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624 Chapter 12: Gene Therapy<br />

RESULTS<br />

Transduction of primary AML cells<br />

Leukocytes were isolated from peripheral <strong>blood</strong> of untreated AML patients <strong>and</strong><br />

infected using either a conventional adenovirus vector encoding the GFP or the<br />

same vector complexed with a polyamidoamine dendramer compound (VPC, see<br />

Methods). Infections were done in both the presence <strong>and</strong> absence of exogenous<br />

cytokines, <strong>and</strong> cells were assayed for gene transfer efficiency 48-72 hours later.<br />

Shown in Fig. 1 is an example of one infection comparing the two methods of gene<br />

transfer. A shows the leukemic blast population (denoted by the box), <strong>and</strong> B, C, <strong>and</strong><br />

D show uninfected, adenovirus only, or VPC infection, respectively. Table 1<br />

summarizes our initial findings with seven patient samples. In the presence of<br />

exogenous growth factors, the VPC method yielded an average 79% gene transfer<br />

efficiency (± 13%), <strong>and</strong> the adenovirus alone yielded an average of 50% gene<br />

transfer (± 19%). In the absence of growth factors, the same gene transfer vehicles<br />

yielded efficiencies of 71% (± 11%) <strong>and</strong> 44% (± 10%), respectively.<br />

in<br />

E —<br />

32<br />

o<br />

in<br />

FSC-Height<br />

Uninfected<br />

i 0%<br />

ft<br />

I M1<br />

I<br />

10 10 10<br />

SFP<br />

1000<br />

10 10<br />

Transduction of Primary<br />

Leukemic Blast Cells<br />

Figure 1. Flow cytometric analysis of leukemic cells transduced with adenovirus or VPC.<br />

The upper left panel shows the forward vs. side angle light scatter of a leukemic leukocyte<br />

population. The box designated R3 indicates the blast population. Cells within the R3 box are<br />

shown for uninfected, adenovirus infected, or VPC infected samples (lower panels, left to<br />

right). Flow cytometric analysis was performed 24 hours postinfection.

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