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Volumn 288, Issue 5466, 2000, Pages 669-672

Gene therapy of human severe combined immunodeficiency (SCID)-X1 disease

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CASE REPORT; COMBINED IMMUNODEFICIENCY; GENE THERAPY; HUMAN; HUMAN CELL; PHENOTYPE; PRIORITY JOURNAL; T LYMPHOCYTE; TREATMENT INDICATION;

EID: 0034724857     PISSN: 00368075     EISSN: None     Source Type: Journal    
DOI: 10.1126/science.288.5466.669     Document Type: Article
Times cited : (2298)

References (33)
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    • note
    • Patient 1 had pneumocystis carinii pneumonitis and had received BCG immunization. Patient 2 suffered from recurrent oral candidiasis, pneumocystis carinii infection, protracted diarrhea, failure to thrive, and GVHD-like skin lesions. Neither patient had an HLA (human leukocyte antigen)-identical sibling. Patients were placed in a sterile isolation ward and received nonabsorbable oral antibiotics and intravenous Igs every 3 weeks for 3 months. Parents gave informed consent for participation in the trial.
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    • 2. Containers were precoated with the CH296 human fragment of fibronectin (50 μg/ml) (TaKaRa, Shiga, Japan). Retroviral containing supernatant was added every day for 3 days. Cells were then harvested, washed twice, and infused back into the patients.
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    • 2. Containers were precoated with the CH296 human fragment of fibronectin (50 μg/ml) (TaKaRa, Shiga, Japan). Retroviral containing supernatant was added every day for 3 days. Cells were then harvested, washed twice, and infused back into the patients.
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    • note
    • For semiquantitative PCR and RT-PCR analysis, DNA was isolated from the indicated cell populations. A reference standard curve was constructed by diluting cells from a SCID-X1-derived Epstein-Barr virus (EBV)-B cell line containing one copy per cell of the MFG γc provirus (5) in uninfected cells from the same EBV-B cell line (100, 10, 1, 0.1, 0.01, and 0.001%). DNA from each sample was also quantified by actin gel amplification. MFG γc primers sequences and actin primers sequences are available on request. DNA was amplified in a 50 μl of PCR reaction mixture by using 30 cycles at an annealing temperature of 60°, for γc primers and 68°C for actin primers. A sample of the amplified product was separated on a 1% agarose gel and analyzed by ethidium bromide staining. RNA was prepared with the RNA easy kit (Qiagen) and was reverse-transcribed with the Superscript Preamplification System (Gibco-BRL). γc proviral and β-actin cDNA amplification were performed as described above. Quantification of expression was made by comparison with RNA isolated from the same standard curve of diluted cells.
  • 20
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    • note
    • The following monoclonal antibodies (mAbs) were used in immunofluorescence studies: anti-γc chain: Tugh 4 (rat IgG2, PharMingen, San Diego, CA); anti-CD3: Leu 4 (IgG2a, Becton Dickinson, San Diego, CA); anti-CD4: Leu3a (IgG1, Becton Dickinson); anti-CD8: Leu 2a (IgG1, Becton Dickinson); anti-CD19: J4 119 (IgG1 Immunotech, Marseille, France); anti-CD14: Leu M3 (Becton Dickinson); anti-CD16: 3G8 (IgG1, Immunotech); anti-CD56: MY31 (IgG1, Becton Dickinson); anti-CD15 (IgM, PharMingen); anti-TCR αβ: BMA031 (IgG1, Immunotech); anti-TCR γδ: IMMU 515 (IgG1, Immunotech); anti-CD45RO: UCHL1 (IgG2a, Immunotech); anti-CD45RA: 2H4 (IgG1, Coulter Clone, Margency, France); anti-CD34: HPCA-2 (IgG1, Becton Dickinson); anti-TcR Vβ2: MPB2D5 (IgG1, Immunotech); anti-TcR Vβ3: CH92 (IgM, Immunotech); anti-TcR Vβ5.1: IMMU 157 (IgG2a, Immunotech); anti-TcR Vβ5.2: 36213 (IgG1, Immunotech); anti-TcR Vβ5.3: 3D11 (IgG1, Immunotech); anti-TcR Vβ8: 56C5.2 (IgG2a, Immunotech); anti-TcR Vβ9: FIN9 (IgG2a, Immunotech); anti-TcR Vβ13.1: IMMU 222 (IgG2, Immunotech); anti-TcR Vβ13.6: JU74.3 (IgG1, Immunotech); anti-TcR Vβ14: CAS1.13 (IgG1, Immunotech); anti-TcR Vβ17: E17.5F3.15.13 (IgG1, Immunotech); anti-TcR Vβ21.3: IG125 (IgG2, Immunotech). Fluorescence staining was done with phycoerythrin- or fluorescein isothiocyanate - conjugated mAbs. Cells were analyzed on a FACScan flow cytometer (Becton Dickinson).
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    • note
    • Unstimulated lymphocyte proliferations were <1000 cpm. Control positive values of antigen-stimulated proliferations were > 10,000 cpm.
  • 23
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    • note
    • This patient was treated at 1 month of age. Within 3 months, T and NK lymphocyte counts reached age-matched control values. The γc expression at T and NK cell surfaces was fully restored. The child is at home without any therapy, 4 months after treatment.
  • 25
  • 33
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    • note
    • We thank the medical and nursing staff of the Unité d'Immunologie et d'Hématologie pédiatriques, Hôpital des Enfants-Malades, for patient care. We also thank C. Harré and C. Jacques for technical help; D. Bresson for preparation of the manuscript; N. Wulfraat for patient referral; O. Danos, M. Fougereau, P. Mannoni, C. Eaves, and L. Coulombel for advice; A. Gennery for assistance with English translation; B. Bussière, C. Cailliot, and J. Caraux (Amgen, France) for providing SCF and MGDF; J. Bender and D. Van Epps (Nexell Therapeutics, Irvine, CA) for providing containers, and S. Yoshimura and I. Kato (Takara Shuzo, Shiga, Japan) for providing the CH-296 fibronectin fragment. Supported by grants from INSERM, Association Française des Myopathies, Agence Française du Sang, and the Programme Hospitalier de Recherche Clinique (Health Ministry).


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