Efficient transduction of primary human T cells is an important goal toward
treating a number of genetic defects. Patient T cells could be harvested b
y leukapheresis, transduced, and returned to the donor. A wide range of sec
reted or cell surface therapeutic proteins may be delivered in this way. Th
e ability to produce antibodies is the consequence of interactions between
T cells and B cells and lack of expression of CD40 ligand (CD40L) on T cell
s causes X-linked hyper-IgM syndrome (XHIM). We are investigating delivery
of a normal CD40 ligand to treat this disorder, We tested promoters driving
the expression of either reporter genes such as enhanced green fluorescent
protein (eGFP) or human CDC40L. Using murine retroviruses, the best able t
o drive gene expression in T cells was the cytomegalovirus (CMV) promoter e
nhancer element; however, transduction efficiency was low. To achieve effic
ient, high-level gene expression we tested lentiviral gene delivery vectors
. At a low multiplicity of infection (MOI) (0.5-2) a large fraction of targ
et cells was transduced by lentiviral vectors (40-93%), and the strength of
gene expression was high, as determined by flow cytometric analysis. We mo
nitored the expression of eGFP or human CD40L on T cell lines and untransfo
rmed primary human T cells from normal and CD40L-deficient patients. We ach
ieved efficient gene expression without an extended exposure to virus, and
without the need for selection. These results are encouraging for efficient
lentivirus-mediated transduction of refractory human cells to achieve ther
apeutic gene delivery.