Translating the combination of gene therapy and tissue engineering for treating recessive dystrophic epidermolysis bullosa

Eur Cell Mater. 2018 Feb 14:35:73-86. doi: 10.22203/eCM.v035a06.

Abstract

The combination of gene therapy and tissue engineering is one of the most promising strategies for the treatment of recessive dystrophic epidermolysis bullosa (RDEB). RDEB is a rare genetic disease characterised by mutations in the COL7A1 gene, encoding type VII collagen (COLVII), which forms anchoring fibrils at the dermal-epidermal junction of the skin. This disease causes severe blistering and only palliative treatments are offered. In this study, the base of a strategy combining gene therapy and a tissue-engineered skin substitute (TES), which would be suitable for the permanent closure of skin wounds, was set-up. As a high transduction efficiency into fibroblasts and/or keratinocytes seems to be a prerequisite for a robust and sustained correction of RDEB, different envelope pseudotyped retroviral vectors and the transduction enhancer EF-C were tested. When green fluorescent protein (GFP) was used as a reporter gene to evaluate the retroviral-mediated gene transfer, the fibroblast infection efficiency was 30 % higher with the Ampho pseudotyped vector as compared with the other pseudotypes. At least a 3.1-fold and a 1.3-fold increased transduction were obtained in fibroblasts and keratinocytes, respectively, with EF-C as compared with polybrene. A continuous and intense deposit of haemagglutinin (HA)-COLVII was observed at the dermal-epidermal junction of self-assembled TESs made of cells transduced with a HA-tagged COL7A1 vector. Furthermore, HA-tagged basal epidermal cells expressing keratin 19 were observed in TESs, suggesting stem cell transduction. This approach could be a valuable therapeutic option to further develop, in order to improve the long-term life quality of RDEB patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Differentiation
  • Cell Line
  • Cell Proliferation
  • Collagen Type VII / genetics
  • Collagen Type VII / metabolism
  • Colony-Forming Units Assay
  • Epidermolysis Bullosa Dystrophica / pathology
  • Epidermolysis Bullosa Dystrophica / therapy*
  • Fibroblasts / pathology
  • Genetic Therapy*
  • Green Fluorescent Proteins / metabolism
  • Humans
  • Keratin-19 / metabolism
  • Keratinocytes / pathology
  • Retroviridae / metabolism
  • Skin, Artificial
  • Tissue Engineering*
  • Transduction, Genetic

Substances

  • COL7A1 protein, human
  • Collagen Type VII
  • Keratin-19
  • Green Fluorescent Proteins