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Development of new and safer gene therapy method for severe combined immunodeficiency.

Research Project

Project/Area Number 15390320
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionTohoku University

Principal Investigator

KUMAKI Satoru  Tohoku University, Institute of Development, Aging and Cancer, Associate professor, 加齢医学研究所, 助教授 (20311566)

Co-Investigator(Kenkyū-buntansha) TSUCHIYA Shigeru  Tohoku University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (30124605)
SASAHARA Yoji  Tohoku University, Institute of Development, Aging and Cancer, Assistant professor, 加齢医学研究所, 助手 (60372314)
阿南 和昭  東北大学, 加齢医学研究所, 助手 (80343036)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥12,200,000 (Direct Cost: ¥12,200,000)
Fiscal Year 2005: ¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2004: ¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2003: ¥8,400,000 (Direct Cost: ¥8,400,000)
Keywordsprimary immunodeficiency / severe combined immunodeficiency / X-SCID / γc chain / gene therapy / suicide gene / 原発生免疫不全症
Research Abstract

Gene therapy of SCID was efficient in correcting immunodeficiency. However, a severe adverse event, leukemia due to insertional mutagenesis by the retroviral vector, was reported in the X-SCID gene therapy clinical trial. Therefore, we performed studies aiming at developing safer gene therapy method. The main results are listed below.
1. To offset the side effect, we have incorporated a suicide gene into therapeutic retroviral vector for selective elimination of transduced cells. Cells from X-SCID patients were transduced with bicistronic retroviral vector carrying human γc chain cDNA and HSVtk gene. After confirmation of functional reconstitution of the γc chain, the cells were treated with ganciclovir (GCV). The γc chain positive cells were eliminated under low concentration without cytotoxicity on untransduced cells, and have not reappeared at least for 6 months. Furthermore, the γc chain transduced cells were still sensitive to GCV after six months. These results demonstrated the efficacy of the suicide gene therapy.
2. To minimize insertional mutagenesis, vector integration was targeted towards neutral DNA regions using phage φC31 integrase system. We demonstrate two preferable integration sites in human chromosomes 18p11.2 and 13q14.1 in hematopoietic cells. No integration in or close to known proto-oncogenes was observed.
3. We continue to perform molecular diagnosis of SCID using blood samples from all over Japan and South Korea. We have identified mutations in the genes encoding γc chain, Jak3, IL7Rα, RAG1 and Artemis.
Remarks : Preliminary experiment of "Gene therapy Clinical Trial of X-SCID" which had been approved by the Japanese government, was performed using a patient's bone marrow cells. However, the clinical trial has been postponed due to a report of the severe adverse event by the gene therapy.

Report

(4 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (26 results)

All 2006 2005 2004 Other

All Journal Article (20 results) Publications (6 results)

  • [Journal Article] Application of HSVtk suicide gene to X-SCID gene therapy : Ganciclovir treatment offsets gene corrected X-SCID B cells.2006

    • Author(s)
      Uchiyama T, et al.
    • Journal Title

      Bioch Bioph Res Comm 341

      Pages: 391-398

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Phage ΦC31 integrase-mediated genomic integration of the common cytokine receptor gamma chain in human T-cell lines.2006

    • Author(s)
      Ishikawa Y, et al.
    • Journal Title

      J Gene Med 8

      Pages: 646-653

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A second-site mutation in the initiation codon of WAS(WASP) gene results in expansion of subsets of lymphocytes in an Wiskott-Aldrich Syndrome patient.2006

    • Author(s)
      Du W, et al.
    • Journal Title

      Hum Mutat 27

      Pages: 370-375

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Rapid screening method for IRAK4 deficiency by flow cytometer.2006

    • Author(s)
      Takada H, et al.
    • Journal Title

      J Pediatr 148

      Pages: 546-548

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Application of HSVtk suicide gene to X-SCID gene therapy : Ganciclovir treatment offsets gene corrected X-SCID B cells.2006

    • Author(s)
      Uchiyama T, Kumaki S, Ishikawa Y, Onodera M, Sato M, Du W, Sasahara Y, Tanaka N, Sugamura K, Tsuchiya S.
    • Journal Title

      Bioch Bioph Res Comm 341

      Pages: 391-398

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Phage φC31 integrase-mediated genomic integration of the common cytokine receptor gamma chain in human T-cell lines.2006

    • Author(s)
      Ishikawa Y, Tanaka N, Murakami K, Uchiyama T, Kumaki S, Tsuchiya S, Kugoh H, Oshimura M, Calos MP, Sugamura K.
    • Journal Title

      J Gene Med 8

      Pages: 646-653

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A second-site mutation in the initiation codon of WAS (WASP) gene results in expansion of subsets of lymphocytes in an Wiskott-Aldrich Syndrome patient.2006

    • Author(s)
      Du W, Kumaki S, Uchiyama T, Yachie A, Kawai S, Minegishi M, Ramesh N, Geha RF, Sasahara Y, Tsuchiya S.
    • Journal Title

