Genome Editing: A New Experimental Clinical Test in Gene Therapy

06/01/2023

Experimental treatment for aggressive leukaemia

Alyssa, a young British adolescent suffering from an aggressive form of leukaemia, affecting her immunity cells and not responding to the usual treatments – in particular chemotherapy and bone marrow transplants – received a 6-month experimental treatment. Without which, according to the hospital press release, her only option was palliative care. This clinical test, conducted by the doctors at Great Ormond Street Hospital for Children (GOSH) in London, was reported during the yearly meeting of the American Haematology Society last December.

Gene therapy based on gene editing

Thus in May 2022, Alyssa became the first patient declared to the world to receive genetically modified CAR-T [1] cells. This was an experimental treatment based on gene therapy using the latest genome editing techniques. Blood cells – provided by a healthy donor – were genetically modified beforehand to enable them to track and destroy Alyssa’s cancerous T cells. 28 days later, she was considered to be in remission, and was able to receive a second graft of bone marrow to re-establish her immune system.

The preparation of these cells is based on an innovative technology and involved several stages:

  • Collection from a healthy donor
  • Modification so that the cells cannot not “recognized” and attacked by the patient’s immune system.
  • Modification so that they do not attack one another.
  • Modification to make them “invisible” to other anti-cancer treatments.
  • Modification so that the CAT-T cells can recognize and attack the patient’s cancerous
    T cells.

Gene therapy based on genome editing techniques offers great promise for treatments and therapeutic progress. Six months after the graft, according to her doctors, Alyssa is in good health and continues with her post-graft monitoring at the Great Ormond Street Hospital.

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