Phase I Study Protocol for Ex Vivo Lentiviral Gene Therapy for the Inherited Skin Disease, Netherton Syndrome
WL Di, JE Mellerio, C Bernadis, J Harper… - Human Gene …, 2013 - liebertpub.com
WL Di, JE Mellerio, C Bernadis, J Harper, A Abdul-Wahab, S Ghani, L Chan…
Human Gene Therapy Clinical Development, 2013•liebertpub.comNetherton syndrome (NS) is a serious inherited skin disorder caused by mutations in the
serine protease inhibitor Kazal type 5 gene (SPINK5), which encodes for a serine protease
inhibitor lymphoepithelial Kazal type-related inhibitor (LEKTI). Patients with NS have
defective keratinization, hair shaft defects, recurrent infections, atopy, and a predisposition to
skin malignancies. Historically, 1 in 10 infants has died before their first birthday. Currently,
there are no proven treatments to cure this condition. A SIN-lentiviral vector encoding the …
serine protease inhibitor Kazal type 5 gene (SPINK5), which encodes for a serine protease
inhibitor lymphoepithelial Kazal type-related inhibitor (LEKTI). Patients with NS have
defective keratinization, hair shaft defects, recurrent infections, atopy, and a predisposition to
skin malignancies. Historically, 1 in 10 infants has died before their first birthday. Currently,
there are no proven treatments to cure this condition. A SIN-lentiviral vector encoding the …
Abstract
Netherton syndrome (NS) is a serious inherited skin disorder caused by mutations in the serine protease inhibitor Kazal type 5 gene (SPINK5), which encodes for a serine protease inhibitor lymphoepithelial Kazal type-related inhibitor (LEKTI). Patients with NS have defective keratinization, hair shaft defects, recurrent infections, atopy, and a predisposition to skin malignancies. Historically, 1 in 10 infants has died before their first birthday. Currently, there are no proven treatments to cure this condition.
A SIN-lentiviral vector encoding the codon-optimized SPINK5 gene under the control of a 572 bp element derived from the human involucrin promoter can confer compartment-specific LEKTI expression in NS keratinocytes with restoration of normal skin architecture. Here we detail a study protocol for a phase I trial for feasibility and safety evaluations of autologous epidermal sheets generated from ex vivo gene-corrected keratinocyte stem cells, which will be grafted onto patients with mutation-proven NS.
Mary Ann Liebert