Lentiviral Hematopoietic Stem Cell Gene Therapy Rescues Clinical Phenotypes in a Murine Model of Pompe Disease.

GAA Pompe disease acid alpha-glucosidase erythroid-specific enhancer hematopoietic stem cell gene therapy lentiviral vector lysosomal storage disorders personalized medicine

Journal

Molecular therapy. Methods & clinical development
ISSN: 2329-0501
Titre abrégé: Mol Ther Methods Clin Dev
Pays: United States
ID NLM: 101624857

Informations de publication

Date de publication:
11 Sep 2020
Historique:
received: 07 03 2020
accepted: 02 07 2020
entrez: 11 8 2020
pubmed: 11 8 2020
medline: 11 8 2020
Statut: epublish

Résumé

Pompe disease is a lysosomal storage disorder caused by malfunctions of the acid alpha-glucosidase (GAA) enzyme with a consequent toxic accumulation of glycogen in cells. Muscle wasting and hypertrophic cardiomyopathy are the most common clinical signs that can lead to cardiac and respiratory failure within the first year of age in the more severe infantile forms. Currently available treatments have significant limitations and are not curative, highlighting a need for the development of alternative therapies. In this study, we investigated the use of a clinically relevant lentiviral vector to deliver systemically GAA through genetic modification of hematopoietic stem and progenitor cells (HSPCs). The overexpression of GAA in human HSPCs did not exert any toxic effect on this cell population, which conserved its stem cell capacity in xenograft experiments. In a murine model of Pompe disease treated at young age, we observed phenotypic correction of heart and muscle function with a significant reduction of glycogen accumulation in tissues after 6 months of treatment. These findings suggest that lentiviral-mediated HSPC gene therapy can be a safe alternative therapy for Pompe disease.

Identifiants

pubmed: 32775491
doi: 10.1016/j.omtm.2020.07.001
pii: S2329-0501(20)30150-9
pmc: PMC7396971
doi:

Types de publication

Journal Article

Langues

eng

Pagination

558-570

Subventions

Organisme : British Heart Foundation
ID : FS/15/33/31608
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R026416/1
Pays : United Kingdom

Informations de copyright

© 2020 The Authors.

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Auteurs

Giuseppa Piras (G)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Claudia Montiel-Equihua (C)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Yee-Ka Agnes Chan (YA)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Slawomir Wantuch (S)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Daniel Stuckey (D)

Centre for Advanced Biomedical Imaging, University College London, London WC1E 6DD, UK.

Derek Burke (D)

Enzyme and Metabolic laboratory, Great Ormond Street Hospital, London WC1N 3JH, UK.

Helen Prunty (H)

Enzyme and Metabolic laboratory, Great Ormond Street Hospital, London WC1N 3JH, UK.

Rahul Phadke (R)

Dubowitz Neuromuscular Centre, MRC Centre for Neuromuscular Diseases, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK.

Darren Chambers (D)

Dubowitz Neuromuscular Centre, MRC Centre for Neuromuscular Diseases, UCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK.

Armando Partida-Gaytan (A)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Diego Leon-Rico (D)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Neelam Panchal (N)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Kathryn Whitmore (K)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Miguel Calero (M)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

Sara Benedetti (S)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre, London WC1N 1EH, UK.

Giorgia Santilli (G)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
NIHR Great Ormond Street Hospital Biomedical Research Centre, London WC1N 1EH, UK.

Adrian J Thrasher (AJ)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.

H Bobby Gaspar (HB)

Infection, Immunity and Inflammation Program, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
Orchard Therapeutics Ltd., London EC4N 6EU, UK.

Classifications MeSH