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Effective gene therapy of mice with congenital erythropoietic porphyria is facilitated by a survival advantage of corrected erythroid cells.

Abstract
Achieving long-term expression of a therapeutic gene in a given hematopoietic lineage remains an important goal of gene therapy. Congenital erythropoietic porphyria (CEP) is a severe autosomal-recessive disorder characterized by a deficiency in uroporphyrinogen III synthase (UROS), the fourth enzyme of the heme biosynthetic pathway. We used a recently obtained murine model to check the feasibility of gene therapy in this disease. Lentivirus-mediated transfer of the human UROS cDNA into hematopoietic stem cells (HSCs) from Uros(mut248) mice resulted in a complete and long-term enzymatic, metabolic, and phenotypic correction of the disease, favored by a survival advantage of corrected red blood cells. These results demonstrate that the cure of this mouse model of CEP at a moderate transduction level supports the proof of concept of a gene therapy in this disease by transplantation of genetically modified hematopoietic stem cells.
AuthorsElodie Robert-Richard, François Moreau-Gaudry, Magalie Lalanne, Isabelle Lamrissi-Garcia, Muriel Cario-André, Véronique Guyonnet-Dupérat, Laurence Taine, Cécile Ged, Hubert de Verneuil
JournalAmerican journal of human genetics (Am J Hum Genet) Vol. 82 Issue 1 Pg. 113-24 (Jan 2008) ISSN: 1537-6605 [Electronic] United States
PMID18179890 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Uroporphyrinogen III Synthetase
Topics
  • Animals
  • Cell Survival
  • Disease Models, Animal
  • Erythrocytes
  • Female
  • Genetic Therapy
  • Genetic Vectors
  • Hematopoietic Stem Cells
  • Lentivirus
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Porphyria, Erythropoietic (genetics, therapy)
  • Uroporphyrinogen III Synthetase (genetics)

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