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Autologous Bone Marrow Transplantation - Blog Science Connections

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Human ADA in Monkeys 713<br />

4 were never fully reconstituted and the animals died before they could be<br />

analyzed. In six of the eight remaining animals, human ADA activity could be<br />

detected, ranging from less than 0.01% of endogenous monkey activity to<br />

roughly 0.5% of endogenous activity. In four of the six human ADA-positive<br />

animals, varying levels of NPT activity could also be detected. In only one<br />

animal (Bill, no. 1) could vector DNA (representing less than 1/10 single-gene<br />

dosage equivalents) be detected.<br />

Such low levels of human ADA activity in these animals could represent<br />

either near-endogenous levels of expression in a very few cells or very low<br />

levels of expression in a large proportion of cells. Since the lower limit of<br />

sensitivity of our Southern analyses is 1 /20 single-gene dosage equivalent,<br />

and since in five of six human ADA-positive animals nonvector DNA could be<br />

detected, it is possible that less than 5% of the hematopoietic cells in these<br />

animals carry the SAX vector. In an effort to confirm that the low enzyme<br />

levels observed were due to a small proportion of cells containing and<br />

expressing vector-delivered genes, we performed in situ hybridization of<br />

peripheral blood cells using a radioactively labeled probe specific for<br />

transcripts from the bacterial neo R gene; results indicated that 28 of 3415<br />

cells expressed the vector-derived gene. It must be noted, however, that<br />

expression of the neo R<br />

gene does not necessarily mean that the accompanying<br />

human ADA gene is also expressed. Nonetheless, the sum of these data<br />

suggest that probably less than 5% of bone marrow cells were infected and<br />

that those infected were expressing human ADA at levels nearly equivalent to<br />

those of the endogenous monkey ADA.<br />

The levels of human ADA described here always are the peak levels<br />

observed in any of the primates studied; in no animal were the peak levels<br />

maintained. For example, in animal no. 7 (Kyle), the maximal level of 0.2% was<br />

observed on day 104 posttransplant. Human ADA levels declined from this<br />

maximum until no more activity could be detected by day 160 posttransplant.<br />

Shortly thereafter (on day 181), a limiting dilution analysis (11) of peripheral T<br />

cells was performed to determine if any cells could be detected that had<br />

become resistant to the drug G418 as a result of the presence of the neo" gene.<br />

In the absence of drug selection, 1 ¡1 of peripheral T cells could be cloned (Fig<br />

3[line A]). After selection in 100 jug/m' G418 (a concentration at which<br />

uninfected T cells were all killed), 1 /93 of the T cells from animal no. 7 could<br />

still be cloned (Fig 3[ line B]). Therefore, approximately 8% of the clonable T<br />

cells on day 181 posttransplant still carried expressing vector sequences. It<br />

must be emphasized that such a limiting dilution analysis really only accounts<br />

for a portion of all peripheral T cells. Therefore, the seemingly high<br />

percentage of infected cells should not be interpreted as meaning that an<br />

equally high number of total T cells carried functional vector. Rather, it may<br />

only mean that at the time of assay, vector-containing T cells still were present<br />

in the peripheral blood of the animal.

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