Lentiviral Vectors in Gene Therapy

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A Viral Biorealm page on the family Lentiviral Vectors in Gene Therapy

Lentiviruses are some of the most recognizable–and life threatening–vertebrate viruses. Viruses in this genus include human immunodeficiency virus (HIV), simian immunodeficiency virus (SIV), and feline immunodeficiency virus (FIV). Their exogenous characteristics make them incredibly ideal for use in gene therapy.
Gene therapy requires delivery vehicles to transfer a gene into an organism's chromosome. Lentiviral vectors are highly successful in permanently changing the target cell and thus increase the efficiency of therapeutic treatment. Hemophilia and other blood-related diseases, AIDS, and various cancers are current targets of lentiviral vectors and they can be used in conjunction with other antiviral and anticancer drugs.


About Lentiviruses

Retroviruses are characterized by their use of the host cell's reverse transcriptase to create DNA from viral RNA. The DNA is then incorporated into the host's DNA genome. Viruses in the genus lentiviruses have slow incubation periods and are categorized into five different serotypes based on their host: primates, sheep/goats, horses, cats, and cattle. RELIK was found to be the first endogenous lentivirus, infecting rabbits, dating millions of years [x]. Present lentiviruses are exogenous, incorporating their DNA into a host's upon infection, and they can infect non-dividing cells.
After a long incubation period and subsequent cell divisions and virus gene proliferation, lentiviruses cause prolonged illness, such as AIDS in humans. Much is known about the method of infection of lentiviruses.

The retrovirus infection cycle. [1].


Gene Therapy

Genetic disorders result from mutated or missing genes. The goal of gene therapy is to repair the flawed DNA by completely repairing it-in most cases the expectation is a total replacement of the gene. Reparation at the source of the disorder impacts subsequent cells and tissues down the line instead of simply treating the symptoms of the disorder. In order to repair the disorder at its source, there must be an efficient way to gain entry into the cells and permanently incorporate the new gene into the target cell's genome. Various methods exist for this delivery and success depends on the nature of the disorder. What genes are involved, how many genes are involved, how the patient's immune system will react, and the physical effects of the mutated or missing gene has on a person must all be taken into account when considering gene therapy as a treatment option. If a disorder can be rectified by replacing the mutated gene, and the target cells are fairly accessible, then a suitable method of gene delivery will be devised.

"Vectors" refer to the method of gene insertion. Non-viral vectors are plasmids cultivated in bacteria and naked plasmids that are inserted directly into the cell. Non-viral vectors are not cell specific but are generally less effective in their integration into the host cell [x]

Lentiviral Vectors

Successful gene therapy requires permanent expression of the gene of interest in the target cell. The efficiency of the mode of gene delivery obviously correlates to the success of DNA integration into the host. Lentiviruses have been of interest for many years [x] because of their notoriously successful infection rate
replications cycle
transitional endogenous
evolution?
targeting cell types in vivo and delivery methods
SAFETY METHODS

A constructed lentiviral vector [2].


Current Lentiviral Vectors

HIV X-Linked Adrenoleukodystrophy

Potential Side Effects/Safety

Future Directions of Lentiviral Vectors

Various pharmaceutical and research companies focus solely on lentiviral gene therapy
see http://www.lentigen.com/
stem cells
vaccines
T cell therapies
proteins?

References

[1] "Tools of the Trade." Learn Genetics. Genetic Science Center, University of Utah, n.d. Web. Nov. 2012. <http://learn.genetics.utah.edu/content/tech/genetherapy/gttools/>. [2] Katzourakis, A., M. Tristem, O. G. Pybus, R. J. Gifford. 2007. "Discovery and analysis of the first endogenous lentivirus." Proceedings of the NAtional Academy of Sciences of the United States of America. 104: 6261-6265.

[3] Naldini, L. 1998. "Lentiviruses as gene transfer agents for delivery to non-dividing cells." Current Opinion in Biotechnology. 9: 457-463.



Page authored by Irene McIntosh for BIOL 375 Virology, December 2012