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That Target The Gene Codes For A Protein Found On The Surface Of White Blood Cells

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ZFNs that Target the Gene CCR5
The CCR5 gene codes for a protein found on the surface of white blood cells that acts as a receptor for chemokines. The HIV virus, strain R5-tropic virus, initially uses the CCR5 chemokine receptor to attach to the CD4+ helper T-cells. The Berlin patient showed how a CCR5-negative hematopoietic stem/ progenitor cells (HSC) from a CCR5 ∆ 32 donor can be used to generate HIV-1 resistant CD4+ helper T-cells.3 Mice models using in vivo studies have also shown ZFNs to be very effective in creating this CCR5 ∆ 32 mutation and ultimately suppressing the HIV-1 replication. Holt and collegues3 performed a study using a mice model to demonstrate the use of ZFN-modified autologous HSC as a clinical approach to treat …show more content…

The University of Pennsylvania19 performed a phase 1 clinical trial to test the safety in humans of CCR5-modified cells and how “zinc finger” modified T cells affect HIV. They took 12 participants and isolated large numbers of their T-cells. A viral vector was then used to insert the ZFN into the cells to knock out the CCR5 protein. The cells were then re-infused back into the patient and the patient was followed up with every three months for four years to check if the ZFN modified CD4+T cells were still found in the blood. They were able to allelic disrupt 11-28% of the modified autologous CD4-enriched T-cells that was infused into each person. The decline in circulating CCR5-modified cells was significantly less than the decline in un-modified cells with a p-value of 0.02. In most patients overall the blood level of the HIV DNA was decreased. The results of this study found that within the limits of this study CCR5-modified autologous CD4 T-cells infusion were safe.15 Sangamo Biosciences and colleagues17, 18 has performed two phase 1 clinical trials and one phase 2 clinical trial to test autologous T-cells that were genetically modified at the CCR5 gene. The purpose of these clinical studies was to determine if “zinc finger” modified CD4+ T-cells were safe to give to humans and how it affected HIV. They took 54 participants

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