David Harris
Johns Hopkins University Freshman, MD
Clinical Gene Therapy Branch, Fabio Candotti
Construction and analysis of lentiviral vector for gene therapy of x-linked severe combined immunodeficiency (XSCID)
X-Linked Severe Combined Immunodeficiency (XSCID) is an inherited disorder that severely hinders an individual's ability to combat infectious disease. The primary characteristics of XSCID are a lack of circulating T-lymphocytes in the peripheral blood, failure of T-cells to mature in the thymus, and a virtual lack of cellular and humoral immunity. While B-lymphocytes are generally present in normal numbers, they are abnormal in their function. XSCID is caused by mutations in the gene that encodes for the gamma-chain of the Interleukin-2 (IL-2) receptor, which is presented extracellularly of leukocytes. The gamma-chain is also a component of the receptors for many other cytokines, including IL-4, IL-7, IL-9, and IL-15, thus giving it the name of the "common gamma-chain" (gc). IL-7 is dependent upon gc for signal transduction, and is necessary for T-cell maturation and development in the murine thymic organ culture system. It is not yet known whether the latter holds true for human thymopoiesis, although it would explain the observed lack of peripheral T-cell in XSCID patients. Currently, the primary treatment for XSCID is allegenic bone marrow transplantation. However, due to lack of compatible marrow donors, as well as the risk involved in the procedure, this treatment is not available to everyone. As an alternative to bone marrow transplantation, gene therapy is being developed as a potential treatment for XSCID. Initial studies involved the use of retroviruses, which scientists used to deliver normal gc to XSCID patients cells. There is a problem in using a retrovirus to treat diseases such as XSCID; retroviruses are not able to transduce non-dividing cells. However, there is a family of viruses that can efficiently transduce dividing as well as non-dividing cells- the lentiviruses, which are the family of viruses that include HIV-1. Our objective was to build a lentiviral-based vector containing gc to correct XSCID B-cells by inserting into the cellular DNA a copy of the wild-type gc gene.