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1.
Gene Ther ; 24(1): 12-20, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27682478

RESUMEN

A variety of mutations in lentiviral vector expression systems have been shown to generate a non-integrating phenotype. We studied a novel 12 base-pair U3-long terminal repeats (LTR) integrase (IN) attachment site deletion (U3-LTR att site) mutant and found similar physical titers to the previously reported IN catalytic core mutant IN/D116N. Both mutations led to a greater than two log reduction in vector integration; with IN/D116N providing lower illegitimate integration frequency, whereas the U3-LTR att site mutant provided a higher level of transgene expression. The improved expression of the U3-LTR att site mutant could not be explained solely based on an observed modest increase in integration frequency. In evaluating processing, we noted significant differences in unintegrated vector forms, with the U3-LTR att site mutant leading to a predominance of 1-LTR circles. The mutations also differed in the manner of illegitimate integration. The U3-LTR att site mutant vector demonstrated IN-mediated integration at the intact U5-LTR att site and non-IN-mediated integration at the mutated U3-LTR att site. Finally, we combined a variety of mutations and modifications and assessed transgene expression and integration frequency to show that combining modifications can improve the potential clinical utility of non-integrating lentiviral vectors.


Asunto(s)
Vectores Genéticos/genética , Genoma Humano , Lentivirus/genética , Integración Viral/genética , Marcación de Gen/métodos , Células HEK293 , Humanos , Integrasas/genética , Mutación , Secuencias Repetidas Terminales , Transgenes
2.
Gene Ther ; 20(2): 169-76, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22402321

RESUMEN

Although novel retroviral vectors for use in gene-therapy products are reducing the potential for formation of replication-competent retrovirus (RCR), it remains crucial to screen products for RCR for both research and clinical purposes. For clinical-grade gammaretrovirus-based vectors, RCR screening is achieved by an extended S(+)L(-) or marker-rescue assay, whereas standard methods for replication-competent lentivirus detection are still in development. In this report, we describe a rapid and sensitive method for replication-competent gammaretrovirus detection. We used this assay to detect three members of the gammaretrovirus family and compared the sensitivity of our assay with well-established methods for retrovirus detection, including the extended S(+)L(-) assay. Results presented here demonstrate that this assay should be useful for gene-therapy product testing.


Asunto(s)
Virus de la Leucemia Murina/aislamiento & purificación , Replicación Viral , Animales , Genes Reporteros/genética , Vectores Genéticos , Células HEK293 , Humanos , Virus de la Leucemia Murina/genética , Luciferasas/genética , Luciferasas/metabolismo , Ratones , Células 3T3 NIH , Reacción en Cadena en Tiempo Real de la Polimerasa
3.
Nat Med ; 6(6): 652-8, 2000 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10835681

RESUMEN

Pre-clinical studies indicate that efficient retrovirus-mediated gene transfer into hematopoietic stem cells and progenitor cells can be achieved by co-localizing retroviral particles and target cells on specific adhesion domains of fibronectin. In this pilot study, we used this technique to transfer the human multidrug resistance 1 gene into stem and progenitor cells of patients with germ cell tumors undergoing autologous transplantation. There was efficient gene transfer into stem and progenitor cells in the presence of recombinant fibronectin fragment CH-296. The infusion of these cells was associated with no harmful effects and led to prompt hematopoietic recovery. There was in vivo vector expression, but it may have been limited by the high rate of aberrant splicing of the multidrug resistance 1 gene in the vector. Gene marking has persisted more than a year at levels higher than previously reported in humans.


Asunto(s)
Fibronectinas/genética , Técnicas de Transferencia de Gen , Genes MDR , Vectores Genéticos , Germinoma/terapia , Trasplante de Células Madre Hematopoyéticas , Células Madre Hematopoyéticas/citología , Retroviridae , Adolescente , Adulto , Antígenos CD34 , Estudios de Seguimiento , Terapia Genética/métodos , Humanos , Persona de Mediana Edad , Proyectos Piloto , Factores de Tiempo , Resultado del Tratamiento
4.
Gene Ther ; 16(12): 1452-64, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19657370

RESUMEN

X-linked chronic granulomatous disease (X-CGD) is an inherited immunodeficiency with absent phagocyte NADPH-oxidase activity caused by defects in the gene-encoding gp91(phox). Here, we evaluated strategies for less intensive conditioning for gene therapy of genetic blood disorders without selective advantage for gene correction, such as might be used in a human X-CGD protocol. We compared submyeloablative with ablative irradiation as conditioning in murine X-CGD, examining engraftment, oxidase activity and vector integration in mice transplanted with marrow transduced with a gamma-retroviral vector for gp91(phox) expression. The frequency of oxidase-positive neutrophils in the donor population was unexpectedly higher in many 300 cGy-conditioned mice compared with lethally irradiated recipients, as was the fraction of vector-marked donor secondary CFU-S12. Vector integration sites in marrow, spleen and secondary CFU-S12 DNA from primary recipients were enriched for cancer-associated genes, including Evi1, and integrations in or near cancer-associated genes were more frequent in marrow and secondary CFU-S12 from 300 cGy-conditioned mice compared with fully ablated mice. These findings support the concept that vector integration can confer a selection bias, and suggest that the intensity of the conditioning regimen may further influence the effects of vector integration on clonal selection in post-transplant engraftment and hematopoiesis.


