[HTML][HTML] Genomic editing of the HIV-1 coreceptor CCR5 in adult hematopoietic stem and progenitor cells using zinc finger nucleases

L Li, L Krymskaya, J Wang, J Henley, A Rao, LF Cao… - Molecular Therapy, 2013 - cell.com
L Li, L Krymskaya, J Wang, J Henley, A Rao, LF Cao, CA Tran, M Torres-Coronado…
Molecular Therapy, 2013cell.com
The HIV-1 coreceptor CCR5 is a validated target for HIV/AIDS therapy. The apparent
elimination of HIV-1 in a patient treated with an allogeneic stem cell transplant homozygous
for a naturally occurring CCR5 deletion mutation (CCR5 Δ32/Δ32) supports the concept that
a single dose of HIV-resistant hematopoietic stem cells can provide disease protection.
Given the low frequency of naturally occurring CCR5 Δ32/Δ32 donors, we reasoned that
engineered autologous CD34+ hematopoietic stem/progenitor cells (HSPCs) could be used …
The HIV-1 coreceptor CCR5 is a validated target for HIV/AIDS therapy. The apparent elimination of HIV-1 in a patient treated with an allogeneic stem cell transplant homozygous for a naturally occurring CCR5 deletion mutation (CCR5Δ32/Δ32) supports the concept that a single dose of HIV-resistant hematopoietic stem cells can provide disease protection. Given the low frequency of naturally occurring CCR5Δ32/Δ32 donors, we reasoned that engineered autologous CD34+ hematopoietic stem/progenitor cells (HSPCs) could be used for AIDS therapy. We evaluated disruption of CCR5 gene expression in HSPCs isolated from granulocyte colony-stimulating factor (CSF)-mobilized adult blood using a recombinant adenoviral vector encoding a CCR5-specific pair of zinc finger nucleases (CCR5-ZFN). Our results demonstrate that CCR5-ZFN RNA and protein expression from the adenoviral vector is enhanced by pretreatment of HSPC with protein kinase C (PKC) activators resulting in >25% CCR5 gene disruption and that activation of the mitogen-activated protein kinase kinase (MEK)/extracellular signal-regulated kinase (ERK) signaling pathway is responsible for this activity. Importantly, using an optimized dose of PKC activator and adenoviral vector we could generate CCR5-modified HSPCs which engraft in a humanized mouse model (albeit at a reduced level) and support multilineage differentiation in vitro and in vivo. Together, these data establish the basis for improved approaches exploiting adenoviral vector delivery in the modification of HSPCs.
cell.com