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Modeling, optimization, and comparable efficacy of T cell and hematopoietic stem cell gene editing for treating hyper‐IgM syndrome

Authors: Vavassori Valentina; Mercuri Elisabetta; Marcovecchio Genni E; Castiello Maria C; Schiroli Giulia; Albano Luisa; Margulies Carrie; +16 Authors

Modeling, optimization, and comparable efficacy of T cell and hematopoietic stem cell gene editing for treating hyper‐IgM syndrome

Abstract

Precise correction of the CD40LG gene in T cells and hematopoietic stem/progenitor cells (HSPC) holds promise for treating X-linked hyper-IgM Syndrome (HIGM1), but its actual therapeutic potential remains elusive. Here, we developed a one-size-fits-all editing strategy for effective T-cell correction, selection, and depletion and investigated the therapeutic potential of T-cell and HSPC therapies in the HIGM1 mouse model. Edited patients' derived CD4 T cells restored physiologically regulated CD40L expression and contact-dependent B-cell helper function. Adoptive transfer of wild-type T cells into conditioned HIGM1 mice rescued antigen-specific IgG responses and protected mice from a disease-relevant pathogen. We then obtained ~ 25% CD40LG editing in long-term repopulating human HSPC. Transplanting such proportion of wild-type HSPC in HIGM1 mice rescued immune functions similarly to T-cell therapy. Overall, our findings suggest that autologous edited T cells can provide immediate and substantial benefits to HIGM1 patients and position T-cell ahead of HSPC gene therapy because of easier translation, lower safety concerns and potentially comparable clinical benefits.

Keywords

Medicine (General), truncated EGFR, T-Lymphocytes, QH426-470, CRISPR-Cas gene editing; hematopoietic stem cells; T-cell therapy; truncated EGFR; X-linked hyper-IgM Syndrome;, Hyper-IgM Immunodeficiency Syndrome, T-cell therapy, Mice, CRISPR‐Cas gene editing, R5-920, Genetics, Animals, Humans, CRISPR-Cas gene editing; hematopoietic stem cells; T-cell therapy; truncated EGFR; X-linked hyper-IgM Syndrome, X-linked hyper-IgM Syndrome, Gene Editing, Hyper-IgM Immunodeficiency Syndrome, Type 1, T‐cell therapy, CRISPR-Cas gene editing; hematopoietic stem cells; T-cell therapy; truncated EGFR; X-linked hyper-IgM Syndrome; Animals; Gene Editing; Hematopoietic Stem Cells; Humans; Mice; T-Lymphocytes; Hyper-IgM Immunodeficiency Syndrome; Hyper-IgM Immunodeficiency Syndrome; Type 1, Articles, Hematopoietic Stem Cells, hematopoietic stem cells, CRISPR-Cas gene editing, X‐linked hyper‐IgM Syndrome

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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