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  • Lentiviral-mediated gene th...
    Bosticardo, Marita, PhD; Draghici, Elena, MS; Schena, Francesca, PhD; Sauer, Aisha Vanessa, PhD; Fontana, Elena, PhD; Castiello, Maria Carmina, MS; Catucci, Marco, PhD; Locci, Michela, PhD; Naldini, Luigi, MD, PhD; Aiuti, Alessandro, MD, PhD; Roncarolo, Maria Grazia, MD; Poliani, Pietro Luigi, MD, PhD; Traggiai, Elisabetta, PhD; Villa, Anna, MD

    Journal of allergy and clinical immunology, 06/2011, Letnik: 127, Številka: 6
    Journal Article

    Background Wiskott-Aldrich syndrome (WAS) is an X-linked primary immunodeficiency characterized by thrombocytopenia, eczema, infections, autoimmunity, and lymphomas. Transplantation of hematopoietic stem cells from HLA-identical donors is curative, but it is not available to all patients. We have developed a gene therapy (GT) approach for WAS by using a lentiviral vector encoding for human WAS promoter/cDNA (w1.6W) and demonstrated its preclinical efficacy and safety. Objective To evaluate B-cell reconstitution and correction of B-cell phenotype in GT-treated mice. Methods We transplanted Was−/− mice sublethally irradiated (700 rads) with lineage marker-depleted bone marrow wild-type cells, Was−/− cells untransduced or transduced with the w1.6W lentiviral vector and analyzed B-cell reconstitution in bone marrow, spleen, and peritoneum. Results Here we show that WAS protein+ B cells were present in central and peripheral B-cell compartments from GT-treated mice and displayed the strongest selective advantage in the splenic marginal zone and peritoneal B1 cell subsets. After GT, splenic architecture was improved and B-cell functions were restored, as demonstrated by the improved antibody response to pneumococcal antigens and the reduction of serum IgG autoantibodies. Conclusion WAS GT leads to improvement of B-cell functions, even in the presence of a mixed chimerism, further validating the clinical application of the w1.6W lentiviral vector.