Hematopoietic stem cells (HSC) are the preferred target population for ex vivo gene therapy with applications ranging from rare monogenetic diseases to HIV. Currently, HSCs are isolated by the marker CD34. However, use of this population has severe limitations. Fred Hutch researchers have identified a unique combination of genetic markers that defines a small subset within the CD34-expressing population, which represents HSCs with self-renewing capacity, multilineage potential, long-term engraftment capability and is conserved between human and nonhuman primate. This method to isolate, expand, and manipulate HSCs has dramatic potential to reduce the cost of goods for manufacturing of gene and cell based therapeutics and provides a quantitative measure of graft potency.
Selection of HSCs for autologous transplantation
Isolation of HSCs for engineering gene and cell based therapies
Predictability that isolated cell population will engraft in vivo
Self-renewal and multi-lineage potential of HSCs
20-fold reduced vector requirements for gene manipulation
Over 40 million people globally are suffering from hematopoietic diseases and HSC transplantation (HSCT) is an attractive approach for curative treatment. From 2009 to 2013, there were 88,063 HSC transplants performed in the US. While HSCTs are on the rise, the use of gene therapy HSC strategies is limited due to barriers in manufacturing associated with the significant cost of clinical grade vectors and reagents. These identified HSC populations would allow for more predictable results of HSCT and also reduce vector and reagent requirements given the fewer cell numbers required for predictable long-term multi-lineage engraftment.
Hans-Peter Kiem, MD and Jennifer Adair, PhD Clinical Research Division