The future of regenerative medicine lies in harnessing the potential of the human body to renew and repair itself. Now, scientists at the Institute of Bioengineering and Nanotechnology (IBN), the world's first bioengineering and nanotechnology research institute, have developed a new genetic engineering technique that promises safer stem cell therapy for cancer patients. Using an insect virus, the team of researchers successfully inserted a therapeutic gene into a safe site in the DNA of human embryonic stem cells without compromising the functionality of the engineered cells.
Human embryonic stem cells (hESCs) and induced pluripotent stem (iPS) cells have the unique ability to transform themselves into any cell type, making them attractive candidates for cell-based therapies in regenerative medicine. Many medical applications require the integration of therapeutic genes into these stem cells before they are transplanted into the patient. However, current genetic engineering techniques lack accuracy and are not effective enough in ensuring that the therapeutic genes would function properly after they are integrated into chromosomes of the stem cells.
The most commonly used method of introducing transgenes into hESCs is random integration. This is a technique that could result in unwanted mutations, and possibly even tumor formation of the transplanted cells. It would also be difficult to predict whether the randomly inserted transgene would be able to function properly, as certain DNA sequences may trigger a malfunction or completely 'shut down' the gene. Therefore, there is a compelling need to develop a new technique that provides better control over the precise location of gene integration without affecting the genomic stability.
Previous studies have identified the adeno-associated virus integration site 1 locus (AAVS1) as a 'safe harbor' for the addition of a new gene into the human genome as there is no known adverse effect on the cell resulting from gene disruption at this site, and the inserted gene has been shown to retain its competence across diverse cell types. Two known methods of delivering genes directly into AAVS1 utilize the AAV2 technology and the zinc-finger nuclease technology. The former has a very low targeting efficiency rate of 4%, indicating a very high risk of random gene insertion. Despite the improved targeting efficiency of the latter (33-61%), it could be toxic to cells and not ideal for use in vivo.
According to IBN Group Leader, Dr Shu Wang, "Having observed the technical complications that plague cell-based therapy, we decided to find a way to enhance the safety and unearth the true potential of this form of therapy for disease treatment. Our lab has been developing stem cell-based vehicles for cancer therapy over the last few years, and we needed a safe method to introduce tumor-killing therapeutic genes into stem cells."
IBN's technique has been shown to achieve up to 100% targeting accuracy, and the IBN researchers are the first to demonstrate homology recombination at the AAVS1 site in hES cells, and to combine the use of baculoviral vectors with the Cre/loxP recombinase system to target and splice specific DNA sequences in these cells.
"As baculoviruses are insect viruses that are known not to insert themselves into human genomes randomly, our method is also much safer than using AAV2 and zinc-finger nuclease, as it causes little or no toxicity to the hES cells," added Dr Wang. "We hope that someday, cells derived from those iPS cells that are genetically modified with our method could be used clinically for cancer therapy."
Published recently in Nucleic Acids Research, IBN's novel genetic engineering technique has great potential to advance the field of stem cell research, benefiting both basic science researchers and clinician scientists. The method developed by the IBN researchers allows repeated insertion of genes at the AAVS1 site, presenting the opportunity to introduce a variety of therapeutic genes safely into the genome of hESCs and iPS cells for various medical applications. The modified hESCs can also be used as a starting material for generating transgenic hESCs for research, significantly reducing the amount of time spent on screening modified hESC clones.
"Using a new and better technology to treat chronic and degenerative diseases is the driving force behind our gene delivery research at IBN. Stem cell based therapy is one of our key research thrusts and we hope to unravel its potential to transform medical treatments with our innovative genetic modification approach," added Professor Jackie. Y. Ying, IBN Executive Director.