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041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Dettmer-Monaco, Viviane
|b 0
245 _ _ |a Gene editing of hematopoietic stem cells restores T cell response in familial hemophagocytic lymphohistiocytosis.
260 _ _ |a Amsterdam [u.a.]
|c 2024
|b Elsevier
336 7 _ |a article
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500 _ _ |a 2024 Jan;153(1):243-255.e14
520 _ _ |a Hemophagocytic lymphohistiocytosis (HLH) is a hyperinflammatory disorder characterized by a life-threatening cytokine storm and immunopathology. Familial HLH type 3 (FHL3) accounts for ∼30% of all inborn HLH cases worldwide. It is caused by mutations in the UNC13D gene, which result in impaired degranulation of cytotoxic vesicles and hence compromised T and NK cell-mediated killing. Current treatment protocols, including allogeneic hematopoietic stem cell (HSC) transplantation, still show high mortality.We sought to develop and evaluate a curative genome editing strategy in the preclinical FHL3 Jinx mouse model. Jinx mice harbor a cryptic splice donor site (cSD) in Unc13d intron 26 and develop clinical symptoms of human FHL3 upon infection with lymphocytic choriomeningitis virus (LCMV).We employed CRISPR-Cas technology to delete the disease-underlying mutation in HSCs, and transplanted Unc13d-edited stem cells into busulfan-conditioned Jinx recipient mice. Safety studies included extensive genotyping and CAST-Seq based off-target analyses. Cure from HLH predisposition was assessed by LCMV infection.Hematopoietic cells isolated from transplanted mice revealed efficient gene editing (>95%), polyclonality of the T cell receptor repertoire, and neither signs of off-target effects nor leukemogenesis. Unc13d transcription levels of edited and wildtype cells were comparable. While LCMV challenge resulted in acute HLH in Jinx mice transplanted with mock-edited HSCs, Jinx mice grafted with Unc13d-edited cells showed rapid virus clearance and protection from HLH.Our study demonstrates that transplantation of CRISPR-Cas edited HSCs supports the development of a functional polyclonal T cell response in the absence of genotoxicity-associated clonal outgrowth.
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650 _ 7 |a CAST-Seq
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650 _ 7 |a CRISPR-Cas
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650 _ 7 |a T cell repertoire
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650 _ 7 |a autologous stem cell transplantation
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650 _ 7 |a gene therapy
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650 _ 7 |a genome editing
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650 _ 7 |a genotoxicity
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650 _ 7 |a hemophagocytic lymphohistiocytosis
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650 _ 7 |a hyperinflammation
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700 1 _ |a Weißert, Kristoffer
|b 1
700 1 _ |a Ammann, Sandra
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700 1 _ |a Monaco, Gianni
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700 1 _ |a Lei, Lei
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700 1 _ |a Gräßel, Linda
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700 1 _ |a Rhiel, Manuel
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700 1 _ |a Rositzka, Julia
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700 1 _ |a Kaufmann, Masako M
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700 1 _ |a Geiger, Kerstin
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700 1 _ |a Andrieux, Geoffroy
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700 1 _ |a Lao, Jessica
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700 1 _ |a Thoulass, Gudrun
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700 1 _ |a Schell, Christoph
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700 1 _ |a Börries, Melanie
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700 1 _ |a Illert, Anna Lena
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700 1 _ |a Cornu, Tatjana I
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700 1 _ |a Ehl, Stephan
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700 1 _ |a Aichele, Peter
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700 1 _ |a Cathomen, Toni
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773 _ _ |a 10.1016/j.jaci.2023.08.003
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