[HTML][HTML] Adaptive immune response impairs the efficacy of autologous transplantation of engineered stem cells in dystrophic dogs

C Sitzia, A Farini, L Jardim, P Razini, M Belicchi… - Molecular Therapy, 2016 - cell.com
C Sitzia, A Farini, L Jardim, P Razini, M Belicchi, L Cassinelli, C Villa, S Erratico, D Parolini…
Molecular Therapy, 2016cell.com
Duchenne muscular dystrophy is the most common genetic muscular dystrophy. It is caused
by mutations in the dystrophin gene, leading to absence of muscular dystrophin and to
progressive degeneration of skeletal muscle. We have demonstrated that the exon skipping
method safely and efficiently brings to the expression of a functional dystrophin in dystrophic
CD133+ cells injected scid/mdx mice. Golden Retriever muscular dystrophic (GRMD) dogs
represent the best preclinical model of Duchenne muscular dystrophy, mimicking the human …
Duchenne muscular dystrophy is the most common genetic muscular dystrophy. It is caused by mutations in the dystrophin gene, leading to absence of muscular dystrophin and to progressive degeneration of skeletal muscle. We have demonstrated that the exon skipping method safely and efficiently brings to the expression of a functional dystrophin in dystrophic CD133+ cells injected scid/mdx mice. Golden Retriever muscular dystrophic (GRMD) dogs represent the best preclinical model of Duchenne muscular dystrophy, mimicking the human pathology in genotypic and phenotypic aspects. Here, we assess the capacity of intra-arterial delivered autologous engineered canine CD133+ cells of restoring dystrophin expression in Golden Retriever muscular dystrophy. This is the first demonstration of five-year follow up study, showing initial clinical amelioration followed by stabilization in mild and severe affected Golden Retriever muscular dystrophy dogs. The occurrence of T-cell response in three Golden Retriever muscular dystrophy dogs, consistent with a memory response boosted by the exon skipped-dystrophin protein, suggests an adaptive immune response against dystrophin.
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