A research team from Case Western Reserve University School of Medicine 
has discovered an approach that could make gene therapy dramatically 
more effective for patients.
Led by professor Eric Arts, PhD, the scientists discovered that the 
process of gene therapy is missing essential elements thereby reducing 
the effectiveness of this treatment. Re-introducing this element into 
their model system suggests that improvements for gene therapy areon the
 horizon.
The findings are detailed in the article, "A new genomic RNA 
packaging element in retroviruses and the interplay with ribosomal 
frameshifting," published today in the journal Cell Host & Microbe.
Advances in gene therapy offer promising treatment for genetic 
abnormalities, tumors and resistance to toxic chemotherapies. Such 
therapy has been used to treat cystic fibrosis, hemophilia, muscular 
dystrophy and sickle cell anemia.
But a failure to distribute enough modified genetic information to 
the patient's body has prohibited gene therapy from being more widely 
used.
Gene therapy relies mainly on viruses -- which transport genomes 
inside the cells they infect -- to deliver genetic material into a 
patient's cells. The virus-driven delivery tools are called "viral 
vectors."
Unfortunately, the success rate of viral vectors is uneven. For 
instance, adenoviruses, a cause for the common cold, and lentiviruses, 
such as HIV-1, are routinely converted into viral vectors. But 
adenovirus vectors don't last long, so therapy must be frequently 
re-administered. And lentiviral vectors, while stable, fail to deliver 
genetic material to enough defective human cells.
Arts, a professor of medicine in the Division of Infectious Diseases 
and HIV Medicine, learned that lentiviral carriers lack sufficient 
genetic material necessary for treatment.
HIV-1, when converted from virus to lentiviral vector, loses a 
specific RNA element required to pack its "container" with its own 
genetic material to be effective. After identifying the problem, 
researchers introduced the element into a lentiviral vector, 
successfully and significantly improving the quality and quantity of the
 gene therapy.
Arts and colleagues named the genetic element, Genomic RNA Packaging 
Enhancer element (or GRPE). During virus production, GRPE coordinates 
the production and filling of the container with the genetic material of
 HIV-1, or the desired human gene.
Delivery and success of gene therapy for human cells has the 
potential of increasing five to ten times with the introduction of the 
GRPE into the lentiviral vector.
"Using lentivirus for gene transfer appears to be a safe option," 
said Stanton L. Gerson, MD, director of the Case Comprehensive Cancer 
Center and the Asa and Patricia Shiverick- Jane Shiverick (Tripp) 
Professor of Hematological Oncology at Case Western Reserve School of 
Medicine and director of the Seidman Cancer Center at University 
Hospitals Case Medical Center, who is not involved in the study. "This 
discovery could greatly advance the recent successes ongoing in cancer 
and childhood congenital diseases. Improvements in the technology of 
gene delivery identified by Arts and his colleagues could lead to many 
more effective studies that help patients with many different diseases, 
including cancer. Its impact could be felt in a few short years."
Ultimately, introducing GRPE elements into viral vectors could 
enhance the ease and effectiveness of gene therapy, which typically uses
 transplanted human stem cells. Enhanced gene therapy and other 
improvements in targeted cell delivery might eliminate the need for stem
 cells and allow cells to be administered directly into patients.
Journal Reference:
- Mastooreh Chamanian, Katarzyna J. Purzycka, Paul T. Wille, Janice S. Ha, David McDonald, Yong Gao, Stuart F.J. Le Grice, Eric J. Arts. A cis-Acting Element in Retroviral Genomic RNA Links Gag-Pol Ribosomal Frameshifting to Selective Viral RNA Encapsidation. Cell Host & Microbe, 2013; 13 (2): 181 DOI: 10.1016/j.chom.2013.01.007
 
Courtesy: ScienceDaily 

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