Asunto(s)
Médula Ósea/efectos de la radiación , Técnicas de Transferencia de Gen , Vectores Genéticos , Enfermedad Granulomatosa Crónica/terapia , Hematopoyesis , Retroviridae/genética , Acondicionamiento Pretrasplante/métodos , Animales , Femenino , Enfermedad Granulomatosa Crónica/genética , Trasplante de Células Madre Hematopoyéticas , Masculino , Glicoproteínas de Membrana/genética , Ratones , Ratones Endogámicos C57BL , NADPH Oxidasa 2 , NADPH Oxidasas/genética , NADPH Oxidasas/metabolismo , Neoplasias/genética , Neutrófilos/metabolismo , Células Madre , Transducción Genética , Integración Viral
5.
Science ; 243(4888): 220-2, 1989 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-2911735

RESUMEN

By virtue of its immediate contact with the circulating blood, the endothelium provides an attractive target for retroviral vector transduction for the purpose of gene therapy. To see whether efficient gene transfer and expression was feasible, rabbit aortic endothelial cells were infected with three Moloney murine leukemia virus-derived retroviral vectors. Two of these vectors carry genes encoding products that are not secreted: N2, containing only the selectable marker gene neoR, and SAX, containing both neoR gene and an SV40-promoted adenosine deaminase (ADA) gene. The third vector, G2N, contains a secretory rat growth hormone (rGH) gene and an SV40-promoted neoR gene. Infection with all three vectors resulted in expression of the respective genes. A high level of human ADA expression was observed in infected endothelial cell populations both before and after selection in G418. G2N-infected rabbit aortic endothelial cells that were grown on a synthetic vascular graft continued to secrete rGH into the culture medium. These studies suggest that endothelial cells may serve as vehicles for the introduction in vivo of functioning recombinant genes.


Asunto(s)
Endotelio Vascular/metabolismo , Genes Virales , Genes , Vectores Genéticos , Virus de la Leucemia Murina de Moloney/genética , Transducción Genética , Transfección , Adenosina Desaminasa/análisis , Adenosina Desaminasa/genética , Animales , Aorta , ADN Recombinante/metabolismo , Marcadores Genéticos/análisis , Hormona del Crecimiento/análisis , Hormona del Crecimiento/genética , Regiones Promotoras Genéticas , Conejos , Ratas , Proteínas Recombinantes/análisis
6.
Gene Ther ; 15(18): 1294-8, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18580967

RESUMEN

Research in gene therapy involving genome-integrating vectors now often includes analysis of vector integration sites across the genome using methods such as ligation-mediated PCR (LM-PCR) or linear amplification-mediated PCR (LAM-PCR). To help researchers analyze these sites and the functions of nearby genes, we have developed SeqMap (http://seqmap.compbio.iupui.edu/) a secure, web-based comprehensive vector integration site management tool that automatically analyzes and annotates large numbers of vector integration sites derived from LM-PCR experiments in human and model organisms upon a common genome database. We believe the use of this resource will enable better reproducibility and understanding of this important data.


Asunto(s)
Mapeo Cromosómico/métodos , Terapia Genética , Integrasas/genética , Internet , Integración Viral/genética , Animales , Bases de Datos Genéticas , Genoma , Humanos , Reacción en Cadena de la Polimerasa/métodos , Investigación , Retroviridae/genética , Programas Informáticos
7.
Cancer Gene Ther ; 13(9): 886-95, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16645619

