Lentivirus-mediated Gene Transfer in Hematopoietic Stem Cells Is Impaired in SHIV-infected, ART-treated Nonhuman Primates

Recent studies have demonstrated that genetically modified hematopoietic stem cells (HSCs) can reduce HIV viremia. We have developed an HIV/AIDS-patient model in Simian/human immunodeficiency virus (SHIV)-infected pigtailed macaques that are stably suppressed on antiretroviral therapy (ART: raltegra...

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Veröffentlicht in:Molecular therapy 2015-05, Vol.23 (5), p.943-951
Hauptverfasser: Younan, Patrick M, Peterson, Christopher W, Polacino, Patricia, Kowalski, John P, Obenza, Willimark, Miller, Hannah W, Milless, Brian P, Gafken, Phil, DeRosa, Stephen C, Hu, Shiu-Lok, Kiem, Hans-Peter
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container_issue 5
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container_title Molecular therapy
container_volume 23
creator Younan, Patrick M
Peterson, Christopher W
Polacino, Patricia
Kowalski, John P
Obenza, Willimark
Miller, Hannah W
Milless, Brian P
Gafken, Phil
DeRosa, Stephen C
Hu, Shiu-Lok
Kiem, Hans-Peter
description Recent studies have demonstrated that genetically modified hematopoietic stem cells (HSCs) can reduce HIV viremia. We have developed an HIV/AIDS-patient model in Simian/human immunodeficiency virus (SHIV)-infected pigtailed macaques that are stably suppressed on antiretroviral therapy (ART: raltegravir, emtricitabine and tenofovir). Following SHIV infection and ART, animals undergo autologous HSC transplantation (HSCT) with lentivirally transduced cluster of differentiation (CD)34+ cells expressing the mC46 anti-HIV fusion protein. We show that SHIV+, ART-treated animals had very low gene marking levels after HSCT. Pretransduction CD34+ cells contained detectable levels of all three ART drugs, likely contributing to the low gene transfer efficiency. Following HSCT recovery and the cessation of ART, plasma viremia rebounded, indicating that myeloablative total body irradiation cannot completely eliminate viral reservoirs after autologous HSCT. The kinetics of recovery following autologous HSCT in SHIV+, ART-treated macaques paralleled those observed following transplantation of control animals. However, T-cell subset analyses demonstrated a high percentage of C-C chemokine receptor 5 (CCR5)-expressing CD4+ T-cells after HSCT. These data suggest that an extended ART interruption time may be required for more efficient lentiviral transduction. To avoid complications associated with ART interruption in the context of high percentages of CD4+CCR5+T-cells after HSCT, the use of vector systems not impaired by the presence of residual ART may also be beneficial.
doi_str_mv 10.1038/mt.2015.19
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We have developed an HIV/AIDS-patient model in Simian/human immunodeficiency virus (SHIV)-infected pigtailed macaques that are stably suppressed on antiretroviral therapy (ART: raltegravir, emtricitabine and tenofovir). Following SHIV infection and ART, animals undergo autologous HSC transplantation (HSCT) with lentivirally transduced cluster of differentiation (CD)34+ cells expressing the mC46 anti-HIV fusion protein. We show that SHIV+, ART-treated animals had very low gene marking levels after HSCT. Pretransduction CD34+ cells contained detectable levels of all three ART drugs, likely contributing to the low gene transfer efficiency. Following HSCT recovery and the cessation of ART, plasma viremia rebounded, indicating that myeloablative total body irradiation cannot completely eliminate viral reservoirs after autologous HSCT. The kinetics of recovery following autologous HSCT in SHIV+, ART-treated macaques paralleled those observed following transplantation of control animals. However, T-cell subset analyses demonstrated a high percentage of C-C chemokine receptor 5 (CCR5)-expressing CD4+ T-cells after HSCT. These data suggest that an extended ART interruption time may be required for more efficient lentiviral transduction. 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subjects Acquired immune deficiency syndrome
AIDS
Animals
Antiretroviral Therapy, Highly Active
Cancer research
Chemokines
Drug therapy
Gene Expression
Gene therapy
Genetic Therapy
Genetic Vectors - genetics
Hematopoietic Stem Cell Transplantation
Hematopoietic Stem Cells - metabolism
HIV
Human immunodeficiency virus
Immunophenotyping
Infections
Lentivirus - genetics
Leukemia
Lymphocyte Count
Lymphoma
Macaca
Macaca nemestrina
Medical research
Original
Patients
Plasma
Research centers
Simian Acquired Immunodeficiency Syndrome - immunology
Simian Acquired Immunodeficiency Syndrome - therapy
Simian Acquired Immunodeficiency Syndrome - virology
Simian Immunodeficiency Virus - immunology
Simian/human immunodeficiency virus
Stem cells
T-Lymphocyte Subsets - immunology
T-Lymphocyte Subsets - radiation effects
T-Lymphocyte Subsets - virology
Transduction, Genetic
Transgenes
Transplantation Conditioning
Transplants & implants
Vectors (Biology)
Viral Load
title Lentivirus-mediated Gene Transfer in Hematopoietic Stem Cells Is Impaired in SHIV-infected, ART-treated Nonhuman Primates
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