Article ; Online: Lentiviral gene therapy for X-linked chronic granulomatous disease recapitulates endogenous CYBB regulation and expression.
2023 Volume 141, Issue 9, Page(s) 1007–1022
Abstract: X-linked chronic granulomatous disease (X-CGD) is a primary immunodeficiency caused by mutations in the CYBB gene, resulting in the inability of phagocytic cells to eliminate infections. To design a lentiviral vector (LV) capable of recapitulating the ... ...
Abstract | X-linked chronic granulomatous disease (X-CGD) is a primary immunodeficiency caused by mutations in the CYBB gene, resulting in the inability of phagocytic cells to eliminate infections. To design a lentiviral vector (LV) capable of recapitulating the endogenous regulation and expression of CYBB, a bioinformatics-guided approach was used to elucidate the cognate enhancer elements regulating the native CYBB gene. Using this approach, we analyzed a 600-kilobase topologically associated domain of the CYBB gene and identified endogenous enhancer elements to supplement the CYBB promoter to develop MyeloVec, a physiologically regulated LV for the treatment of X-CGD. When compared with an LV currently in clinical trials for X-CGD, MyeloVec showed improved expression, superior gene transfer to hematopoietic stem and progenitor cells (HSPCs), corrected an X-CGD mouse model leading to complete protection against Burkholderia cepacia infection, and restored healthy donor levels of antimicrobial oxidase activity in neutrophils derived from HSPCs from patients with X-CGD. Our findings validate the bioinformatics-guided design approach and have yielded a novel LV with clinical promise for the treatment of X-CGD. |
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MeSH term(s) | Animals ; Mice ; Granulomatous Disease, Chronic/genetics ; Granulomatous Disease, Chronic/therapy ; NADPH Oxidases/genetics ; NADPH Oxidases/metabolism ; NADPH Oxidase 2/genetics ; Genetic Therapy/methods ; Mutation |
Chemical Substances | NADPH Oxidases (EC 1.6.3.-) ; NADPH Oxidase 2 (EC 1.6.3.-) ; Cybb protein, mouse (EC 1.6.3.-) |
Language | English |
Publishing date | 2023-03-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 80069-7 |
ISSN | 1528-0020 ; 0006-4971 |
ISSN (online) | 1528-0020 |
ISSN | 0006-4971 |
DOI | 10.1182/blood.2022016074 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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