Correction of the sickle cell disease mutation in human hematopoietic stem/progenitor cells

被引:256
作者
Hoban, Megan D. [1 ]
Cost, Gregory J. [2 ]
Mendel, Matthew C. [2 ]
Romero, Zulema [1 ]
Kaufman, Michael L. [1 ]
Joglekar, Alok V. [1 ]
Ho, Michelle [1 ]
Lumaquin, Dianne [1 ]
Gray, David [1 ]
Lill, Georgia R. [1 ]
Cooper, Aaron R. [3 ]
Urbinati, Fabrizia [1 ]
Senadheera, Shantha [1 ]
Zhu, Allen [2 ]
Liu, Pei-Qi [2 ]
Paschon, David E. [2 ]
Zhang, Lei [2 ]
Rebar, Edward J. [2 ]
Wilber, Andrew [4 ]
Wang, Xiaoyan [5 ]
Gregory, Philip D. [2 ]
Holmes, Michael C. [2 ]
Reik, Andreas [2 ]
Hollis, Roger P. [1 ]
Kohn, Donald B. [1 ,6 ]
机构
[1] Univ Calif Los Angeles, Dept Microbiol Immunol & Mol Genet, Los Angeles, CA USA
[2] Sangamo BioSci Inc, Richmond, CA USA
[3] Univ Calif Los Angeles, Mol Biol Interdept PhD Program, Los Angeles, CA USA
[4] So Illinois Univ, Sch Med, Dept Med Microbiol Immunol & Cell Biol, Springfield, IL USA
[5] Univ Calif Los Angeles, Dept Gen Internal Med & Hlth Serv Res, Los Angeles, CA USA
[6] Univ Calif Los Angeles, Eli & Edythe Broad Ctr Regenerat Med & Stem Cell, Los Angeles, CA USA
基金
美国国家卫生研究院;
关键词
ZINC-FINGER NUCLEASES; GLOBIN GENE-TRANSFER; DOUBLE-STRAND BREAKS; RED-BLOOD-CELLS; STEM-CELLS; LENTIVIRAL VECTORS; BETA-THALASSEMIA; BONE-MARROW; GENOME; THERAPY;
D O I
10.1182/blood-2014-12-615948
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sickle cell disease (SCD) is characterized by a single point mutation in the seventh codon of theb-globin gene. Site-specific correction of the sickle mutation in hematopoietic stem cells would allow for permanent production of normal red blood cells. Using zinc-finger nucleases (ZFNs) designed to flank the sickle mutation, we demonstrate efficient targeted cleavage at the beta-globin locus with minimal off-target modification. By codelivering a homologous donor template (either an integrase-defective lentiviral vector or a DNA oligonucleotide), high levels of gene modification were achieved in CD34(+) hematopoietic stem and progenitor cells. Modified cells maintained their ability to engraft NOD/SCID/IL2r gamma(null) mice and to produce cells from multiple lineages, although with a reduction in the modification levels relative to the in vitro samples. Importantly, ZFN-driven gene correction in CD34(+) cells from the bone marrow of patients with SCD resulted in the production of wild-type hemoglobin tetramers.
引用
收藏
页码:2597 / 2604
页数:8
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