Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency

Claudia A Montiel-Equihua, Adrian J Thrasher, H Bobby GasparCentre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, UKAbstract: The history of stem cell gene therapy is strongly linked to the development of gene therapy for severe combined immunodeficiencies (S...

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Main Authors: Claudia A Montiel-Equihua, Adrian J Thrasher, H Bobby Gaspar
Format: Article
Language:English
Published: Dove Medical Press 2009-12-01
Series:Stem Cells and Cloning: Advances and Applications
Online Access:http://www.dovepress.com/development-of-gene-therapy-potential-in-severe-combined-immunodeficie-a3855
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author Claudia A Montiel-Equihua
Adrian J Thrasher
H Bobby Gaspar
author_facet Claudia A Montiel-Equihua
Adrian J Thrasher
H Bobby Gaspar
author_sort Claudia A Montiel-Equihua
collection DOAJ
description Claudia A Montiel-Equihua, Adrian J Thrasher, H Bobby GasparCentre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, UKAbstract: The history of stem cell gene therapy is strongly linked to the development of gene therapy for severe combined immunodeficiencies (SCID) and especially adenosine deaminase (ADA)-deficient SCID. Here we discuss the developments achieved in over two decades of clinical and laboratory research that led to the establishment of a protocol for the autologous transplant of retroviral vector-mediated gene-modified hematopoietic stem cells, which has proved to be both successful and, to date, safe. Patients in trials in three different countries have shown long-term immunological and metabolic correction. Nevertheless, improvements to the safety profile of viral vectors are underway and will undoubtedly reinforce the position of stem cell gene therapy as a treatment option for ADA-SCID.Keywords: adenosine deaminase, severe combined immunodeficiency, gene therapy, hematopoietic stem cell, retrovirus, clinical trial
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spelling doaj.art-936454d41ea942afac64b7d8188fefc72022-12-21T23:08:56ZengDove Medical PressStem Cells and Cloning: Advances and Applications1178-69572009-12-012010default112Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiencyClaudia A Montiel-EquihuaAdrian J ThrasherH Bobby GasparClaudia A Montiel-Equihua, Adrian J Thrasher, H Bobby GasparCentre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, UKAbstract: The history of stem cell gene therapy is strongly linked to the development of gene therapy for severe combined immunodeficiencies (SCID) and especially adenosine deaminase (ADA)-deficient SCID. Here we discuss the developments achieved in over two decades of clinical and laboratory research that led to the establishment of a protocol for the autologous transplant of retroviral vector-mediated gene-modified hematopoietic stem cells, which has proved to be both successful and, to date, safe. Patients in trials in three different countries have shown long-term immunological and metabolic correction. Nevertheless, improvements to the safety profile of viral vectors are underway and will undoubtedly reinforce the position of stem cell gene therapy as a treatment option for ADA-SCID.Keywords: adenosine deaminase, severe combined immunodeficiency, gene therapy, hematopoietic stem cell, retrovirus, clinical trialhttp://www.dovepress.com/development-of-gene-therapy-potential-in-severe-combined-immunodeficie-a3855
spellingShingle Claudia A Montiel-Equihua
Adrian J Thrasher
H Bobby Gaspar
Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
Stem Cells and Cloning: Advances and Applications
title Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
title_full Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
title_fullStr Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
title_full_unstemmed Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
title_short Development of gene therapy: potential in severe combined immunodeficiency due to adenosine deaminase deficiency
title_sort development of gene therapy potential in severe combined immunodeficiency due to adenosine deaminase deficiency
url http://www.dovepress.com/development-of-gene-therapy-potential-in-severe-combined-immunodeficie-a3855
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