Phase I study protocol for ex vivo lentiviral gene therapy for the inherited skin disease, netherton syndrome

Wei-Li Di, Jemima E Mellerio, Catina Bernadis, John Harper, Alya Abdul-Wahab, Sumera Ghani, Lucas Chan, Magdalena Martinez-Queipo, Havinder Hara, Anne-Marie McNicol, Farzin Farzaneh, John McGrath, Adrian Thrasher, Waseem Qasim

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

Abstract

Netherton syndrome (NS) is a serious inherited skin disorder caused by mutations in the serine protease inhibitor Kazal type 5 gene (SPINK5), which encodes for a serine protease inhibitor lymphoepithelial Kazal type-related inhibitor (LEKTI). Patients with NS have defective keratinization, hair shaft defects, recurrent infections, atopy, and a predisposition to skin malignancies. Historically, 1 in 10 infants has died before their first birthday. Currently, there are no proven treatments to cure this condition. A SIN-lentiviral vector encoding the codon-optimized SPINK5 gene under the control of a 572 bp element derived from the human involucrin promoter can confer compartment-specific LEKTI expression in NS keratinocytes with restoration of normal skin architecture. Here we detail a study protocol for a phase I trial for feasibility and safety evaluations of autologous epidermal sheets generated from ex vivo gene-corrected keratinocyte stem cells, which will be grafted onto patients with mutation-proven NS.
Original languageEnglish
Article numberN/A
Pages (from-to)182-190
Number of pages9
JournalHuman Gene Therapy
Volume24
Issue number4
DOIs
Publication statusPublished - 11 Dec 2013

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