[HTML][HTML] Cell-intrinsic and vector-related properties cooperate to determine the incidence and consequences of insertional mutagenesis

OS Kustikova, B Schiedlmeier, MH Brugman… - Molecular therapy, 2009 - cell.com
OS Kustikova, B Schiedlmeier, MH Brugman, M Stahlhut, S Bartels, Z Li, C Baum
Molecular therapy, 2009cell.com
In gene therapeutic approaches targeting hematopoietic cells, insertional mutagenesis may
provoke clonal dominance with potential progress to overt leukemia. To investigate the
contribution of cell-intrinsic features and determine the frequency of insertional proto-
oncogene activation, we sorted hematopoietic subpopulations before transduction with
replication-deficient γ-retroviral vectors and studied the clonal repertoire in transplanted
C57BL/6J mice. Progressive clonal dominance only developed in the progeny of …
In gene therapeutic approaches targeting hematopoietic cells, insertional mutagenesis may provoke clonal dominance with potential progress to overt leukemia. To investigate the contribution of cell-intrinsic features and determine the frequency of insertional proto-oncogene activation, we sorted hematopoietic subpopulations before transduction with replication-deficient γ-retroviral vectors and studied the clonal repertoire in transplanted C57BL/6J mice. Progressive clonal dominance only developed in the progeny of populations with intrinsic stem cell potential, where expanding clones with insertional upregulation of proto-oncogenes such as Evi1 were retrieved with a frequency of ~10−4. Longitudinal studies by high-throughput sequencing and locus-specific quantitative PCR showed clones with >50-fold expansion between weeks 5 and 31 after transplantation. In contrast, insertional events in proto-oncogenes did not endow the progeny of multipotent or myeloid-restricted progenitors with the potential for clonal dominance (risk <10−6). Transducing sorted hematopoietic stem cells (HSCs) with self-inactivating (SIN) lentiviral vectors in short-term cultures improved chimerism, and although clonal dominance developed, there was no evidence for insertional events in the vicinity of proto-oncogenes as the underlying cause. We conclude that cell-intrinsic properties cooperate with vector-related features to determine the incidence and consequences of insertional mutagenesis. Furthermore, our study offers perspectives for refinement of animal experiments in the assessment of vector-related genotoxicity.
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