RESUMEN

Administration of chemotherapy is often limited by myelosuppression. Expression of drug-resistance genes in hematopoietic cells has been proposed as a means to decrease the toxicity of cytotoxic agents. In this pilot study, we utilized a retroviral vector expressing methylguanine DNA methyltransferase (MGMT) to transduce hematopoietic progenitors, which were subsequently used in the setting of alkylator therapy (procarbazine, CCNU, vincristine (PCV)) for poor prognosis brain tumors. Granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral blood progenitor cells were collected by apheresis and enriched for CD34+ expression. Nine subjects were infused with CD34+-enriched cells treated in a transduction procedure involving a 4-day exposure to cytokines with vector exposure on days 3 and 4. No major adverse event was related to the gene therapy procedure. Importantly, the engraftment kinetics of the treated product was similar to unmanipulated peripheral blood stem cells, suggesting that the ex vivo manipulation did not significantly reduce engrafting progenitor cell function. Gene-transduced cells were detected in all subjects. Although the level and duration was limited, patients receiving cells transduced using fibronectin 'preloaded' with virus supernatant appeared to show improved in vivo marking frequency. These findings demonstrate the feasibility and safety of utilizing MGMT-transduced CD34+ peripheral blood progenitor cells in the setting of chemotherapy.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Encefálicas/tratamiento farmacológico , Neoplasias Encefálicas/terapia , Terapia Genética/métodos , Vectores Genéticos/genética , Lomustina/uso terapéutico , O(6)-Metilguanina-ADN Metiltransferasa/genética , Procarbazina/uso terapéutico , Vincristina/uso terapéutico , Adolescente , Adulto , Antígenos CD34/metabolismo , Antineoplásicos/uso terapéutico , Neoplasias Encefálicas/genética , Ensayo de Unidades Formadoras de Colonias , Cartilla de ADN , Femenino , Fibronectinas/metabolismo , Vectores Genéticos/metabolismo , Factor Estimulante de Colonias de Granulocitos/metabolismo , Humanos , Lomustina/administración & dosificación , Masculino , Persona de Mediana Edad , O(6)-Metilguanina-ADN Metiltransferasa/metabolismo , Trasplante de Células Madre de Sangre Periférica/métodos , Proyectos Piloto , Reacción en Cadena de la Polimerasa , Procarbazina/administración & dosificación , Retroviridae/genética , Transducción Genética/métodos , Vincristina/administración & dosificación
8.
Artículo en Inglés | MEDLINE | ID: mdl-2660193

RESUMEN

Retroviral vectors infect primate bone marrow cells and express in vivo the transferred genes (the human ADA gene and the bacterial gene for neomycin resistance). The SAX vector appears to express human ADA at normal levels, but the infection efficiency is low (less than 1%) so that the gene product is only detectable in the peripheral blood at low levels. Vector expression disappears after 5 months (except for occasional T cells), presumably due to a failure to infect a renewal stem cell. While the level of ADA expression obtained in primates would not appear to be sufficient to correct outright the disease caused by ADA deficiency, it is possible that T-cell progenitors in the marrow will have a selective advantage. T cells expressing an ADA vector would then able to expand and potentially restore immune function. Unfortunately, this hypothesis will go untested until an animal model for ADA deficiency is found or a human clinical trial is performed. At present, consideration of gene therapy as a treatment for ADA deficiency would only be appropriate if all conventional forms of treatment were unsuccessful. If such a scenario should present itself, the critical question becomes one of safety, to both the patient and those in contact with the patient. We have begun to address the safety issues associated with gene therapy. Five animals exposed to replication-competent retrovirus during bone marrow transplantation show no evidence of helper virus, with a mean follow-up of 18.3 months. Four animals injected with replication-competent helper virus cleared the virus rapidly and, after the initial clearance, have shown no evidence of retroviremia, with a mean follow-up of 5.2 months. Our preliminary findings suggest that murine retorviruses do not cause a productive infection in vivo. These results, combined with the availability of better producer cell lines free of helper virus, are encouraging, and suggest that the risk of clinical disease from murine retrovirus introduced by a gene therapy protocol should be small. Unfortunately, high infection efficiency and long-term vector expression still must be obtained before retroviral-mediated gene transfer can be considered as first-line therapy for ADA deficiency.


Asunto(s)
Terapia Genética , Primates/genética , Transfección , Animales , Trasplante de Médula Ósea , Vectores Genéticos , Humanos , Mutación , Retroviridae/genética
9.
Cancer Res ; 60(7): 1895-900, 2000 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-10766177

RESUMEN

Flt3-ligand (Flt3-L) is an early acting costimulatory cytokine that has been shown to possess antitumor properties in murine solid tumor models. Flt3-L is a trans-membrane protein (tm) but can be proteolytically cleaved to a soluble form, which is also biologically active. In this study, the antitumor effect of both soluble and tmFlt3-L was evaluated in a mouse leukemia model. To mimic the multiorgan involvement characteristic of human leukemia, a factor-dependent cell line FDC.P1 was made leukemogenic by transfection with the human BCR/ABL gene. The resulting cell line, AW, expresses BCR/ABL RNA and protein. It maintains a similar in vitro growth rate as the parent cell line, but unlike the parent cell line, AW cells are factor independent and tumorigenic. Growth of FDC.P1 and AW cells are unaffected by the addition of soluble human Flt3-L to the culture medium. Also, AW growth is unaltered after transduction with a retroviral vector expressing the tm isoform of human Flt3-L (AW/tmFlt3-L). When 10(5) AW cells were i.v. injected into syngeneic DBA/2 mice, fatal leukemia developed in nine of nine (100%) mice within 4-6 weeks with involvement of the blood, bone marrow, spleen, and thymus. Systematic administration of soluble human Flt3-L (500 microg/kg/day) for 10 days protected mice from leukemia, with 11 of 17 mice tumor free at week 8 (64.7%) The tm isoform of Flt3-L also was protective. When 10(4) AW/tmFlt3-L cells were injected i.v. into mice, only 35.7% (5 of 14) developed leukemia versus 100% in control groups. Adoptive transfer of immunity was also demonstrated; T cells obtained from tumor-free animals conferred protection to 87% (seven of eight) naive mice challenged with AW cells. These results demonstrate that both soluble and membrane-bound human Flt3-L has antitumor activity in this leukemia model.


