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EXPLOITING THE HEMATOPOIETIC SUPPORTIVE ACTIVITY OF MESENCHYMAL STROMAL CELLS TO IMPROVE THE TRANSPLANTATION OUTCOME OF GENE-EDITED HSPCS.
Author(s): ,
Stefania Crippa
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Anastasia Conti
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Valentina Vavassori
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Silvia Rivis
Affiliations:
Laboratory of Tumor Inflammation and Angiogenesis,VIB-KULeuven,Leuven,Belgium
,
Roberto Bosotti
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Serena Scala
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Stefania Pirroni
Affiliations:
Divisione di Anatomia e Isologia Patologica,Presidio San Giovanni Di Dio,Cagliari,Italy
,
Raisa Jofra-Hernandez
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Ludovia Santi
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Luca Basso-Ricci
Affiliations:
San Raffaele Telethon Institute for Gene Therapy (SR-Tiget),Ospedale San Raffaele,Milan,Italy
,
Giulia Schiroli
Affiliations:
Massachusetts General Hospital,Boston,United States
,
Pietro Genovese
Affiliations:
4Dana-Farber/Boston Children's Cancer and Blood Disorders Center,Boston,United States
,
Alessandro Aiuti
Affiliations:
San Raffaele Telethon Institute for Gene Therapy,Ospedale San Raffaele,Milan,Italy
,
Raffaelle Di Micco
Affiliations:
San Raffaele Telethon Institute for Gene Therapy,Ospedale San Raffaele,Milan,Italy
,
Luigi Naldini
Affiliations:
San Raffaele Telethon Institute for Gene Therapy,Ospedale San Raffaele,Milan,Italy
Maria Ester Bernardo
Affiliations:
San Raffaele Telethon Institute for Gene Therapy,Ospedale San Raffaele,Milan,Italy
EHA Library. Crippa S. 06/09/21; 325018; EP1298
Stefania Crippa
Stefania Crippa
Contributions
Abstract
Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP1298

Type: E-Poster Presentation

Session title: Stem cell transplantation - Experimental

Background
Hematopoietic Stem and Progenitor Cells (HSPCs) reside in a specialized microenvironment in the bone marrow (BM), named the hematopoietic niche. Mesenchymal Stromal Cells (MSCs) are key elements of the BM niche, regulating HSPC function by direct contact and through the release of paracrine factors. Due to these properties, MSCs have been employed in vitro to support HSPC expansion, and in-vivo to promote HSPC engraftment and hematopoietic reconstitution in preclinical models and clinical trials of HSPC transplantation (HSCT).

Aims
Based on these studies, in our work we aimed to improve the outcome of HSCT with CRISPR-Cas9 gene-edited (GE)-HSPCs, whose efficiency equires further advancement to fully exploit its therapeutic potential. Indeed, GE-HSPCs activate a DNA damage cascade in response to nuclease-induced double strand break and delivery of DNA repair template, which constrains HSPC proliferation and long-term repopulating capacity.

Methods
To this aim, we developed a novel MSC-based in-vitro approach to expand and recover GE-HSPCs. We analyzed the GE-HSPC phenotype by flow cytometry and the activation of a DNA stress response in GE-HSPCs by immunohistochemistry. We further evaluated the cell-cycle state, the level of inflammation and apoptosis by flow-cytometry and gene expression analysis. The fitness of HSPCs gene-editd according to standard procedures were compared to HSPCs gene-edited in the presence of MSCs (+MSCs). Preclinical mouse models of HSCT were used to prove the superior capability of GE-HSPCs + MSCs to long-term engraft and favor hematological reconstitution.

Results
We show that MSCs produced several hematopoietic supportive and anti-inflammatory factors, capable to reduce the proliferation arrest, and mitigate the apoptotic and inflammatory programs activated in GE-HSPCs, ultimately improving GE-HSPC expansion and clonogenic potential. This resulted into a superior GE-HSPC engraftment and hematological reconstitution in transplanted mice. Moreover, we demonstrated that MSCs favored the engraftment of limited doses of GE-HSPCs when co-transplanted in vivo.

Conclusion
In conclusion, our work poses the basis for the clinical use of MSCs as a novel, safe and efficient strategy to preserve the long-term repopulating capacity and promote engraftment of CRISPR-Cas9 gene corrected HSPCs.

Keyword(s): Gene therapy, HSCT, Mesenchymal stem cell

Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP1298

Type: E-Poster Presentation

Session title: Stem cell transplantation - Experimental

Background
Hematopoietic Stem and Progenitor Cells (HSPCs) reside in a specialized microenvironment in the bone marrow (BM), named the hematopoietic niche. Mesenchymal Stromal Cells (MSCs) are key elements of the BM niche, regulating HSPC function by direct contact and through the release of paracrine factors. Due to these properties, MSCs have been employed in vitro to support HSPC expansion, and in-vivo to promote HSPC engraftment and hematopoietic reconstitution in preclinical models and clinical trials of HSPC transplantation (HSCT).

Aims
Based on these studies, in our work we aimed to improve the outcome of HSCT with CRISPR-Cas9 gene-edited (GE)-HSPCs, whose efficiency equires further advancement to fully exploit its therapeutic potential. Indeed, GE-HSPCs activate a DNA damage cascade in response to nuclease-induced double strand break and delivery of DNA repair template, which constrains HSPC proliferation and long-term repopulating capacity.

Methods
To this aim, we developed a novel MSC-based in-vitro approach to expand and recover GE-HSPCs. We analyzed the GE-HSPC phenotype by flow cytometry and the activation of a DNA stress response in GE-HSPCs by immunohistochemistry. We further evaluated the cell-cycle state, the level of inflammation and apoptosis by flow-cytometry and gene expression analysis. The fitness of HSPCs gene-editd according to standard procedures were compared to HSPCs gene-edited in the presence of MSCs (+MSCs). Preclinical mouse models of HSCT were used to prove the superior capability of GE-HSPCs + MSCs to long-term engraft and favor hematological reconstitution.

Results
We show that MSCs produced several hematopoietic supportive and anti-inflammatory factors, capable to reduce the proliferation arrest, and mitigate the apoptotic and inflammatory programs activated in GE-HSPCs, ultimately improving GE-HSPC expansion and clonogenic potential. This resulted into a superior GE-HSPC engraftment and hematological reconstitution in transplanted mice. Moreover, we demonstrated that MSCs favored the engraftment of limited doses of GE-HSPCs when co-transplanted in vivo.

Conclusion
In conclusion, our work poses the basis for the clinical use of MSCs as a novel, safe and efficient strategy to preserve the long-term repopulating capacity and promote engraftment of CRISPR-Cas9 gene corrected HSPCs.

Keyword(s): Gene therapy, HSCT, Mesenchymal stem cell

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