Nature Communications (Jun 2022)

Lentivector cryptic splicing mediates increase in CD34+ clones expressing truncated HMGA2 in human X-linked severe combined immunodeficiency

  • Suk See De Ravin,
  • Siyuan Liu,
  • Colin L. Sweeney,
  • Julie Brault,
  • Narda Whiting-Theobald,
  • Michelle Ma,
  • Taylor Liu,
  • Uimook Choi,
  • Janet Lee,
  • Sandra Anaya O’Brien,
  • Priscilla Quackenbush,
  • Tyra Estwick,
  • Anita Karra,
  • Ethan Docking,
  • Nana Kwatemaa,
  • Shuang Guo,
  • Ling Su,
  • Zhonghe Sun,
  • Sheng Zhou,
  • Jennifer Puck,
  • Morton J. Cowan,
  • Luigi D. Notarangelo,
  • Elizabeth Kang,
  • Harry L. Malech,
  • Xiaolin Wu

DOI
https://doi.org/10.1038/s41467-022-31344-x
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 15

Abstract

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De Ravin et al. report an unplanned interim analysis of a secondary safety outcome for an ongoing clinical trial on lentiviral gene therapy for the treatment of X-linked Severe Combined Immunodeficiency (NCT01306019). Vector induced alternative splicing events are identified that cause aberrant fusion transcripts, leading to clonal dominance in a single patient and clonal expansion in others. This can be mitigated by the removal of the lentivector cryptic splice acceptor.