Asunto(s)
Anticarcinógenos/toxicidad , Genes abl , Leucemia Experimental/prevención & control , Proteínas de la Membrana/genética , Proteínas de la Membrana/toxicidad , Animales , Anticarcinógenos/uso terapéutico , Línea Celular , Transformación Celular Neoplásica , Femenino , Humanos , Leucemia Experimental/patología , Proteínas de la Membrana/uso terapéutico , Ratones , Ratones Endogámicos DBA , Isoformas de Proteínas/genética , Isoformas de Proteínas/uso terapéutico , Isoformas de Proteínas/toxicidad , Proteínas Proto-Oncogénicas/efectos de los fármacos , Proteínas Proto-Oncogénicas/fisiología , Proteínas Tirosina Quinasas Receptoras/efectos de los fármacos , Proteínas Tirosina Quinasas Receptoras/fisiología , Proteínas Recombinantes/metabolismo , Proteínas Recombinantes/uso terapéutico , Proteínas Recombinantes/toxicidad , Transfección , Tirosina Quinasa 3 Similar a fms
10.
Cancer Res ; 55(16): 3610-4, 1995 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-7627970

RESUMEN

The zinc finger gene MZF-1 is preferentially expressed in primitive hematopoietic cells and plays an important role in regulating myelopoiesis. Regulators of development are potential targets for neoplastic transformation. This study investigated whether unregulated expression of MZF-1 could function as an oncogene. Retroviral transduction and subsequent overexpression of MZF-1 resulted in loss of contact inhibition, loss of substrate dependence, and more rapid cell cycling in NIH 3T3 cells. The MZF-1-transformed 3T3 cells formed aggressive tumors in athymic mice. Disruption of the tight lineage- and stage-specific regulation of MZF-1 can result in neoplastic transformation of embryonic fibroblasts. Therefore, MZF-1 represents a novel oncogene.


Asunto(s)
Transformación Celular Neoplásica/genética , Proteínas de Unión al ADN/genética , Regulación Neoplásica de la Expresión Génica , Factores de Transcripción/genética , Células 3T3 , Secuencia de Aminoácidos , Animales , Hematopoyesis , Factores de Transcripción de Tipo Kruppel , Ratones , Ratones Desnudos , Datos de Secuencia Molecular , Neoplasias Experimentales/genética , Péptidos/química , ARN Mensajero/genética , Transducción Genética , Dedos de Zinc
11.
Cancer Res ; 57(16): 3511-6, 1997 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-9270021

RESUMEN

Flt3-Ligand (Flt3-L) is a stimulatory cytokine for a variety of hematopoietic lineages, including dendritic cells and B cells. The antitumor properties of Flt3-L were evaluated in C3H/HeN mice challenged with the syngeneic C3L5 murine breast cancer cell line. Eighty % of animals receiving 500 microg/kg/day of Chinese hamster ovary-derived human Flt3-L for 10 days were protected from tumor growth, whether the tumor challenge was administered on the first or fourth days of Flt3-L administration. The protection provided by soluble Flt3-L was transient. All tumor-free animals rechallenged 4 weeks after the primary challenge developed tumor. Transduction of C3L5 with retroviral vectors expressing human or murine Flt3-L did not influence in vitro growth or MHC expression but decreased in vivo tumor development to 0 and 10% of mice, respectively. This compares with tumor growth of 52% with interleukin-2 transduced C3L5 and over 85% with untransduced and control vector-transduced C3L5. Unlike animals treated with soluble Flt3-L, administration of Flt3-L as a tumor vaccine protected mice from a subsequent challenge with untransduced C3L5 in 60-78% of mice, compared to 0% of controls. Our initial work used the most common Flt3-L isoform, which is membrane bound but can undergo proteolytic cleavage to generate a soluble form. To evaluate the role of the various Flt3-L isoforms in preventing tumor formation, retroviral vectors encoding only the membrane-bound form or only the soluble isoform were evaluated in the C3L5 model. Tumor formation was similar with either isoform, preventing tumor formation in 80-90% of mice after the primary challenge and 88-89% after the secondary challenge. Splenocytes obtained 4 weeks after the secondary challenge conferred adoptive immunity to naive mice in 60% of animals. This initial report of antitumor activity by Flt3-L is consistent with its known stimulatory effect on antigen-presenting cells and suggests it may enhance the development of tumor vaccines.


