title: Phenotypic correction and long-term expression of factor VIII in hemophilic mice by immunotolerization and nonviral gene transfer using the Sleeping Beauty transposon system.
abstract: Hemophilia A is a lead candidate for treatment by gene therapy because small increments in the missing secreted protein product, coagulation factor VIII (FVIII), would result in substantial clinical amelioration. Clinically relevant therapy might be achieved by stably delivering a human FVIII cDNA to correct the bleeding disorder. We used the Sleeping Beauty (SB) transposon, delivered as naked plasmid DNA by tail-vein injection, to integrate B-domain-deleted FVIII genes into the chromosomes of hemophilia A mice and correct the phenotype. Since FVIII protein is a neoantigen to these mice, sustaining therapeutic plasma FVIII levels was problematic due to inhibitory antibody production. We circumvented this problem by tolerizing 82% of neonates by a single facial-vein injection of recombinant FVIII within 24 hours of birth (the remaining 18% formed inhibitors). Achievement of high-level (10%-100% of normal) FVIII expression and phenotypic correction required co-injection of an SB transposase-expressing plasmid to facilitate transgene integration in immunotolerized animals. Linker-mediated polymerase chain reaction was used to clone FVIII transposon insertion sites from liver genomic DNA, providing molecular evidence of transposition. Thus, SB provides a nonviral means for sustained FVIII gene delivery in a mouse model of hemophilia A if the immune response is prevented.
authors.affiliation: Department of Genetics, Cell Biology, and Development, University of Minnesota Cancer Center, Arnold and Mabel Beckman Center for Transposon Research, University of Minnesota, 6-160 Jackson Hall, 321 Church St SE, Minneapolis, MN 55455, USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Ohlfest
authors.forename: Joel L
authors.initials: JL
authors.lastname: Frandsen
authors.forename: Sabine
authors.initials: S
authors.lastname: Fritz
authors.forename: Paul D
authors.initials: PD
authors.lastname: Lobitz
authors.forename: Scott G
authors.initials: SG
authors.lastname: Perkinson
authors.forename: Karl J
authors.initials: KJ
authors.lastname: Clark
authors.forename: Gary
authors.initials: G
authors.lastname: Nelsestuen
authors.forename: Nigel S
authors.initials: NS
authors.lastname: Key
authors.forename: R Scott
authors.initials: RS
authors.lastname: McIvor
authors.forename: Perry B
authors.initials: PB
authors.lastname: Hackett
authors.forename: David A
authors.initials: DA
authors.lastname: Largaespada
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D001777:Blood Coagulation; D004251:DNA Transposable Elements / Q000235:genetics; D005169:Factor VIII / Q000235:genetics*; D015870:Gene Expression; D018014:Gene Transfer Techniques; D015316:Genetic Therapy / Q000379:methods*; D006467:Hemophilia A / Q000235:genetics* / Q000276:immunology / Q000628:therapy*; D007108:Immune Tolerance; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D010641:Phenotype; D010957:Plasmids; D019895:Transposases / Q000235:genetics*
chemical_list: D004251:DNA Transposable Elements; D005169:Factor VIII; D019895:Transposases; C494471:sleeping beauty transposase, human