
Patients with X-linked severe combined immunodeficiency (SCID-X1) were successfully cured following gene therapy with a gamma-retroviral vector (gRV) expressing the common gamma chain of the interleukin-2 receptor (IL2RG). However, 5 of 20 patients developed leukemia from activation of cellular proto-oncogenes by viral enhancers in the long-terminal repeats (LTR) of the integrated vector. These events prompted the design of a gRV vector with self-inactivating (SIN) LTRs to enhance vector safety. Herein we report on the production of a clinical-grade SIN IL2RG gRV pseudotyped with the Gibbon Ape Leukemia Virus envelope for a new gene therapy trial for SCID-X1, and highlight variables that were found to be critical for transfection-based large-scale SIN gRV production. Successful clinical production required careful selection of culture medium without pre-added glutamine, reduced exposure of packaging cells to cell-dissociation enzyme, and presence of cations in wash buffer. The clinical vector was high titer; transduced 68-70% normal human CD34(+) cells, as determined by colony-forming unit assays and by xenotransplantation in immunodeficient NOD.CB17-Prkdc(scid)/J (nonobese diabetic/severe combined immunodeficiency (NOD/SCID)) and NOD.Cg-Prkdc(scid) Il2rg(tm1Wjl)/SzJ (NOD/SCID gamma (NSG))) mice; and resulted in the production of T cells in vitro from human SCID-X1 CD34(+) cells. The vector was certified and released for the treatment of SCID-X1 in a multi-center international phase I/II trial.
Genetic Vectors, Gene Transfer Techniques, Terminal Repeat Sequences, Mice, SCID, X-Linked Combined Immunodeficiency Diseases, Mice, Retroviridae, Mice, Inbred NOD, Transduction, Genetic, Leukemia Virus, Gibbon Ape, Animals, Humans, Interleukin Receptor Common gamma Subunit
Genetic Vectors, Gene Transfer Techniques, Terminal Repeat Sequences, Mice, SCID, X-Linked Combined Immunodeficiency Diseases, Mice, Retroviridae, Mice, Inbred NOD, Transduction, Genetic, Leukemia Virus, Gibbon Ape, Animals, Humans, Interleukin Receptor Common gamma Subunit
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