TALEN-mediated functional correction of human iPSC-derived macrophages in context of hereditary pulmonary alveolar proteinosis

Sci Rep. 2017 Nov 9;7(1):15195. doi: 10.1038/s41598-017-14566-8.

Abstract

Hereditary pulmonary alveolar proteinosis (herPAP) constitutes a rare, life threatening lung disease characterized by the inability of alveolar macrophages to clear the alveolar airspaces from surfactant phospholipids. On a molecular level, the disorder is defined by a defect in the CSF2RA gene coding for the GM-CSF receptor alpha-chain (CD116). As therapeutic options are limited, we currently pursue a cell and gene therapy approach aiming for the intrapulmonary transplantation of gene-corrected macrophages derived from herPAP-specific induced pluripotent stem cells (herPAP-iPSC) employing transcriptional activator-like effector nucleases (TALENs). Targeted insertion of a codon-optimized CSF2RA-cDNA driven by the hybrid cytomegalovirus (CMV) early enhancer/chicken beta actin (CAG) promoter into the AAVS1 locus resulted in robust expression of the CSF2RA gene in gene-edited herPAP-iPSCs as well as thereof derived macrophages. These macrophages displayed typical morphology, surface phenotype, phagocytic and secretory activity, as well as functional CSF2RA expression verified by STAT5 phosphorylation and GM-CSF uptake studies. Thus, our study provides a proof-of-concept, that TALEN-mediated integration of the CSF2RA gene into the AAVS1 safe harbor locus in patient-specific iPSCs represents an efficient strategy to generate functionally corrected monocytes/macrophages, which in the future may serve as a source for an autologous cell-based gene therapy for the treatment of herPAP.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Genetic Diseases, X-Linked / pathology*
  • Genetic Diseases, X-Linked / therapy*
  • Genetic Therapy / methods*
  • Humans
  • Induced Pluripotent Stem Cells / physiology*
  • Macrophages / cytology
  • Macrophages / physiology*
  • Models, Theoretical
  • Pulmonary Alveolar Proteinosis / pathology*
  • Pulmonary Alveolar Proteinosis / therapy*
  • Transcription Activator-Like Effector Nucleases / metabolism*

Substances

  • Transcription Activator-Like Effector Nucleases

Supplementary concepts

  • Surfactant Metabolism Dysfunction, Pulmonary, 4