Escape mutations, ganciclovir resistance, and teratoma formation in human iPSCs expressing an HSVtk suicide gene Journal Article


Authors: Kotini, A. G.; De Stanchina, E.; Themeli, M.; Sadelain, M.; Papapetrou, E. P.
Article Title: Escape mutations, ganciclovir resistance, and teratoma formation in human iPSCs expressing an HSVtk suicide gene
Abstract: Human pluripotent stem cells (hPSCs) hold great promise for cell therapy. However, a major concern is the risk of tumor formation by residual undifferentiated cells contaminating the hPSC-derived cell product. Suicide genes could safeguard against such adverse events by enabling elimination of cells gone astray, but the efficacy of this approach has not yet been thoroughly tested. Here, we engineered a lentivirally encoded herpes simplex virus thymidine kinase (HSVtk) with expression restricted to undifferentiated hPSCs through regulation by the let7 family of miRNAs. We show that induced pluripotent stem cells (iPSCs) expressing a let7-regulated HSVtk transgene are selectively killed by ganciclovir (GCV), whereas differentiated cells are fully protected. However, in contrast to previous studies, we find that in vivo GCV administration results in longer latency but does not prevent teratoma formation by iPSCs expressing either a constitutive or a let7-regulated HSVtk, without evidence of silencing of the HSVtk. Clonal analyses of iPSCs expressing HSVtk revealed frequent emergence of GCV resistance which, at least in some cases, could be attributed to preexisting inactivating mutations in the HSVtk coding sequence, selected for upon GCV treatment. Our findings have important consequences for the future use of suicide genes in hPSC-based cell therapies. © 2016, Nature Publishing Group. All rights reserved.
Keywords: teratoma formation; suicide gene; stem cell therapy; induced pluripotent stem cells (ipscs); hsvtk
Journal Title: Molecular Therapy - Nucleic Acids
Volume: 5
ISSN: 2162-2531
Publisher: Nature Publishing Group  
Date Published: 2016-02-02
Start Page: e284
Language: English
DOI: 10.1038/mtna.2015.57
PROVIDER: scopus
PUBMED: 26836371
PMCID: PMC4884789
DOI/URL:
Notes: Article -- Export Date: 3 March 2016 -- Source: Scopus
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  1. Michel W J Sadelain
    583 Sadelain
  2. Maria Themeli
    11 Themeli