Eradication of HIV by Transplantation of CCR5-Deficient Hematopoietic Stem Cells

Today, 30 years after the onset of the HIV pandemic, although treatment strategies have considerably improved, there is still no cure for the disease. Recently, we described a successful hematopoietic stem cell transplantation in an HIV-1–infected patient, transferring donor-derived cells with a natural resistance against HIV infection. These hematopoietic stem cells engrafted, proliferated, and differentiated into mature myeloid and lymphoid cells. To date, the patient has not required any antiretroviral treatment, more than 4 years after allogeneic transplantation. In the analysis of peripheral blood cells and different tissue samples, including gut, liver, and brain, no viral load or proviral DNA could be detected. Our report raises the hope for further targeted treatment strategies against HIV and represents a successful personalized treatment with allogeneic stem cells carrying a beneficial gene. However, this case has ignited a controversy regarding the question of whether this patient has achieved complete eradication of HIV or not. Here we give an update on open questions, unsolved aspects, and clinical consequences concerning this unique case

The effect of the CCR5-delta32 deletion on global gene expression considering immune response and inflammation

<p>Abstract</p> <p>Background</p> <p>The natural function of the C-C chemokine receptor type 5 (CCR5) is poorly understood. A 32 base pair deletion in the CCR5 gene (CCR5-delta32) located on chromosome 3 results in a non-functional protein. It is supposed that this deletion causes an alteration in T-cell response to inflammation. For example, the presence of the CCR5-delta32 allele in recipients of allografts constitutes as an independent and protective factor associated with a decreased risk of graft-versus-host disease (GVHD) and graft rejection. However, the mechanism of this beneficial effect of the deletion regarding GVHD is unknown. In this survey we searched for a CCR5-delta32 associated regulation of critical genes involved in the immune response and the development of GVHD.</p> <p>Methods</p> <p>We examined CD34+ hematopoietic progenitor cells derived from bone marrow samples from 19 healthy volunteers for the CCR5-delta32 deletion with a genomic PCR using primers flanking the site of the deletion.</p> <p>Results</p> <p>12 individuals were found to be homozygous for CCR5 WT and 7 carried the CCR5-delta32 deletion heterozygously. Global gene expression analysis led to the identification of 11 differentially regulated genes. Six of them are connected with mechanisms of immune response and control: LRG1, CXCR2, CCRL2, CD6, CD7, WD repeat domain, and CD30L.</p> <p>Conclusions</p> <p>Our data indicate that the CCR5-delta32 mutation may be associated with differential gene expression. Some of these genes are critical for immune response, in the case of CD30L probably protective in terms of GVHD.</p

Transplantation of selected or transgenic blood stem cells – a future treatment for HIV/AIDS?

Interaction with the chemokine receptor, CCR5, is a necessary precondition for maintaining HIV-1 infection. Individuals with the CCR5-delta32 deletion who lack this receptor are highly resistant to infection by the most common forms of HIV-1. We recently reported on the successful transplantation in an HIV-1-positive patient of allogeneic stem cells homozygous for the CCR5-delta32 allele, which stopped viral replication for more than 27 months without antiretroviral therapy

High correlation of the proteome patterns in bone marrow and peripheral blood blast cells in patients with acute myeloid leukemia

<p>Abstract</p> <p>Background</p> <p>When comparing myelogenous blasts from bone marrow and peripheral blood, immunophenotyping usually show a strong correlation of expression of surface antigens. However, it remains to be determined, whether this correlation also exists on the level of protein expression.</p> <p>Method</p> <p>Therefore, we investigated both bone marrow and peripheral blood blast cells from six patients with newly diagnosed acute myeloid leukemia (AML) using conventional two-dimensional electrophoresis in the first dimension and linear polyacrylamide gels (12%) in the second dimension. Proteins were visualized using the silver staining method and image analysis was performed using the PDQuest system.</p> <p>Results</p> <p>For each patient over 80 proteins were evaluated in the sample from peripheral blood and bone marrow. We could demonstrate that the protein expression profile of bone marrow did not significantly differ from the expression patterns of peripheral blast cells.</p> <p>Conclusion</p> <p>The proteome-set of leukemic blast cells from marrow and blood, does not differ substantially when drawn from AML patients with over 80 percent blast cells in both compartments. This indicates that in AML, blasts from peripheral blood samples can be considered suitable for investigations of the proteome using 2D-electrophoresis.</p

Chemoresistenzassoziierte Veränderungen der Proteinexpression bei Kolon-, Mamma-, Magen-, Pankreaskarzinom und Fibrosarkom mit Hilfe der hochauflösenden zweidimensionalen Elektrophorese im immobilisierten pH-Gradienten

Die Therapie von disseminierten malignen Tumoren durch Chemotherapie allein oder in Kombination mit Bestrahlung oder Hyperthermie führt nur in 20-50% zu einem Ansprechen. Dieser Behandlungserfolg wird häufig dadurch limitiert, daß im Verlauf der Therapie zur Entwicklung einer Chemoresistenz kommt. Ziel der Arbeit war es, eine generelle Analyse der Proteinexpression in der in vitro herbeigeführten Chemoresistenz durchzuführen. Dafür wurden Zellkulturen von Magen-, Kolon-, Pankreas, Mammakarzinom und Fibrosarkom die eine Resistenz gegen Daunorubicin und Mitoxantron besitzen benutzt und mit der zweidimensionalen Gelelektrophorese im immobilisierten pH-Gradienten (pH 4,0-8,0) in der ersten Dimension und einen linearen Polyarcylamidgel (12%) in der zweiten Dimension analysiert. Nach Färbung in Coomassie blau wurde eine rechnergestützte Imageanalyse mit dem PDQuest System durchgeführt. Proteinspots die eine auffällige Änderung zeigten wurden isoliert, und nach enzymatischer Gelhydrolyse mikrosequenziert bzw. durch Massenspektrometrie und anschließender micropore HPLC Analyse identifiziert. Acht Proteine, die in den chemoresistenten Zellinien überexprimiert waren, konnten identifiziert werden: Thioredoxin, Annexin 1; Cofilin, Stratifin(14-3-3sigma), Rho-GDP-Dissoziations Inhibitor, Fettsäurebindendes Protein(E-FABP), Adenin Phosphoribosyl Transferase, und BCSG-1The therapy of advanced cancer using chemotherapy alone or in combination with radiation or hyperthermia yields an overall response rate of about 20-50%. This success is often marred by the development of resistance to cytostatic drugs. The aim was to study the global analysis of protein expression in the development of chemoresistance in vitro. We therefore used a cell culture model derived from the gastric, colorectal, pancreatic, mamma carcinoma and fibrosarcoma cell line selected to daunorubicin and mitoxantrone. These cell lines were analysed using two-dimensional electrophoresis in immobilized pH-gradients (pH 4.0-8.0) in the first dimension and linear polyacrylamide gels (12%) in the second dimension. After staining with coomassie brilliant blue, image analysis was performed using the PDQuest system. Spots of interest were isolated using preparative two-dimensional electrophoresis and subjected to microsequencing after enzymatic hydrolysis in gel, mass spectrometric data and sequencing of the peptides after their fractionation using microbore HPLC identified. Eight proteins were identified that were overexpressed in chemoresistant cell lines: Thioredoxin, Annexin 1, Cofilin, Stratifin(14-3-3sigma), Rho-GDP-dissoziation Inhibitor, fatty acid binding protein(E-FABP), adenin phosphoribosyl Transferase, and BCSG-1