Asunto(s)
Vacunas contra el Cáncer/farmacología , Neoplasias Mamarias Experimentales/prevención & control , Proteínas de la Membrana/farmacología , Traslado Adoptivo , Animales , Células CHO , Vacunas contra el Cáncer/inmunología , Cricetinae , Ensayos de Selección de Medicamentos Antitumorales , Femenino , Citometría de Flujo , Vectores Genéticos , Humanos , Interleucina-2/genética , Interleucina-2/metabolismo , Neoplasias Mamarias Experimentales/metabolismo , Proteínas de la Membrana/genética , Proteínas de la Membrana/inmunología , Proteínas de la Membrana/metabolismo , Ratones , Ratones Endogámicos C3H , Retroviridae/genética , Transfección
12.
J Clin Oncol ; 18(19): 3346-51, 2000 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-11013274

RESUMEN

PURPOSE: To assess the role of high-dose chemotherapy as initial salvage chemotherapy in patients with relapsed testicular cancer. PATIENTS AND METHODS: From August 1992 to April 1998, 65 patients with testicular cancer were treated with high-dose carboplatin and etoposide followed by peripheral-blood stem-cell transplantation or autologous bone marrow transplantation rescue as initial salvage chemotherapy at Indiana University. An identical course was given after hematopoietic reconstitution. Postchemotherapy resection of residual disease was performed in selected patients with incomplete radiographic response associated with normalization of markers. The median follow-up was 39 months (range, 16 to 91 months). RESULTS: Thirty-seven (57%) of the 65 patients are continuously disease-free. Three additional patients are disease-free with subsequent surgery. High-dose chemotherapy was associated with significant morbidity but no treatment-related mortality. CONCLUSION: High-dose chemotherapy as initial salvage chemotherapy achieved impressive long-term survival with acceptable toxicity in patients with relapsed testicular cancer.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Germinoma/tratamiento farmacológico , Neoplasias Testiculares/tratamiento farmacológico , Adolescente , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Trasplante de Médula Ósea , Carboplatino/administración & dosificación , Carboplatino/efectos adversos , Coriocarcinoma/tratamiento farmacológico , Coriocarcinoma/patología , Terapia Combinada , Supervivencia sin Enfermedad , Relación Dosis-Respuesta a Droga , Etopósido/administración & dosificación , Etopósido/efectos adversos , Germinoma/patología , Trasplante de Células Madre Hematopoyéticas , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Terapia Recuperativa , Seminoma/tratamiento farmacológico , Seminoma/patología , Neoplasias Testiculares/patología , Resultado del Tratamiento
13.
J Clin Oncol ; 13(8): 2050-5, 1995 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7636548

RESUMEN

PURPOSE: To investigate the tolerability and impact on progression-free and overall survival of two consecutive cycles of high-dose chemotherapy (HDC) with autologous bone marrow transplantation (ABMT) in patients with previously untreated metastatic breast cancer. PATIENTS AND METHODS: Twenty-eight patients received conventional-dose induction therapy (ITx) followed by a planned two cycles of HDC with ABMT. Median age was 45 years (range, 34 to 60 years). Sites of disease were bone (seven patients), visceral (three), soft tissue (11), multiple (six), and CNS (one). The ITx regimens of cyclophosphamide, Adriamycin (doxorubicin; Adria Laboratories, Columbus, OH), methotrexate, fluorouracil, prednisone, and tamoxifen (CAMFTP) (three patients); fluorouracil, doxorubicin, and cyclophosphamide (FAC; 11 patients); cyclophosphamide, methotrexate, and fluorouracil (CMF; four patients); or doxorubicin or mitoxantrone/cyclophosphamide (10 patients) were given to maximum response (three to five cycles). HDC was cyclophosphamide 6 g/m2, carboplatin 2 g/m2, and etoposide 625 mg/m2 with ABMT. RESULTS: Of 28 patients, 24 received two (86%) cycles of HDC. Four received only one cycle due to persistent toxicity from course 1 (one patient), no response to course 1 (two), and death on course 1 (one). Grade 3 to 4 nonhematologic toxicities included mucositis (in one or both cycles in 21 of 28 patients; 75%), diarrhea, nausea, and vomiting. Reversible peripheral neuropathy was seen in 15 of 28 patients and was severe in one. Documented infections were seen in 19 of 52 cycles. There was one transplant-related death. Six patients were converted from partial remission (PR) to complete remission (CR) with HDC; two of 24 patients (8%) were converted from PR to CR with the second cycle of HDC. Progression-free survival rate is nine of 28 patients (32%) with median follow-up of 23 months (range, 13 to 36+ months). Eighteen of 28 patients (64%) have progressed at 1 to 17 months from ABMT. CONCLUSION: Two cycles of HDC with ABMT was well tolerated with a high response rate in patients with metastatic breast cancer. The importance of the second cycle of HDC in this population is unclear.


