Hematopoietic stem cell gene therapy: selecting only the best
J. Clin. Invest. Arthur Bank, et al. 112:1478 doi:10.1172/JCI20336 [
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Figure 1Gene therapy using HSCs. (
a) Transduction of cells with lentiviral supernatants containing the transgene
MGMT that integrates into chromosomal DNA. (
b) Gene transfer into HSCs with subsequent injection of populations of hematopoietic cells containing gene-corrected HSCs into animals, either dogs or, for human HSCs, NOD/SCID mice. Cells given by vein home to the marrow. (
c) In vivo selection. Before: Small numbers of MGMT-expressing gene-corrected cells. After: Almost complete killing of untransduced HSCs with BCNU and O
6BG therapy. Self-renewal and expansion of
MGMT gene-corrected HSCs repopulate all hematopoietic lineages.