Technologies for HSCT Gene Therapy Advantages Disadvantages
g-Retroviral Vectors •Ability to target many cell types
•Long-term expression due to integration
•Increased safety due to SIN development
•Requirement for cellular division
•Necessity of cytokine cocktails to stimulate HSC cycling
•Insertional mutagenesis potential
•Complex manufacturing
Lentiviral Vectors •Wide range of cell targets
•Long term expression due to integration
•HIV-based human cell specificity
•Require multiple plasmids/elements provided in trans for production
•Risk of insertional mutagenesis
•Complex manufacturing
Sleeping Beauty Transposon Systems (SBTS) •Low complexity
•Simple manufacturing (plasmid DNA only)
•Potentially reduced immunogenic response
•Lower-level expression of the transgene product
•Random insertion pattern
•Potential for secondary or tertiary transposition events
Zinc Finger Nucleases (ZFNs) •Targeted gene correction or addition
•Potential to utilize endogenous genetic control elements
•Long-term expression through chromosomal integration
•Safety remains undetermined
•Risk of off-target mutagenesis
•Require additional means of cellular entry
•Limited sequence targeting potential
Peptide Nucleic Acids (PNAs) •Site-specific modification
•Useful in gene silencing
•In vivo delivery and functionality possible
•Limited research to date
•Risk of off-target sitesof genetic modification
•Low efficiency
Table 1: