Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation

Autologous hematopoietic stem cell transplantation using genome-edited cells can become a definitive therapy for hematological and non-hematological disorders with neurological involvement. Proof-of-concept studies using human genome-edited hematopoietic stem cells have been hindered by the low effi...

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Main Authors: Edina Poletto, Pasqualina Colella, Luisa N. Pimentel Vera, Shaukat Khan, Shunji Tomatsu, Guilherme Baldo, Natalia Gomez-Ospina
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050122000572
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author Edina Poletto
Pasqualina Colella
Luisa N. Pimentel Vera
Shaukat Khan
Shunji Tomatsu
Guilherme Baldo
Natalia Gomez-Ospina
author_facet Edina Poletto
Pasqualina Colella
Luisa N. Pimentel Vera
Shaukat Khan
Shunji Tomatsu
Guilherme Baldo
Natalia Gomez-Ospina
author_sort Edina Poletto
collection DOAJ
description Autologous hematopoietic stem cell transplantation using genome-edited cells can become a definitive therapy for hematological and non-hematological disorders with neurological involvement. Proof-of-concept studies using human genome-edited hematopoietic stem cells have been hindered by the low efficiency of engraftment of the edited cells in the bone marrow and their modest efficacy in the CNS. To address these challenges, we tested a myeloablative conditioning regimen based on Busulfan in an immunocompromised model of mucopolysaccharidosis type 1. Compared with sub-lethal irradiation, Busulfan conditioning enhanced the engraftment of edited CD34+ cells in the bone marrow, as well the long-term homing and survival of bone-marrow-derived cells in viscera, and in the CNS, resulting in higher transgene expression and biochemical correction in these organs. Edited cell selection using a clinically compatible marker resulted in a population with low engraftment potential. We conclude that conditioning can impact the engraftment of edited hematopoietic stem cells. Furthermore, Busulfan-conditioned recipients have a higher expression of therapeutic proteins in target organs, particularly in the CNS, constituting a better conditioning approach for non-hematological diseases with neurological involvement.
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spelling doaj.art-138467156b384541b8cb54764f0912802022-12-22T01:10:29ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012022-06-0125392409Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablationEdina Poletto0Pasqualina Colella1Luisa N. Pimentel Vera2Shaukat Khan3Shunji Tomatsu4Guilherme Baldo5Natalia Gomez-Ospina6Gene Therapy Center, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul 90035-903, Brazil; Postgraduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 91501-970, BrazilDepartment of Pediatrics, Stanford University, 265 Campus Drive, G2061, Stanford, CA 94305, USADepartment of Pediatrics, Stanford University, 265 Campus Drive, G2061, Stanford, CA 94305, USANemours/ Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USANemours/ Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USAGene Therapy Center, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul 90035-903, Brazil; Postgraduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 91501-970, BrazilDepartment of Pediatrics, Stanford University, 265 Campus Drive, G2061, Stanford, CA 94305, USA; Corresponding author Natalia Gomez-Ospina, Department of Pediatrics, Stanford University, 265 Campus Drive, G2061, Stanford, CA 94305, USA.Autologous hematopoietic stem cell transplantation using genome-edited cells can become a definitive therapy for hematological and non-hematological disorders with neurological involvement. Proof-of-concept studies using human genome-edited hematopoietic stem cells have been hindered by the low efficiency of engraftment of the edited cells in the bone marrow and their modest efficacy in the CNS. To address these challenges, we tested a myeloablative conditioning regimen based on Busulfan in an immunocompromised model of mucopolysaccharidosis type 1. Compared with sub-lethal irradiation, Busulfan conditioning enhanced the engraftment of edited CD34+ cells in the bone marrow, as well the long-term homing and survival of bone-marrow-derived cells in viscera, and in the CNS, resulting in higher transgene expression and biochemical correction in these organs. Edited cell selection using a clinically compatible marker resulted in a population with low engraftment potential. We conclude that conditioning can impact the engraftment of edited hematopoietic stem cells. Furthermore, Busulfan-conditioned recipients have a higher expression of therapeutic proteins in target organs, particularly in the CNS, constituting a better conditioning approach for non-hematological diseases with neurological involvement.http://www.sciencedirect.com/science/article/pii/S2329050122000572genome editingCRISPR-Cas9hematopoietic stem cellBusulfantotal body irradiationengraftment
spellingShingle Edina Poletto
Pasqualina Colella
Luisa N. Pimentel Vera
Shaukat Khan
Shunji Tomatsu
Guilherme Baldo
Natalia Gomez-Ospina
Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
Molecular Therapy: Methods & Clinical Development
genome editing
CRISPR-Cas9
hematopoietic stem cell
Busulfan
total body irradiation
engraftment
title Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
title_full Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
title_fullStr Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
title_full_unstemmed Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
title_short Improved engraftment and therapeutic efficacy by human genome-edited hematopoietic stem cells with Busulfan-based myeloablation
title_sort improved engraftment and therapeutic efficacy by human genome edited hematopoietic stem cells with busulfan based myeloablation
topic genome editing
CRISPR-Cas9
hematopoietic stem cell
Busulfan
total body irradiation
engraftment
url http://www.sciencedirect.com/science/article/pii/S2329050122000572
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