Stable reduction of CCR5 by RNAi through hematopoietic stem cell transplant in non-human primates

Dong Sung An1, Robert E Donahue, Masakazu Kamata

  • 1Department of Hematology and Oncology, AIDS Institute, David Geffen School of Medicine, University of California, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA.

Insights

Stable expression of small interfering RNAs (siRNAs) targeting chemokine receptor 5 (CCR5) was achieved in primates via stem cell transplant. This gene silencing approach shows potential for treating HIV-1 and other blood diseases.

Area of Science:

  • Molecular Biology
  • Gene Therapy
  • Immunology

Background:

  • RNA interference (RNAi) is a gene silencing mechanism with therapeutic potential.
  • Endogenous RNAi is vital for cellular functions, necessitating safe siRNA delivery and expression.
  • Chemokine (c-c motif) receptor 5 (CCR5) is a key co-receptor for HIV-1 entry.

Purpose of the Study:

  • To assess the stable expression of siRNAs targeting CCR5 in primates.
  • To evaluate the safety and efficacy of siRNA delivery via hematopoietic stem cell transplant.
  • To determine the impact of CCR5 downregulation on susceptibility to simian immunodeficiency virus (SIV).

Main Methods:

  • CD34+ hematopoietic stem/progenitor cells were engineered to express siRNAs targeting CCR5.
  • These modified cells were transplanted into primates.
  • Hematopoietic reconstitution and gene expression were monitored post-transplant.
  • Lymphocyte susceptibility to SIV infection was assessed ex vivo.

Main Results:

  • Stable expression of CCR5-directed siRNAs was observed in primates 14 months post-transplant.
  • Consistent downregulation of CCR5 expression was achieved in marked lymphocytes.
  • Engineered lymphocytes exhibited reduced susceptibility to SIV infection ex vivo.

Conclusions:

  • Hematopoietic stem cell transplant can facilitate stable siRNA expression in primates.
  • This approach offers a potential strategy for gene therapy of blood diseases like HIV-1.
  • siRNA-mediated CCR5 downregulation is a viable method for enhancing resistance to viral infection.