The goals of this project are to develop methods to obtain therapeutic levels of engrafted, gamma-globin vector lentiviral vector-transduced hematopoietic stem cells (HSCs) in patients with sickle cell disease (SCD). Additionally, we w/ill study several approaches to augment accumulation of fetal hemoglobin (HbF) resulting from gamma-globin transgene expression in the context ofthe normal endogenous levels ofthe sickle globin chain.
Our specific aims are: 1) to obtain therapeutically relevant levels of hematopoietic stem cells (HSCs) transduced with a lentiviral vector capable of high level, gamma-globin expression in progeny erythroid cells, and 2) to develop multifunctional lentiviral vectors to enhance HbF expression. In the first aim, we will use the MGMT selection system to enable selection of gamma-globin vector-transduced HSCs. Substantial progress was made in this area in the last funding period and we believe, with further improvements, HSC selection in a large animal model will be achieved. Additionally, we will investigate whether a novel HOX fusion protein, NUP98-HOXA10, can be used to increase HSC gene transfer and expansion of gamma-globin vector transduced cells for transplantation. In the second specific aim, experiments utilizing an miRNA approach are proposed to reduce the levels of sickle beta globin so to enhance the accumulation of HbF and augment therapeutic efficacy. We also propose to evaluate two approaches for the ability to permanently re-activate expression of the endogenous gamma-globin genes. The first approach will utilize a designer zinc-finger transcription factor which binds to the -117 site in the gamma-globin promoter. We hypothesize this will lead to activation ofthe gamma-globin gene. The second approach seeks to utilize mlRNA-mediated gene expression knockdown of the newly identified gammaglobin transcriptional repressor BCL1 IA, recently described by Dr. Stuart Orkin. Through these efforts, we seek to obtain HSC engraftment levels of at least 20% with globin-vector modified cells and HbF expression in the red cell progeny of 20% of endogenous sickle hemoglobin (HbS) or higher. If these goals can be met, success in a human gene therapy trial for SCD would seem likely

Public Health Relevance

Our goals are relevant to public health and the mission of the National Heart, Lung and Blood Institute since the development of effective stem cell targeted gene transfer would provide therapy for many inherited blood diseases. Because sickle cell disease causes severe symptoms, disability and often early death, curative therapies such as gene therapy are urgently needed.

Agency
National Institute of Health (NIH)
Type
Research Program Projects (P01)
Project #
5P01HL053749-20
Application #
8716797
Study Section
Heart, Lung, and Blood Program Project Review Committee (HLBP)
Project Start
Project End
Budget Start
Budget End
Support Year
20
Fiscal Year
2014
Total Cost
Indirect Cost
Name
St. Jude Children's Research Hospital
Department
Type
DUNS #
City
Memphis
State
TN
Country
United States
Zip Code
38105
Abraham, Allistair; Kim, Yoon-Sang; Zhao, Huifen et al. (2016) Increased Engraftment of Human Short Term Repopulating Hematopoietic Cells in NOD/SCID/IL2rγnull Mice by Lentiviral Expression of NUP98-HOXA10HD. PLoS One 11:e0147059
Urbinati, Fabrizia; Hargrove, Phillip W; Geiger, Sabine et al. (2015) Potentially therapeutic levels of anti-sickling globin gene expression following lentivirus-mediated gene transfer in sickle cell disease bone marrow CD34+ cells. Exp Hematol 43:346-51
Pestina, Tamara I; Hargrove, Phillip W; Zhao, Huifen et al. (2015) Amelioration of murine sickle cell disease by nonablative conditioning and γ-globin gene-corrected bone marrow cells. Mol Ther Methods Clin Dev 2:15045
Zhou, Sheng; Bonner, Melissa A; Wang, Yong-Dong et al. (2015) Quantitative shearing linear amplification polymerase chain reaction: an improved method for quantifying lentiviral vector insertion sites in transplanted hematopoietic cell systems. Hum Gene Ther Methods 26:4-12
Jackson, Shaun W; Scharping, Nicole E; Kolhatkar, Nikita S et al. (2014) Opposing impact of B cell-intrinsic TLR7 and TLR9 signals on autoantibody repertoire and systemic inflammation. J Immunol 192:4525-32
Griffith, Linda M; Cowan, Morton J; Notarangelo, Luigi D et al. (2014) Primary Immune Deficiency Treatment Consortium (PIDTC) report. J Allergy Clin Immunol 133:335-47
Treanor, Louise M; Zhou, Sheng; Janke, Laura et al. (2014) Interleukin-7 receptor mutants initiate early T cell precursor leukemia in murine thymocyte progenitors with multipotent potential. J Exp Med 211:701-13
Yu, Hui; Neale, Geoffrey; Zhang, Hui et al. (2014) Downregulation of Prdm16 mRNA is a specific antileukemic mechanism during HOXB4-mediated HSC expansion in vivo. Blood 124:1737-47
De Ravin, Suk See; Gray, John T; Throm, Robert E et al. (2014) False-positive HIV PCR test following ex vivo lentiviral gene transfer treatment of X-linked severe combined immunodeficiency vector. Mol Ther 22:244-5
Moreno-García, Miguel E; Sommer, Karen; Rincon-Arano, Hector et al. (2013) Kinase-independent feedback of the TAK1/TAB1 complex on BCL10 turnover and NF-κB activation. Mol Cell Biol 33:1149-63

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