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Human Gene Therapy
GST-π Gene-Transduced Hematopoietic Progenitor Cell Transplantation Overcomes the Bone Marrow Toxicity of Cyclophosphamide in Mice

To cite this article:
Takuya Matsunaga, Sumio Sakamaki, Takashi Kuga, Hiroyuki Kuroda, Toshiro Kusakabe, Takehide Akiyama, Yuichi Konuma, Yasuo Hirayama, Masayoshi Kobune, Junji Kato, Katsunori Sasaki, Katsuhisa Kogawa, Ryuzo Koyama, Yoshiro Niitsu. Human Gene Therapy. August 2000, 11(12): 1671-1681. doi:10.1089/10430340050111322.

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Takuya Matsunaga
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Sumio Sakamaki
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Takashi Kuga
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Hiroyuki Kuroda
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Toshiro Kusakabe
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Takehide Akiyama
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Yuichi Konuma
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Yasuo Hirayama
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Masayoshi Kobune
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Junji Kato
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Katsunori Sasaki
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Katsuhisa Kogawa
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.
Ryuzo Koyama
Hokkaido Prefectural Sapporo Kitano Hospital, Sapporo, 004-0864, Japan.
Yoshiro Niitsu
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, 060-8543 Japan.

Autologous transplantation of bone marrow cells (BMCs) transduced with the multidrug resistance 1 (MDR1) gene or dihydrofolate reductase (DHFR) gene has already been applied in clinical chemoprotection trials. However, anticancer drugs frequently used in high-dose chemotherapy (HDC), such as alkylating agents, are not relevant to MDR1 or DHFR gene products. In this context, we have previously reported that glutathione S-transferase-π (GST-π) gene-transduced human CD34+ cells showed resistance in vitro against 4-hydroperoxicyclophosphamide, an active form of cyclophosphamide (CY). In the present study, a subsequent attempt was made in a murine model to evaluate the effectiveness of transplantation of GST-π-transduced BMCs to protect bone marrow against high-dose CY. The gene transfection was carried out retrovirally, employing a recombinant fibronectin fragment. Transfection efficiency into CFU-GM was 30%. After the transplantation, recipient mice (GST-π mice) received three sequential courses of high-dose CY. As the chemotherapy courses advanced, both shortening of recovery period from WBC nadir and shallowing of WBC nadir were observed. In contrast to the fact that three of seven control mice died, possibly due to chemotoxicity, all seven GST-π mice were alive after the third course, at which point the vector GST-π gene was detected in 50% of CFU-GM derived from their BMCs and peripheral blood mononuclear cells. When BMCs obtained from these seven mice were retransplanted into secondary recipient mice, 20% of CFU-GM from BMCs showed positive signals for vector GST-π DNA after 6 months. These data indicate that the GST-π gene can confer resistance to bone marrow against CY by being transduced into long-term repopulating cells.

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