Title:
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Correction of the classical scid mouse mutation by gene repair
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Gene addition strategies to correct inherited diseases are showing promise for treatment
in the clinic, but an improved approach to treat both dominant and recessive genetic
disorders would be to repair the mutant gene by homologous recombination-mediated
gene targeting. Recently, gene targeting frequencies have dramatically increased
through the development of (i) improved designer nuc1eases, including zinc finger
nucleases (ZFN), able to introduce specific double-strand breaks at their target locus;
and (ii) efficient DNA delivery tools, including integration-deficient lentiviral vectors
(IDL Vs). Even when using these state-of-the-art systems, gene repair frequencies in
stem cells are moderate. To obtain proof-of-principle of phenotypic rescue in the
haematopoietic system, a model in which corrected cells had selective advantage would
be optimum. An ex vivo strategy to correct the classical scid mouse, a model of human
DNA-dependent protein kinase catalytic subunit (DNA-PKcs, PRKDC) deficiency, is
hereby presented. Donor templates to correct the scid point mutation and a ZFN were
produced, optimised and incorporated into IDLVs. Specific ZFN activity in mouse scid
fibroblasts and haematopoietic progenitors was demonstrated by Cel-I assay (which
detects modifications introduced at the target site upon repair by non-homologous end-
joining) and by deep sequencing. ZFN- and template-mediated gene repair of the scid
mutation was demonstrated via the incorporation of a selection cassette and/or a
diagnostic restriction site from the donor template into the targeted locus. In scid
fibroblasts, gene repair led to DNA-PKcs activity rescue and increased resistance to
DNA damage. In scid haematopoietic progenitors, gene correction was demonstrated
only when the ZFN genes were delivered by integrating lentiviral vectors. Following an
optimised ex vivo protocol, transplantation of potentially corrected scid haematopoietic
progenitors into irradiated scid recipients has been carried out. Preliminary results of the
ex vivo gene repair and transplantation experiment have indicated potential rescue of the
T -cell compartment in a fraction of the scid transplant recipients. The results presented
in this work highlight the potential of gene repair for future therapy in the
haematopoietic system.
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