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Prolonged activity of the transposase helper may raise safety concerns during DNA transposon-based gene therapy

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CELL PRESS
DOI: 10.1016/j.omtm.2023.03.003

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DNA transposon-based gene delivery vectors are a promising new branch of gene therapy. By comparing piggyBac and Sleeping Beauty systems, the two transposons currently used in clinical trials, we treated a mouse model of tyrosinemia type I with liver-targeted gene delivery using both vectors. Using a new sequencing method, we identified approximately one million transposon insertion sites and found that piggyBac integrations are mainly clustered in hot regions, while Sleeping Beauty integrations are closer to random distribution.
DNA transposon-based gene delivery vectors represent a promising new branch of randomly integrating vector development for gene therapy. For the side-by-side evaluation of the piggyBac and Sleeping Beauty systems-the only DNA transposons currently employed in clinical trials-during therapeutic intervention, we treated the mouse model of tyrosinemia type I with liver-targeted gene delivery using both transposon vectors. For genome-wide mapping of transposon insertion sites we developed a new next-generation sequencing procedure called streptavidin-based enrichment sequencing, which allowed us to identify approximately one million integration sites for both systems. We revealed that a high proportion of piggyBac integrations are clustered in hot regions and found that they are frequently recurring at the same genomic positions among treated animals, indicating that the genome-wide distribution of Sleeping Beauty-generated integrations is closer to random. prolonged activity, which predicts the risk of oncogenesis by generating chromosomal double-strand breaks. Safety concerns associated with prolonged transpositional activity draw attention to the importance of squeezing the active state of the transposase enzymes into a narrower time window.

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