For the treatment of -globin gene defects, a homologous recombination-mediated gene correction approach would provide advantages over random integrationbased gene therapy strategies. However, "neighborhood effects" from retained selectable marker genes in the targeted locus are among the key issues that must be taken into consideration for any attempt to use this strategy for gene correction. An Ala-to-Ile mutation was created in the 6 position of the mouse -major globin gene ( 6I ) as a step toward the development of a murine model system that could serve as a platform for therapeutic gene correction studies. The marked -major gene can be tracked at the level of DNA, RNA, and protein, allowing investigation of the impact of a retained phosphoglycerate kinase (PGK)-neo cassette located between the mutant -major and -minor globin genes on expression of these 2 neighboring genes. Although the PGK-neo cassette was expressed at high levels in adult erythroid cells, the abundance of the  6I mRNA was indistinguishable from that of the wildtype counterpart in bone marrow cells. Similarly, the output from the -minor globin gene was also normal. Therefore, in this specific location, the retained, transcriptionally active PGK-neo cassette does not disrupt the regulated expression of the adult -globin genes.
IntroductionSince the molecular cloning and sequencing of the globin genes more than 20 years ago, many investigators have explored gene therapy as a potential mechanism for treating -globin gene defects. 1 The gene therapy approach that has been most carefully studied makes use of retroviral vectors to introduce -globin genes into hematopoietic stem or progenitor cells, where the -globin gene randomly integrates into the host cell genome (reviewed in 2 ). This approach has met with limited success for a variety of reasons, including low efficiency of progenitor cell transduction, 3,4 variegation of expression of the integrated -globin genes, and silencing of the integrated -globin genes that occurs as a function of time. 5,6 When the locus control region was identified more than a decade ago, the core regions of the hypersensitive sites were added to retroviral vectors to reduce or eliminate the integration site-specific variegation of -globin gene expression. [7][8][9] Unfortunately, this change in the design of these vectors led to instability in the viral genomes on integration, which limited the usefulness of the locus control region (LCR) in retroviral systems. 7,8 Although improvements in the system have recently been described using lentivirusbased vectors, fundamental problems with regulated -globin gene expression still exist. 10 In addition, retroviral vectors necessarily cause mutations at sites of integration, and the results of these mutations in any given recipient cell cannot be predicted. The mutagenesis caused by random integration remains a problem for most gene therapy strategies.Alternative approaches for the gene therapy of -globin disorders include "gene correction" 11,12 and h...