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Prepublished online as a Blood First Edition Paper on May 17, 2002; DOI 10.1182/blood-2002-01-0219.

Submitted January 28, 2002
Accepted March 18, 2002
Development of virus vectors for gene therapy of ß chain hemoglobinopathies: flanking with a chromatin insulator reduces -globin gene silencing in vivo
David W Emery*, Evangelia Yannaki, Julie Tubb, Tamon Nishino, Qiliang Li, and George Stamatoyannopoulos
Department of Medicine, Division of Medical Genetics, University of Washington, Seattle, WA, USA
Gene and Cell Therapy Center, Hematology Department and Bone Marrow Transplantation Unit, George Papanikolaou General Hospital, Thessaloniki, Greece
* Corresponding author; email: demery{at}u.washington.edu.
We have previously described the development of oncoretrovirus vectors for human -globin using a truncated ß-globin promoter, modified -globin cassette, and -globin enhancer. However, one of these vectors is genetically unstable and both vectors exhibit variable expression patterns in cultured cells, common characteristics of oncoretrovirus vectors for globin genes. In order to address these problems, we identified and removed the vector sequences responsible for genetic instability and flanked the resulting vector with the chicken ß-globin HS4 chromatin insulator in order to protect expression from chromosomal position effects. After determining that flanking with the cHS4 element allowed higher, more uniform levels of -globin expression in MEL cell lines, we tested these vectors using a mouse bone marrow transduction and transplantation model. When present, the -globin cassettes from the uninsulated vectors were expressed in only 2-5% of RBC long-term, indicating they are highly sensitive to epigenetic silencing. In contrast, when present the -globin cassette from the insulated vector was expressed in 49±20% of RBC long-term. RNase protection analysis indicated that the insulated -globin cassette was expressed at 23±16% per copy of mouse -globin in transduced RBC. These results demonstrate that flanking a globin vector with the cHS4 insulator increases the likelihood of expression nearly 10-fold, which in turn allows for -globin expression approaching the therapeutic range for sickle cell anemia and ß thalassemia in transplanted mice.

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