comparison of distributions of integration sites to genomic features and that support numerous user-defined statistical tests. To summarize integration site data from human gene therapy samples, we developed a reproducible report format that catalogs sample population structure, longitudinal dynamics, and integration frequency near cancer-associated genes. We also introduce a novel summary statistic, the UC50 (unique cell progenitors contributing the most expanded 50% of progeny cell clones), which provides a single number summarizing possible clonal expansion. Using these tools, we characterize ongoing longitudinal characterization of a patient from the first trial to treat severe combined immunodeficiency-X1 (SCID-X1), showing successful reconstitution for 15 years accompanied by persistence of a cell clone with an integration site near the cancer-associated gene CCND2. Software is available at https://github.com/BushmanLab/INSPIIRED.
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