Asunto(s)
Trasplante de Médula Ósea , Neoplasias de la Mama/terapia , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias de la Mama/tratamiento farmacológico , Neoplasias de la Mama/patología , Carboplatino/administración & dosificación , Carboplatino/efectos adversos , Terapia Combinada , Ciclofosfamida/administración & dosificación , Ciclofosfamida/efectos adversos , Diarrea/inducido químicamente , Supervivencia sin Enfermedad , Etopósido/administración & dosificación , Etopósido/efectos adversos , Estudios de Factibilidad , Femenino , Humanos , Persona de Mediana Edad , Mucosa Bucal , Metástasis de la Neoplasia , Inducción de Remisión , Estomatitis/inducido químicamente , Trasplante Autólogo
14.
J Clin Oncol ; 18(7): 1539-49, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10735903

RESUMEN

PURPOSE: This prospective longitudinal study of adaptation to bone marrow transplantation (BMT) addressed three questions: (1) When during BMT do individuals experience the greatest distress? (2) What factors are associated with this distress? (3) Are there variables that could be potential clinical indicators of persons in greatest need of preventive intervention? PATIENTS AND METHODS: One hundred one participants undergoing either an autologous or allogeneic BMT completed questionnaires before hospitalization, before bone marrow infusion, 7 days and 14 days after transplantation, and then 1 month, 3 months, and 12 months after hospitalization. Adaptation was indicated by the degree of emotional distress. Independent variables were personal control, social support from specific sources, cognitive response, self-perception, and coping strategies, controlling for symptomatology. RESULTS: The greatest emotional distress occurred after admission to the hospital and before the bone marrow infusion. Anxiety and depression decreased 1 week after the transplant, although symptomatology increased during this time. The periods of least emotional distress were 3 months and 1 year after transplantation. Factors that accounted for the greatest variance in emotional distress/adaptation were the degree of emotional distress at baseline, personal control, cognitive response, and symptomatology. CONCLUSION: According to this longitudinal study, which includes pretransplant data, data from in-hospital transplantation, and posttransplant data, (1) psychosocial vulnerability of these BMT recipients was greatest during hospitalization before the transplant, (2) perceived personal control may be a potential indicator of vulnerability to secondary psychosocial morbidity, and (3) the demonstrated significance of psychosocial well-being before BMT indicates the importance of obtaining prospective data for both research and clinical purposes.


Asunto(s)
Adaptación Psicológica , Trasplante de Médula Ósea/psicología , Estrés Psicológico , Adulto , Ansiedad/etiología , Trastorno Depresivo/etiología , Femenino , Hospitalización , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Neoplasias/psicología , Neoplasias/terapia , Alta del Paciente , Estudios Prospectivos , Apoyo Social , Factores de Tiempo
15.
Leukemia ; 11(1): 159-67, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9001433

RESUMEN

We have previously shown by reverse transcriptase-PCR (rtPCR) that CML CD34+ HLA-DR- cells are enriched for BCR/ABL(-) hematopoietic progenitor cells (HPC) while leukemic HPC reside predominately within CML CD34+ HLA-DR+ cells. We investigated whether the 30/35 kDa fragment of fibronectin (FN) could be used to enhance retroviral-mediated gene transfer (RMGT) in chronic phase CML marrow HPC. CML CD34+ HLA-DR- and CD34+ HLA-DR+ cells were transduced with vector supernate containing the neomycin resistance gene on plates coated with either FN or bovine serum albumin (BSA) as control, then assayed for transduced HPC in progenitor cell assays in the presence or absence of G418. Transduction efficiency of CML CD34+ HLA-DR- cells over BSA ranged from 0.09 to 7.2% (mean 3.3 +/- 1.5%), while that over FN plates ranged from 3.8 to 23% (mean 11.0 +/- 4.5%) (n = 4). Transduction efficiencies of CML CD34+ HLA-DR+ cells ranged from 0.4 to 9.8% (mean 3.7 +/- 1.7%) and 6.0 to 26% (mean 17.3 +/- 4.5%) (n = 5) over BSA and FN, respectively. rtPCR analysis for BCR/ABL mRNA of individual G418-resistant HPC generated from CD34+ HLA-DR- cells revealed that normal BCR/ABL(-) HPC were successfully transduced under these experimental conditions. These results demonstrate the feasibility of transducing normal CML primitive HPC, and illustrate the potential clinical use of FN in the setting of gene therapy for CML, as well as other diseases.


