13 th AnnUAL MEETing | Washington, DC USA May 19-22, 2010 43Program ScheduleMarkus Grompe, MDHepatobiliary Stem/Progenitor <strong>Cell</strong>sCarolyn Lutzko, PhDDeveloping Stem <strong>Cell</strong> Based Therapies for Lung Disease: Bringing <strong>Gene</strong>s to Lung Stem <strong>Cell</strong>s and Stem <strong>Cell</strong>s to the LungThis presentation will focus on different strategies for developing stem cell based therapies for lung diseases. One strategy that will be discussed is the genetic modification<strong>of</strong> endogenous lung progenitor cells during development. This presentation will also discuss progress on the differentiation <strong>of</strong> lung progenitor cells from pluripotent stemcells in vitro.Mervin C. Yoder, MDAre Endothelial Progenitor <strong>Cell</strong>s Derived from the Endothelial Lining <strong>of</strong> Blood Vessels?Circulating endothelial progenitor cells (EPC) have been reported to play important roles in vascular repair and regeneration and are altered in concentration in patientswith arthritis, diabetes, cancer, and cardiovascular disease. No unique marker exists to identify this cell. Indeed, evidence suggests that numerous cell types participate inneoangiogenesis under the term EPC. We will review recent literature that suggests the local endothelial lining to be a major site <strong>of</strong> vascular repair.Scientific Symposium 21210:30 am - 12:30 pmRoom: Virginia Suite<strong>Cell</strong> and <strong>Gene</strong> <strong>Therapy</strong> Approaches for <strong>Gene</strong>tic Diseases: Progress and ChallengesChairCharles P. Venditti, MD, PhDSpeakersNathalie Cartier-Lacave, MD<strong>Gene</strong> <strong>Therapy</strong> for AdrenoleukodystrophyWe report results <strong>of</strong> the first clinical trial using an HIV vector to correct hematopoietic stem cells (HSC) in adrenoleukodystrophy, a severe degenerative disease <strong>of</strong> thecentral nervous system. Three children received autologous corrected HSC after full myeloablative conditionning. Up to 36 months after treatment, stable expression wasdemonstrated in peripheral blood leukocytes and bone marrow CD34+ cells, with polyclonal integration <strong>of</strong> the lentiviral vector. Neurological outcome was comparable tothat observed after allogeneic transplantation. These results demonstrate that lentiviral vectors are promising tools for gene transfer into hematopoietic stem cells in theabsence <strong>of</strong> selective advantage.Alessandra Biffi, MDHSC <strong>Gene</strong> <strong>Therapy</strong> for Metachromatic and Globoid Leukodystrophies: The Next Trials for Inherited Neurological DisordersWe are implementing a gene therapy approach based on the transplantation <strong>of</strong> gene corrected hematopoietic stem cells (HSC) for the treatment <strong>of</strong> severe forms <strong>of</strong>Lysosomal Storage Disorders (LSD) lacking efficacious and safe alternative therapeutic opportunities. To this goal, we exploit the unique features <strong>of</strong> lentiviral vectors (LV),which are prime candidates for HSC gene transfer. Indeed, by using LV for HSC gene correction, we proved the therapeutic potential and safety <strong>of</strong> HSC gene therapy in themurine model <strong>of</strong> metachromatic leukodystrophy (MLD), a severe dysmyelinating LSD. According to these promising results, HSC gene therapy for MLD has now reachedclinical testing. Similarly, an advanced LV design allowed rendering HSC gene therapy a feasible and efficacious approach to be further developed also for globoid cellleukodystrophy, on which we obtained very promising evidences in the disease model.Ronald D.G. McKay, PhDRobert D. Steiner, MDCNS Transplantation <strong>of</strong> Neural Stem <strong>Cell</strong>s in Neuronal Ceroid Lip<strong>of</strong>uscinoses: Phase I Trial ResultsInfantile and late-infantile neuronal ceroid lip<strong>of</strong>uscinosis (INCL and LINCL) are universally fatal neurodegenerative lysosomal storage disorders caused by palmitoyl proteinthioesterase and tripeptidyl peptidase deficiency, respectively. A Phase I trial <strong>of</strong> human central nervous system stem cells (HuCNS-SC®) was conducted in subjects withINCL and LINCL. This study represents the first US FDA authorized use <strong>of</strong> human neural stem cells for clinical testing. The primary goal <strong>of</strong> the trial was to evaluate thesafety <strong>of</strong> direct CNS delivery <strong>of</strong> HuCNS-SC, the immunosuppression regimen, and the surgical technique. Six children underwent HuCNS-SC transplantation;. the studyresults to be presented will include adverse events as well as the neurological, seizure, EEG, radiological, neuropsychological, functional, and quality-<strong>of</strong>-life measuresassessed at frequent intervals post-transplant, as well as evidence <strong>of</strong> engraftment.Thursday, May 20 th
