Escolar Documentos
Profissional Documentos
Cultura Documentos
Dmitri Chilov
Gene transfer
Strategies Transgene KO (knock-out) KI (knock-in) KD (knock-down) Gene (cDNA) Promoter Homologous recombination Homologous recombination siRNA Gene transfer methods Over expression, expression of dominant-negative mutant
DNA injections
Transduction (viral vectors) The goal in gene therapy is: replace a defective function, introduce additional function (as in cancer), prevent (as in a vaccine) disease
Gene therapy
Transfect cells (packaging cells) with DNA vectors encoding viral particles Collect the medium (with viral particles) or lyse the cells Purify and/or concentrate virus prep Determine amount of viral particles and MOI (multiplicity of infection) Apply virus to target cells (in vitro) and tissues (in vivo)
Eliminate trans acting elements Essential trans acting elements to be identified and provided by a helper vector Modify cis acting elements (creating self-inactivating viruses) Modify transgene cassette varying promoters to achieve high and/or specific gene expression Pseudotyping process of producing viruses or viral vectors in combination with foreign viral envelope proteins to improve or broaden tropism, increase stability, reduce toxicity and immune response Modifying envelope proteins to improve or broaden tropism increase stability, reduce toxicity and immune response
Adeno-associated viruses - non pathogenic, single stranded DNA viruses, virion is a non-enveloped capsid of about 20 nm in diameter, the DNA genome is about 4,7 kb Retrovirus (retro and lentivirus) enveloped RNA viruses with diploid single-stranded genome of 7-11 kb, which reverse transcribed to doube-stranded DNA host cell cytoplasm, the viron size is about 80-100 nm.
Herpes simplex virus-1 enveloped DNA virus, Herpesviridae family, the virion is 120200 nm contains one copy of double-stranded DNA genome of approximately 150 kb
Adeno
Lenti
The most studied lentivirus is the human immunodeficiency virus type 1 (HIV-1), which infects CD4- positive T lymphocytes and macrophages (CD4 antigen acts as the primary surface receptor for HIV-1) LTR sequences required for gene expression, reverse transcription and integration
retroviral genome contains three essential genes, termed gag, pol, and env, flanked by long terminal repeats (LTR) Gag gene codes for structural proteins (capsid), matrix, and nucleocapsid, which form the viral core; pol gene codes for viral protease, reverse transcriptase and integrase and env gene codes for envelope glycoproteins Rev is necessary for expression of un-spliced and singly-spliced mRNA in vivo
Good capacity Broad tropism Integration long term expression Non toxic, No acute immune response Easy to produce and engineer Self inactivating good for safety TransGene silencing possible Activation of neighboring genes possible (due to activity of LTR)
Principle difference between retro and lenti- vectors is that lenti can transduce quiescent cells From Escors Breckpot 2010
VSV-G has wide tropism but can be toxic for packaging cells From Matrai 2010
Improvement of r-lentivectors
AAV
inverted terminal repeats (ITRs) contain all cis-acting sequences critical for virus packaging, replication, and integration
rep gene contains two promoters and each transcript is regulated by internal splicing, resulting in production of four nonstructural Rep proteins, Rep78, Rep68, Rep52, and Rep40. The Reps regulate replication, viral transcription, packaging of the AAV genomes and sitespecific integration cap gene encodes the three structural proteins, virion protein 1, 2, and 3 (VP1, VP2, and VP3), from two alternative transcripts and an alternative translation initiation codon. The VPs formthe capsid of the virus From Warrington Herzog 2006
AAV
Modifications of AAV
AAV
Non-pathogenic Simple vector design No inflammatory response Virus is small enabling tissue penetration Long onset of expression (due to the fact that it is a single strand DNA virus requires second strand synthesis, which is often poorly efficient in non proliferating cell Low capacity
adeno
Ad genes are encoded on both DNA strands, and are regulated by complex RNA processing resulting in a high number of viral proteins (for example, over 70 proteins for the well-studied Ad5 serotype)
The early transcription units (E1A,E1B, E2, E3, and E4) function in transcriptional activation and replication of the Ad genome, as well as in subversion of host cell immune response. The late transcription units (L1L5) encode structural proteins for the capsid and internal core. E3-11.6K protein (adenovirus death protein) is produced in the late phase of infection, and aids in the host cell lysis
Generations of adenovectors
helper-dependent (HdAd) Ad vector contains only two flanking ITRs and a packaging sequence ( ). This give high capacity up to 37 kb
replication of HdAd DNA and assembly of virions during virus production is done by coinfectionwith helper adenovirus
adeno
Broad tropism Large capacity No integration but expression has been shown to persist for several months Quick onset of expression (very valuable for in vitro) Relatively difficult to produce Cyto-toxicity Acute immune response
Clinical trials
Since 1990, >1500 clinical trials have been approved worldwide utilizing viral and non-viral vectors and targeting various organs, cell types, and diseases A violent innate immune response to an intravenously delivered adenoviral vector caused the death of a patient with a rare metabolic disorder in 1999 Ex vivo retroviral gene transfer of the c-chain (common to several cytokine receptors) to autologous HSC (CD34+ bone marrow cells) cured boys with X-linked SCID. However, 4 of 10 children developed leukemia (Hacein-Bey-Abina et al., 2008) Retroviral transduction of HSC continues to show high therapeutic efficacy in ADA-SCID without the development of leukemia (Aiuti et al., 2009; Aiuti et al., 2002). Eight of ten children have essentially been cured AAV mediated gene transfer of RPE-65 to the retina restored light sensitivity in patients with Leber's congenital amaurosis (LCA) (from Proc Natl Acad Sci USA 105(39):15112-7, 2008
Clinical trials
Promoters
Cytomegalovirus promoter (CMV) commonly used, good for in vitro but often exhibit mosaic activity in vivo and is not active in some tissues (CNS) Chimeric CMV promoter (CMV + chicken -actine) Elongation factor 1 strong ubiquotous expression Tissue specific promoter (for example for CNS PDGF promoter) Regulatable promoters (Tet ON/OFF)