Fanconi anemia (FA) is a genetic disorder characterized by bone marrow fail
ure, congenital anomalies, and a predisposition to malignancy. FA cells dem
onstrate hypersensitivity to DNA cross-linking agents, such as mitomycin C
(MMC), Mice with a targeted disruption of the FANCC gene (fancc -/- nullizy
gous mice) exhibit many of the characteristic features of FA and provide a
valuable tool for testing novel therapeutic strategies. We have exploited t
he inherent hypersensitivity of fancc -/- hematopoietic cells to assay for
phenotypic correction following transfer of the FANCC complementary DNA (cD
NA) into bone marrow cells, Murine fancc -/- bone marrow cells were transdu
ced with the use of retrovirus carrying the human fancc cDNA and injected i
nto lethally irradiated recipients. Mitomycin C (MMC) dosing, known to indu
ce pancytopenia, was used to challenge the transplanted animals. Phenotypic
correction was determined by assessment of peripheral blood counts. Mice t
hat received cells transduced with virus carrying the wild-type gene mainta
ined normal blood counts following MMC administration. All nullizygous cont
rol animals receiving MMC exhibited pancytopenia shortly before death. Clon
ogenic assay and polymerase chain reaction analysis confirmed gene transfer
of progenitor cells. These results indicate that selective pressure promot
es in vivo enrichment of fancc-transduced hematopoietic stem/progenitor cel
ls, In addition, MMC resistance coupled with detection of the transgene in
secondary recipients suggests transduction and phenotypic correction of lon
g-term repopulating stem cells.