The use of retroviral gene transfer into hematopoietic stem cells for human gene therapy has been hampered by the absence of retroviral vectors that can generate long-lasting, lineage-specific gene expression. We developed self-inactivating retroviral vectors that incorporate generegulatory elements from the macrophage-restricted human CD68 gene. Through the transplantation of transduced murine hematopoietic stem cells (HSCs), we show that a vector incorporating a 342-base pair (bp) fragment of 5 flanking sequence from the CD68 gene, in addition to the CD68 first intron, was able to direct macrophage-specific expression of an enhanced green fluorescent protein (EGFP) reporter gene in inflammatory cell exudates and lymphoid organs in vivo. Levels of EGFP expression generated by this vector were greater than those generated by a standard Moloney murine leukemia retroviral vector, and they were stable for at least a year after transplantation of transduced HSCs. To evaluate the ability of this vector to generate therapeutically useful levels of gene expression, we transplanted apolipoprotein E (ApoE)-deficient HSCs transduced with a virus encoding ApoE into ApoEdeficient mice. Macrophages from these mice expressed levels of ApoE that were comparable to those from wild-type mice, and vector-driven expression of ApoE in macrophages was sufficient to reverse both hypercholesterolemia and atherosclerotic lesion development. The future application of this retroviral vector should provide a powerful tool to further elucidate macrophage function and for human gene therapy.
IntroductionStable gene transfer into hematopoietic stem cells (HSCs) has great potential for treating inherited and acquired human diseases, as shown by the recent success in treating 2 patients with severe combined immunodeficiency. 1,2 Such an approach requires the efficient transduction of HSCs with a vector that is capable of generating long-term, high-level gene expression. At present, retroviral (including oncoretroviral and lentiviral) vectors are the only option for meeting these criteria. 3 However, expression generated by promoter elements in the viral long terminal repeat (LTR) of these vectors is often only short-lived in vivo, a problem that has hampered the clinical application of retroviral gene therapy. [4][5][6] In addition, these vectors direct expression in all progeny lineages derived from transduced HSCs, which may be detrimental in many circumstances. Thus, much work has been performed with the aim of developing vectors that can generate long-lasting transgene expression in specific hematopoietic lineages.Attempts to create oncoretroviral vectors (RVs) for lineagespecific or cell type-specific gene expression have focused on the incorporation of lineage-specific promoter elements into RVs. Work on generating RVs for targeting -globin expression to red blood cells has exemplified the problems with such an approach. The insertion of an additional promoter into an RV often results in "promoter interference," reducing the activity o...