PMID- 16082332 OWN - NLM STAT- MEDLINE DCOM- 20050831 LR - 20190713 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 80 IP - 3 DP - 2005 Aug 15 TI - Tolerance by selective in vivo expansion of foreign major histocompatibility complex-transduced autologous bone marrow. PG - 362-9 AB - BACKGROUND: Application of gene therapy to induce antigen-specific immune tolerance could be important for transplantation or treatment of autoimmune diseases. Hematopoietic stem cell-based gene therapy has been hampered by relatively weak gene expression in vivo and loss of transduced cells over time. Selective expansion of transduced hematopoietic stem cells has been accomplished by incorporating the dihydrofolate reductase (DHFR) gene into the gene transfer vector. METHODS: To assess whether this strategy could be applied to transplantation, we constructed a retroviral vector plasmid (KA274) containing the cDNA encoding human leukocyte antigen (HLA)-A2.1 and a tyr22 mutant DHFR and generated vesicular stomatitis virus-G-pseudotyped recombinant retrovirus by transfection into 293GPG cells. Bone marrow cells from C57BL/6 mice were infected with KA274 at a multiplicity of infection of 100, and transplanted into lethally irradiated syngeneic mice. RESULTS: After transplantation with transduced bone marrow, the proportion of peripheral blood cells expressing HLA-A2 ranged from 3.2% to 38% and increased 2- to 4.9-fold after selection for DHFR-expressing cells using trimetrexate and nitrobenzylmercaptpurine riboside 5' monophosphate. HLA-A2 expression remained above pretreatment levels throughout the study. Cytotoxic spleen cells from reconstituted mice lysed third-party HLA-B7-expressing targets but were unable to lyse HLA-A2-expressing targets. All KA274 reconstituted C57BL/6 mice accepted skin grafts from HLA-A2.1 transgenic mice for more than 245 days but rejected third-party Balb/c skin grafts in 12 days. CONCLUSION: Long-term transgene expression and immunologic tolerance to retrovirus-encoded HLA-A2, equivalent to that obtained by donor bone marrow transplantation, was accomplished, and selective expansion of transduced bone marrow cells was induced using DHFR as a selectable marker. FAU - Zhang, Jia Lin AU - Zhang JL AD - Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska 68198-3285, USA. FAU - Cai, Jin AU - Cai J FAU - Walls, Shannon AU - Walls S FAU - Jackson, John D AU - Jackson JD FAU - Kuszynski, Charles A AU - Kuszynski CA FAU - Zhao, Yong AU - Zhao Y FAU - Pawliuk, Robert AU - Pawliuk R FAU - Leboulch, Philippe AU - Leboulch P FAU - Fox, Ira J AU - Fox IJ LA - eng GR - DK48794/DK/NIDDK NIH HHS/United States GR - P01 HL55435/HL/NHLBI NIH HHS/United States GR - R01 AI31641/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (DNA, Complementary) RN - 0 (HLA-A2 Antigen) SB - IM MH - Animals MH - Bone Marrow Cells/*cytology/immunology MH - Bone Marrow Transplantation/*methods MH - Cell Transplantation MH - DNA, Complementary/metabolism MH - Flow Cytometry MH - Graft Rejection MH - Graft Survival MH - HLA-A2 Antigen/chemistry MH - Hematopoietic Stem Cells/cytology MH - *Major Histocompatibility Complex MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Mutation MH - Polymerase Chain Reaction MH - Retroviridae/genetics/metabolism MH - Skin Transplantation MH - Time Factors EDAT- 2005/08/06 09:00 MHDA- 2005/09/01 09:00 CRDT- 2005/08/06 09:00 PHST- 2005/08/06 09:00 [pubmed] PHST- 2005/09/01 09:00 [medline] PHST- 2005/08/06 09:00 [entrez] AID - 00007890-200508150-00012 [pii] AID - 10.1097/01.tp.0000165791.39723.a1 [doi] PST - ppublish SO - Transplantation. 2005 Aug 15;80(3):362-9. doi: 10.1097/01.tp.0000165791.39723.a1.