PMID- 19776764 OWN - NLM STAT- MEDLINE DCOM- 20100629 LR - 20121115 IS - 1476-5462 (Electronic) IS - 0969-7128 (Linking) VI - 16 IP - 11 DP - 2009 Nov TI - Progress and prospects: gene therapy for inherited immunodeficiencies. PG - 1285-91 LID - 10.1038/gt.2009.127 [doi] AB - Haematopoietic stem cell transplantation (HSCT) is now widely used to treat primary immunodeficiencies (PID). For patients with specific disorders (severe combined immunodeficiency (SCID)-X1, adenosine deaminase deficiency (ADA)-SCID, X-chronic granulomatous disease (CGD) and Wiskott-Aldrich Syndrome (WAS)) who lack a suitable human leukocyte antigen (HLA)-matched donor, gene therapy has offered an important alternative treatment option. The success of gene therapy can be attributed, in part, to the selective advantage offered to gene-corrected cells, the avoidance of graft-versus-host disease and to the use of pre-conditioning in patients with chemotherapy to facilitate engraftment of corrected cells. Adverse events have been encountered and this has led to detailed characterization of retroviral vector integration profiles. A new generation of self-inactivating retroviral and lentiviral vectors have been designed to address these safety concerns, and are at an advanced stage of preparation for the next phase of clinical testing. FAU - Qasim, W AU - Qasim W AD - Molecular Immunology Unit, UCL Institute of Child Health, London, UK. FAU - Gaspar, H B AU - Gaspar HB FAU - Thrasher, A J AU - Thrasher AJ LA - eng PT - Journal Article PT - Review DEP - 20090924 PL - England TA - Gene Ther JT - Gene therapy JID - 9421525 SB - IM MH - Animals MH - Gene Silencing MH - Genetic Therapy/*methods/trends MH - Humans MH - Immunologic Deficiency Syndromes/*therapy MH - Male MH - Mutagenesis, Insertional MH - Severe Combined Immunodeficiency/therapy MH - Wiskott-Aldrich Syndrome/therapy RF - 28 EDAT- 2009/09/25 06:00 MHDA- 2010/06/30 06:00 CRDT- 2009/09/25 06:00 PHST- 2009/09/25 06:00 [entrez] PHST- 2009/09/25 06:00 [pubmed] PHST- 2010/06/30 06:00 [medline] AID - gt2009127 [pii] AID - 10.1038/gt.2009.127 [doi] PST - ppublish SO - Gene Ther. 2009 Nov;16(11):1285-91. doi: 10.1038/gt.2009.127. Epub 2009 Sep 24.