Asunto(s)
Antígenos CD34 , Fibronectinas/farmacología , Técnicas de Transferencia de Gen , Vectores Genéticos , Trasplante de Células Madre Hematopoyéticas/métodos , Leucemia Mielógena Crónica BCR-ABL Positiva/terapia , Fragmentos de Péptidos/farmacología , Adulto , Quimotripsina , Resistencia a Medicamentos/genética , Proteínas de Fusión bcr-abl/análisis , Genes Reporteros , Vectores Genéticos/genética , Células Madre Hematopoyéticas/inmunología , Humanos , Separación Inmunomagnética/métodos , Interleucina-2/genética , Leucemia Mielógena Crónica BCR-ABL Positiva/genética , Persona de Mediana Edad , Neomicina , Reacción en Cadena de la Polimerasa , ARN , Retroviridae , Albúmina Sérica Bovina/farmacología
16.
Leukemia ; 10(6): 1049-50, 1996 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-8667641

RESUMEN

The myeloid zinc finger protein MZF-1 is important in hematopoiesis. Previous studies have found that reducing expression of MZF-1 inhibited G-CSF-driven human marrow colony formation assays. In this study we found that retrovirally overexpressing MZF-1 in IL-3-dependent FDCP.1 cells inhibited their apoptosis when IL-3 was withdrawn. The MZF-1-transduced FDCP.1 cells also formed tumors when injected into congenic mice, whereas control FDCP.1 cells did not.


Asunto(s)
Apoptosis/genética , Médula Ósea/metabolismo , Transformación Celular Neoplásica/genética , Proteínas de Unión al ADN/genética , Expresión Génica , Interleucina-3/farmacología , Factores de Transcripción/genética , Dedos de Zinc/genética , Animales , Células Cultivadas , Humanos , Factores de Transcripción de Tipo Kruppel , Ratones , Trasplante de Neoplasias
17.
Clin Cancer Res ; 4(1): 93-8, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9516957

RESUMEN

The contamination of apheresis products with tumor cells was evaluated in patients undergoing autologous peripheral blood stem cell transplantation for germ cell tumors. A blinded, retrospective analysis was performed on 63 apheresis products from 28 patients using the PCR and primers for beta human chorionic gonadotropin (beta-HCG). Of the 20 patients with beta-HCG-secreting tumors, 8 apheresis products from 7 patients were PCR positive. PCR was negative in the 8 patients whose tumors did not secrete beta-HCG. Twenty-two apheresis products from patients with lymphoma and breast cancer were negative for beta-HCG expression. Evaluating the 20 patients with beta-HCG-secreting tumors, 100% of PCR-positive patients had elevated serum beta-HCG at the time of apheresis compared to 46.2% of PCR-negative patients (P = 0.04). A positive PCR was also associated with a higher serum beta-HCG at diagnosis (P = 0.03). Patients receiving a PCR-positive product had a higher relapse rate (85.7 versus 61.5%) and were more likely to have visceral metastasis (100 versus 61.5%), although the numbers did not reach statistical significance (P = 0.35 and 0.11, respectively). The finding of beta-HCG mRNA in apheresis products strongly suggests the presence of circulating tumor cells in a significant number of germ cell patients undergoing autologous transplantation. This assay may be useful in monitoring attempts at tumor cell depletion and in developing improved prognostic models for assessing risk of relapse after transplantation.


Asunto(s)
Germinoma/diagnóstico , Trasplante de Células Madre Hematopoyéticas , Células Neoplásicas Circulantes , Reacción en Cadena de la Polimerasa , Eliminación de Componentes Sanguíneos , Gonadotropina Coriónica Humana de Subunidad beta/genética , Humanos , ARN Mensajero/análisis , Estudios Retrospectivos
18.
Exp Hematol ; 11(4): 275-83, 1983 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-6840226

RESUMEN

The organ distribution of very low density lipoproteins, with known hematopoietic cell growth inhibitory effects, was studied in the rat. Animals received intravenous injections of 125I-labelled VLDL and tissue uptake was monitored over 4 days. Uptake into 8 organs was studied using a technique that excluded blood associated radioactivity. While we demonstrated that the liver predominated in tissue uptake of radioactivity on a total organ basis, bone marrow had the greatest 125I-VLDL uptake per gram of tissue, six times greater for bone marrow than liver. Thus we have demonstrated that the bone marrow is a very active organ in terms of uptake of VLDL. This suggests that the in vitro inhibitory effect of rat VLDL on bone marrow cell proliferation may have physiologic significance in the in vivo regulation of marrow cell proliferation.


Asunto(s)
Médula Ósea/metabolismo , Hematopoyesis , Lipoproteínas VLDL/metabolismo , Hígado/metabolismo , Animales , Hematopoyesis/efectos de los fármacos , Cinética , Lipoproteínas VLDL/sangre , Lipoproteínas VLDL/farmacología , Masculino , Ratas , Distribución Tisular
19.
Exp Hematol ; 24(2): 299-306, 1996 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8641356