44<strong>American</strong> <strong>Society</strong> <strong>of</strong> <strong>Gene</strong> & <strong>Cell</strong> <strong>Therapy</strong>Program ScheduleThursday, May 20 thScientific Symposium 21310:30 am - 12:30 pmRoom: Delaware SuiteHow Viruses Cause Disease: Implications for Vector and Vaccine DevelopmentChairRoberto Cattaneo, PhDSpeakersLynn W. Enquist, PhDResponse <strong>of</strong> PNS Neurons to Herpesvirus InfectionMost alpha herpesviruses are pantropic, neuroinvasive pathogens that establish a reactivateable, latent infection in the peripheral nervous system <strong>of</strong> their natural hosts.Various manifestations <strong>of</strong> herpes disease rely on extent and direction <strong>of</strong> the spread <strong>of</strong> infection between the surface epithelia and the nervous system components thatinnervate that surface. One aspect <strong>of</strong> such controlled spread <strong>of</strong> infection is the capacity for synaptically defined, transneuronal spread, a property that makes alphaherpesviruses useful tools for determining the connectivity <strong>of</strong> neural circuits and gene delivery. Spread <strong>of</strong> infection among neurons involves long distance travel <strong>of</strong> virioncomponent in axons. I will discuss our recent work on the response <strong>of</strong> cultured PNS neurons to infection.Jeffrey Bergelson, MD<strong>Cell</strong> Biology <strong>of</strong> Virus EntryViruses need cells, and they have evolved to manipulate cellular processes at many stages <strong>of</strong> their life cycle. In a number <strong>of</strong> cases, virus-induced signals are needed toprepare the cell for virus entry and infection. I will discuss several examples <strong>of</strong> viruses— including adenoviruses and picornaviruses— that use receptor-mediated signalsto initiate the entry process.Bernard Moss, MD, PhDPoxvirus Replication and Pathogenesis: Implications for Vector and Vaccine DevelopmentThe ability <strong>of</strong> vaccinia virus to infect most cells provides an important advantage for their extensive use as an expression vector and as an oncolytic agent. We have shownthat an unprecedented number <strong>of</strong> viral proteins are required for the membrane fusion step, which can occur either at the plasma membrane or in endosomes. These 12proteins are associated in a complex and conserved in all members <strong>of</strong> the poxvirus family.Roberto Cattaneo, PhDThe Force Behind Targeting: How the Receptor-Triggered Membrane Fusion Mechanism <strong>of</strong> Measles Virus WorksMeasles is one <strong>of</strong> the most infectious viruses, and its portable entry system has become the paradigm for targeting oncolysis and therapeutic gene delivery. While thissystem is strictly regulated, the mechanism triggering fusion <strong>of</strong> the viral envelope with the plasma membrane was unknown. We show that re-alignment <strong>of</strong> the subunits <strong>of</strong>the viral attachment protein (H) is the trigger, and that force exerted at an appropriate location on the H-dimer unlocks the trigger at the plasma membrane, just as lowpH or proteases trigger endosomal membrane fusion in other viral entry systems.Scientific Symposium 21410:30 am - 12:30 pmRoom: Maryland Suite<strong>Gene</strong> and <strong>Cell</strong> Therapeutic Approaches for Musculo-Skeletal DiseasesCo-ChairsPaula Clemens, MD & Alan J. Nixon, DVM, MSSpeakersEdward M. Schwarz, PhDRevitalizing Structural AllograftsTo the end <strong>of</strong> a tissue-engineering solution for large segmental defects in bone caused by trauma or tumors, we proposed rAAV-coated allografts, which introduce angiogenic,osteogenic and osteoclastogenic factors into the healing environment to stimulate vascular ingrowth, bone formation and remodeling <strong>of</strong> the necrotic tissue. Here Iwill describe the molecular biology <strong>of</strong> this technology, its methodology and application in mice, and the translational outcome measures that have been developed to proveefficacy in large animals and humans in which torsional biomechanical strength is the primary outcome measure.EXHIBITOR PROSPECTUSfinal program
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