Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy

Globoid cell leukodystrophy (GLD) is a demyelinating lysosomal storage disease due to the deficiency of the galactocerebrosidase (GALC) enzyme. The favorable outcome of hematopoietic stem and progenitor cell (HSPC)-based approaches in GLD and other similar diseases suggests HSPC gene therapy as a pr...

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Main Authors: Silvia Ungari, Annita Montepeloso, Francesco Morena, Fabienne Cocchiarella, Alessandra Recchia, Sabata Martino, Bernhard Gentner, Luigi Naldini, Alessandra Biffi
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Molecular Therapy: Methods & Clinical Development
Online Access:http://www.sciencedirect.com/science/article/pii/S232905011630050X
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author Silvia Ungari
Annita Montepeloso
Francesco Morena
Fabienne Cocchiarella
Alessandra Recchia
Sabata Martino
Bernhard Gentner
Luigi Naldini
Alessandra Biffi
author_facet Silvia Ungari
Annita Montepeloso
Francesco Morena
Fabienne Cocchiarella
Alessandra Recchia
Sabata Martino
Bernhard Gentner
Luigi Naldini
Alessandra Biffi
author_sort Silvia Ungari
collection DOAJ
description Globoid cell leukodystrophy (GLD) is a demyelinating lysosomal storage disease due to the deficiency of the galactocerebrosidase (GALC) enzyme. The favorable outcome of hematopoietic stem and progenitor cell (HSPC)-based approaches in GLD and other similar diseases suggests HSPC gene therapy as a promising therapeutic option for patients. The path to clinical development of this strategy was hampered by a selective toxicity of the overexpressed GALC in the HSPC compartment. Here, we presented the optimization of a lentiviral vector (LV) in which miR-126 regulation was coupled to codon optimization of the human GALC cDNA to obtain a selective and enhanced enzymatic activity only upon transduced HSPCs differentiation. The safety of human GALC overexpression driven by this LV was extensively demonstrated in vitro and in vivo on human HSPCs from healthy donors. No perturbation in the content of proapoptotic sphingolipids, gene expression profile, and capability of engraftment and mutlilineage differentiation in chimeric mice was observed. The therapeutic potential of this LV was then assessed in a severe GLD murine model that benefited from transplantation of corrected HSPCs with longer survival and ameliorated phenotype as compared to untreated siblings. This construct has thus been selected as a candidate for clinical translation.
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spelling doaj.art-93207bfde21d4b7fa5e8fe05ea3958f22022-12-22T02:26:08ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012015-01-012Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophySilvia Ungari0Annita Montepeloso1Francesco Morena2Fabienne Cocchiarella3Alessandra Recchia4Sabata Martino5Bernhard Gentner6Luigi Naldini7Alessandra Biffi8San Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, ItalySan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, ItalyDepartment of Experimental Medicine and Biochemical Science, Perugia University, ItalyCenter for Regenerative Medicine âStefano Ferrari,â Department of Life Sciences, University of Modena and Reggio Emilia, Modena, ItalyCenter for Regenerative Medicine âStefano Ferrari,â Department of Life Sciences, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Experimental Medicine and Biochemical Science, Perugia University, ItalySan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, ItalySan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, ItalySan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, ItalyGloboid cell leukodystrophy (GLD) is a demyelinating lysosomal storage disease due to the deficiency of the galactocerebrosidase (GALC) enzyme. The favorable outcome of hematopoietic stem and progenitor cell (HSPC)-based approaches in GLD and other similar diseases suggests HSPC gene therapy as a promising therapeutic option for patients. The path to clinical development of this strategy was hampered by a selective toxicity of the overexpressed GALC in the HSPC compartment. Here, we presented the optimization of a lentiviral vector (LV) in which miR-126 regulation was coupled to codon optimization of the human GALC cDNA to obtain a selective and enhanced enzymatic activity only upon transduced HSPCs differentiation. The safety of human GALC overexpression driven by this LV was extensively demonstrated in vitro and in vivo on human HSPCs from healthy donors. No perturbation in the content of proapoptotic sphingolipids, gene expression profile, and capability of engraftment and mutlilineage differentiation in chimeric mice was observed. The therapeutic potential of this LV was then assessed in a severe GLD murine model that benefited from transplantation of corrected HSPCs with longer survival and ameliorated phenotype as compared to untreated siblings. This construct has thus been selected as a candidate for clinical translation.http://www.sciencedirect.com/science/article/pii/S232905011630050X
spellingShingle Silvia Ungari
Annita Montepeloso
Francesco Morena
Fabienne Cocchiarella
Alessandra Recchia
Sabata Martino
Bernhard Gentner
Luigi Naldini
Alessandra Biffi
Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
Molecular Therapy: Methods & Clinical Development
title Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
title_full Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
title_fullStr Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
title_full_unstemmed Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
title_short Design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
title_sort design of a regulated lentiviral vector for hematopoietic stem cell gene therapy of globoid cell leukodystrophy
url http://www.sciencedirect.com/science/article/pii/S232905011630050X
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