RESUMEN

The objective of ex vivo expansion of primitive hematopoietic progenitor cells (HPC) is to increase the number of progeny cells possessing hematopoietic potential similar to the original HPC. In the context of bone marrow (BM) transplantation in mice, this implies that expanding a number of HPC sufficient for long-term rescue of one lethally irradiated animal should generate enough cells to rescue more than one lethally irradiated recipient. In the present study, Sca-1+Lin- cells from male C57Bl/6 mice were expanded in vitro with stem cell factor (SCF), interleukin-1alpha (IL-1alpha), IL-3, and IL-6 and used to transplant lethally irradiated syngeneic female recipients. Expanded cells were tracked in vitro with the fluorescent membrane dye PKH2, which becomes evenly distributed among dividing daughter cells, and fractionated on day 7 into Sca-1+ cells which did not divide (Sca-1+PKH2bright), those which had divided 1 to 2 times (Sca-1+PKH2moderate), or those which had divided four or more times (Sca-1+PKH2dim). Grafts of expanded cells consisted of either the same number of fresh cells proven to rescue lethally irradiated animals [3X10(3) cells; referred to as one repopulating dose (1 RD)] or the expansion equivalent (EE) of these cells. One EE of cells represented 3X10(3) multiplied by the fold increase in the number of cultured cells on day 7. All animals transplanted with 3X10(3) freshly isolated Sca-1+Lin- cells survived long-term. Only 53% of animals receiving 1 EE of all cultured day-7 cells survived. One RD from all three PKH2 fractions (bright, moderate, and dim) of day-7 cultured Sca-1+ cells failed to rescue more than 30% of lethally irradiated recipients. Comparable survival rates were obtained when 1 EE of Sca-1+PKH2dim or only 4 RD of Sca-1+PKH2bright cells were used as grafts, suggesting that a larger frequency of long-term repopulating cells may have been retained within the fraction of Sca-1+ cells undergoing minimal or no proliferation in culture. Engraftment of male ex vivo expanded cells in recipients was confirmed by polymerase chain reaction (PCR) analysis with Y chromosome-specific primers. When analyzed for their cell cycle status, Sca-1+PKH2bright cells were mostly quiescent, whereas a higher percentage of Sca-1+PKH2dim cells were in active phases of cell cycle. These data suggest that ex vivo expansion does not augment the number of BM repopulating HPC and that ex vivo expansion generates classes of progenitor cells with different BM repopulating potentials depending on their proliferative history. These studies also suggest that the cell cycle status of graft cells may affect the ability of these cells to engraft in myeloablated hosts.


Asunto(s)
Supervivencia de Injerto , Trasplante de Células Madre Hematopoyéticas/métodos , Células Madre Hematopoyéticas/citología , Animales , Secuencia de Bases , División Celular , Linaje de la Célula , Células Cultivadas/trasplante , Femenino , Colorantes Fluorescentes , Genotipo , Glucosa-6-Fosfato Isomerasa/genética , Factores de Crecimiento de Célula Hematopoyética/farmacología , Células Madre Hematopoyéticas/efectos de los fármacos , Masculino , Ratones , Ratones Endogámicos C57BL , Datos de Secuencia Molecular , Compuestos Orgánicos , Quimera por Radiación
20.
Hum Gene Ther ; 11(15): 2093-103, 2000 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-11044911

RESUMEN

During the production of clinical-grade retroviral vector supernatant, we noted significant differences in the lactate production and glucose consumption of various producer cell lines submitted to the National Gene Vector Laboratory (NGVL). Since differences in growth characteristics could be important in determining the optimal culture conditions for maximizing titer, we studied the growth characteristics of three commonly used packaging cell lines: PA317, PG13 and GP+envAM12. A transformed phenotype, assessed by the ability to form colonies in semisolid media, was evident in all three packaging cell lines tested. In confluent cultures, the rates of glucose consumption and lactate production (per cell per hour) were similar for the three lines tested, but the growth rate and culture density varied. PA317 and PG13 continued to expand after reaching confluence, resulting in higher cell densities and subsequent rapid depletion of glucose within the 24-hr observation period. When the cell lines were evaluated for titer optimization, the slower growing packaging cell line GP+envAM12 generally provided the highest titer after 8 hr of culture in confluent roller bottles, while most vectors introduced into PA317 and PG13 cells yielded optimal titers after 24 hr of culture. We also found that the improved titers obtained by culturing cells at 32 degrees C previously reported for PA317 cells do not apply to other packaging cell lines. In particular, PG13 rapidly lost titer when grown at the lower temperature. Our findings suggest that optimization of titer requires careful consideration of the culture conditions, which should be individualized for the vector producer cell line.


Asunto(s)
Técnicas de Cultivo de Célula/métodos , Técnicas de Transferencia de Gen , Terapia Genética/métodos , Vectores Genéticos , Retroviridae/genética , Células 3T3 , Animales , División Celular , Línea Celular , Citometría de Flujo , Glucosa/metabolismo , Células HeLa , Humanos , Ácido Láctico/biosíntesis , Ratones , Fenotipo , Sefarosa/metabolismo , Temperatura , Factores de Tiempo , Transformación Genética , Células Tumorales Cultivadas
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