      Hum Mutat 27

      Pages: 370-375

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Rapid screening method for IRAK4 deficiency by flow cytometer.2006

    • Author(s)
      Takada H, Yoshikawa H, Imaizumi M, Kitamura T, Takeyama J, Kumaki S, Nomura A, Hara T.
    • Journal Title

      J Pediatr 148

      Pages: 546-548

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Application of HSVtk suicide gene to X-SCID gene therapy : Ganciclovir treatment offsets gene corrected X-SCID B cells.2006

    • Author(s)
      Uchiyama T, et al.
    • Journal Title

      Binch Bioph Res Comm 341

      Pages: 391-398

    • Related Report
      2005 Annual Research Report
  • [Journal Article] A second-site mutation in the initiation codon of WAS (WASP) gene results in expansion of subsets of lymphocytes in an Wiskott-Aldrich Syndrome patient.2006

    • Author(s)
      Du W, et al.
    • Journal Title

      Hum Mutat 27

      Pages: 370-375

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Phage φC31 integrase-mediated genomic integration of the common cytokine receptor gamma chain in human T-cell lines.2006

    • Author(s)
      Ishikawa Y, et al.
    • Journal Title

      J Gene Med (In press)

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Rapid screening method for IRAK4 deficiency by flow cytometer.2006

    • Author(s)
      Takada H, et al.
    • Journal Title

      J Pediatr (In press)

    • Related Report
      2005 Annual Research Report
  • [Journal Article] A novel JAK3 mutation in a Japanese patient with severe combined immunodeficiency.2005

    • Author(s)
      Uchiyama T, et al.
    • Journal Title

      Pediatr Int 47

      Pages: 575-578

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] A novel JAK3 mutation in a Japanese patient with severe combined immunodeficiency.2005

    • Author(s)
      Uchiyama T, Kumaki S, Fujiwara M, Nishida Y, Hakozaki I, Imai K, Du W, Yoshinari M, Sasahara Y, Tsuchiya S.
    • Journal Title

      Pediatr Int 47

      Pages: 575-578

    • NAID

      10016939145

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] X-linked severe combined immunodeficiency syndrome : the first Korean case with γc chain gene mutation and subsequent genetic counseling.2004

    • Author(s)
      Jo EK, et al.
    • Journal Title

      J Korean Med Sci 19

      Pages: 123-126

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Refractory autoimmune hemolytic anemia in a patient with chromosome 22q11.2 deletion syndrome.2004

    • Author(s)
      Sakamoto O, et al.
    • Journal Title

      Pediatr Int 46

      Pages: 612-614

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Characterization of a novel nonsense mutation in the IL-7Rα gene in a Korean patient with severe combined immunodeficiency2004

    • Author(s)
      Jo EK, et al.
    • Journal Title

      Int J Hematol 80

      Pages: 332-335

    • Related Report
      2004 Annual Research Report
  • [Journal Article] WIP regulates signaling via the high affinity receptor for immunoglobulin E in mast cells.2004

    • Author(s)
      Kettner A. et al.
    • Journal Title

      J Exp Med 199

      Pages: 357-368

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Lentiviral vector-mediated gene transfer in T cells from Wiskott-Aldrich syndrome patients leads to functional correction.2004

    • Author(s)
      Dupre L
    • Journal Title

      Mol Ther 10

      Pages: 903-315

    • Related Report
      2004 Annual Research Report
  • [Journal Article] A novel JAK3 mutation in a Japanese patient with severe combined immunodeficiency.

    • Author(s)
      Uchiyama T, et al.
    • Journal Title

      Pediatr Int (In press)

    • Related Report
      2004 Annual Research Report
  • [Publications] Kobayashi N, et al.: "Novel Artemis gene mutations of radiosensitive severe combined immunodeficiency in Japanese families"Hum Genet. 112. 348-352 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Imai K, et al.: "Hyper-IgM syndrome type 4 with a B lymphocyte-intrinsic selective deficiency in Ig class-switch recombination"J Clin Invest. 112. 136-142 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Itoh T, et al.: "A simple controlled-rate freezing method without a rate-controlled programmed freezer provides optimal conditions for both large-scale and small-scale cryopreservation of umbilical cord blood cells"Transfusion. 43. 1303-1308 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Imashuku S, et al.: "Lack of clinical utility of minimal residual disease detection in allogeneic stem cell recipients with childhood acute lymphoblastic leukemia : multi-institutional collaborative study in Japan"Bone Marrow Transplant. 31. 1127-1135 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Jo EK, et al.: "X-linked severe combined immunodeficiency syndrome : the first Korean case with γc chain gene mutation and subsequent genetic counseling"J Korean Med Sci.. 19. 123-126 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kettner A, et al.: "WIP Regulates Signaling via the High Affinity Receptor for Immunoglobulin E in Mast Cells"J Exp Med. 199. 357-368 (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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