TY - JOUR A1 - Stein, Stefan A1 - Scholz, Simone A1 - Schwäble, Joachim A1 - Sadat, Mohammed A. A1 - Modlich, Ute A1 - Schultze-Straßer, Stephan A1 - Diaz, Margarita A1 - Chen-Wichmann, Linping A1 - Müller-Kuller, Uta A1 - Brendel, Christian A1 - Fronza, Raffaele A1 - Kaufmann, Kerstin B. A1 - Naundorf, Sonja A1 - Pech, Nancy K. A1 - Travers, Jeffrey B. A1 - Matute, Juan D. A1 - Presson Jr., Robert G. A1 - Sandusky, George E. A1 - Kunkel, Hana A1 - Rudolf, Eva A1 - Dillmann, Adelina A1 - Kalle, Christof von A1 - Kühlcke, Klaus A1 - Baum, Christopher A1 - Schambach, Axel A1 - Dinauer, Mary C. A1 - Schmidt, Manfred A1 - Grez, Manuel T1 - From bench to bedside : preclinical evaluation of a self-inactivating gammaretroviral vector for the gene therapy of X-linked chronic granulomatous disease T2 - Human gene therapy. Clinical development N2 - Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by impaired antimicrobial activity in phagocytic cells. As a monogenic disease affecting the hematopoietic system, CGD is amenable to gene therapy. Indeed in a phase I/II clinical trial, we demonstrated a transient resolution of bacterial and fungal infections. However, the therapeutic benefit was compromised by the occurrence of clonal dominance and malignant transformation demanding alternative vectors with equal efficacy but safety-improved features. In this work we have developed and tested a self-inactivating (SIN) gammaretroviral vector (SINfes.gp91s) containing a codon-optimized transgene (gp91(phox)) under the transcriptional control of a myeloid promoter for the gene therapy of the X-linked form of CGD (X-CGD). Gene-corrected cells protected X-CGD mice from Aspergillus fumigatus challenge at low vector copy numbers. Moreover, the SINfes.gp91s vector generates substantial amounts of superoxide in human cells transplanted into immunodeficient mice. In vitro genotoxicity assays and longitudinal high-throughput integration site analysis in transplanted mice comprising primary and secondary animals for 11 months revealed a safe integration site profile with no signs of clonal dominance. Y1 - 2013 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/33765 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-337658 SN - 2324-8637 SN - 2324-8645 VL - 24 IS - 2 SP - 86 EP - 98 PB - Liebert CY - New Rochelle, NY ER -