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A Modified γ-Retrovirus Vector for X-Linked Severe Combined Immunodeficiency
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A Modified γ-Retrovirus Vector for X-Linked Severe Combined Immunodeficiency
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A Modified γ-Retrovirus Vector for X-Linked Severe Combined Immunodeficiency
A Modified γ-Retrovirus Vector for X-Linked Severe Combined Immunodeficiency
Journal Article

A Modified γ-Retrovirus Vector for X-Linked Severe Combined Immunodeficiency

2014
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Overview
Correction of the genetic lesion leading to X-linked SCID with first-generation retroviral vectors has been associated with a 25% risk of acute leukemia. A self-inactivating retrovirus appears to retain therapeutic efficacy, with no leukemia yet observed. X-linked severe combined immunodeficiency (SCID-X1) is caused by mutations in the gene encoding the interleukin-2 receptor γ chain ( IL2RG ) that result in a lack of response to common γ-chain (γc)–dependent cytokines, an absence of T-cell and natural killer (NK)–cell development, and impairment of B-cell function. 1 , 2 Death from community-acquired or opportunistic infection usually occurs before 1 year of age unless allogeneic hematopoietic stem-cell transplantation (HSCT) is performed. The immunologic defect in children with SCID-X1 obviates the requirement for a preparative regimen before transplantation. 3 – 6 Standard allogeneic HSCT with matched-sibling donors is associated with an 85 to 90% overall . . .