Molecular Therapy: Methods & Clinical Development (Jun 2023)

Prolonged activity of the transposase helper may raise safety concerns during DNA transposon-based gene therapy

  • Gergely Imre,
  • Bertalan Takács,
  • Erik Czipa,
  • Andrea Bakné Drubi,
  • Gábor Jaksa,
  • Dóra Latinovics,
  • Andrea Nagy,
  • Réka Karkas,
  • Liza Hudoba,
  • Bálint Márk Vásárhelyi,
  • Gabriella Pankotai-Bodó,
  • András Blastyák,
  • Zoltán Hegedűs,
  • Péter Germán,
  • Balázs Bálint,
  • Khaldoon Sadiq Ahmed Abdullah,
  • Anna Georgina Kopasz,
  • Anita Kovács,
  • László G. Nagy,
  • Farkas Sükösd,
  • Lajos Pintér,
  • Thomas Rülicke,
  • Endre Barta,
  • István Nagy,
  • Lajos Haracska,
  • Lajos Mátés

Journal volume & issue
Vol. 29
pp. 145 – 159

Abstract

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DNA transposon-based gene delivery vectors represent a promising new branch of randomly integrating vector development for gene therapy. For the side-by-side evaluation of the piggyBac and Sleeping Beauty systems—the only DNA transposons currently employed in clinical trials—during therapeutic intervention, we treated the mouse model of tyrosinemia type I with liver-targeted gene delivery using both transposon vectors. For genome-wide mapping of transposon insertion sites we developed a new next-generation sequencing procedure called streptavidin-based enrichment sequencing, which allowed us to identify approximately one million integration sites for both systems. We revealed that a high proportion of piggyBac integrations are clustered in hot regions and found that they are frequently recurring at the same genomic positions among treated animals, indicating that the genome-wide distribution of Sleeping Beauty-generated integrations is closer to random. We also revealed that the piggyBac transposase protein exhibits prolonged activity, which predicts the risk of oncogenesis by generating chromosomal double-strand breaks. Safety concerns associated with prolonged transpositional activity draw attention to the importance of squeezing the active state of the transposase enzymes into a narrower time window.

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