Oncogenesis following delivery of a nonprimate lentiviral gene therapy vector to fetal and neonatal mice

Mol Ther. 2005 Oct;12(4):763-71. doi: 10.1016/j.ymthe.2005.07.358.

Abstract

Gene therapy by use of integrating vectors carrying therapeutic transgene sequences offers the potential for a permanent cure of genetic diseases by stable vector insertion into the patients' chromosomes. However, three cases of T cell lymphoproliferative disease have been identified almost 3 years after retrovirus gene therapy for X-linked severe combined immune deficiency. In two of these cases vector insertion into the LMO2 locus was implicated in leukemogenesis, demonstrating that a more profound understanding is required of the genetic and molecular effects imposed on the host by vector integration or transgene expression. In vivo models to test for retro- and lentiviral vector safety prior to clinical application are therefore needed. Here we present a high incidence of lentiviral vector-associated tumorigenesis following in utero and neonatal gene transfer in mice. This system may provide a highly sensitive model to investigate integrating vector safety prior to clinical application.

Publication types

  • Letter
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Animals, Newborn
  • Fetus
  • Gene Transfer Techniques
  • Genetic Therapy / adverse effects*
  • Genetic Vectors / genetics
  • HIV-1 / genetics
  • Lentivirus / genetics*
  • Liver / pathology
  • Liver Neoplasms / etiology*
  • Liver Neoplasms / pathology
  • Mice
  • Mice, Transgenic