cell & gene therapy
summary
We are investigating possible ways of treating genetic
disorders. One method involves gene therapy - introducing 'healthy'
copies of genes into a patient's cells. This concept has proved
harder to implement than previously thought. For example, the large
size of most human genes has necessitated the use of
'stripped-down' versions of these genes. However, minimising the
amount of genetic material used can exclude stretches of DNA that
would normally control the gene's function.
Safer and more efficient ways of delivering these 'replacement'
genes directly to their target cells need to be devised. Research
is also required on how to keep the inserted DNA intact and retain
its normal functions in the cell. We are very aware of the serious
concerns about the safety and effectiveness of gene therapy, and
are committed to addressing these issues.
We are also investigating treatments based on cell therapy, and
the use of drugs to modify gene expression. In many genetic
illnesses, it may even be possible to alter other genes
pharmacologically so as to overcome the disease.
group leader(s)
Dr
Jim Vadolas
Cell & Gene Therapy
Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road
Parkville Victoria 3052
Australia
T +61 3 8341 6232 (Office)
T +61 3 8341 6236 (Lab)
F +61 3 9348 1391
E jim.vadolas@mcri.edu.au
Group Leader Biography
Dr Jim Vadolas completed
his PhD at the Departments of Microbiology and Immunology,
University of Melbourne, and postdoctoral training at the Murdoch
Childrens Research Institute with Panos Ioannou and Bob
Williamson. In 2005, Jim became group leader of the Cell and Gene
Therapy group at the MCRI. He is primarily interested in
the development of new therapeutic strategies for thalassaemia
and related haemoglobinopathies. His work has led the establishment
of several new model systems that can be used to identify and
evaluate potential therapies. He is currently an Executive
Committee member of the Australasian Gene Therapy Society. Jim is
also an Executive Committee Member of Thalassaemia Australia.
current research projects
Project 1: Development of RNAi therapy for
thalassaemia
β-Thalassaemia is an inherited disease caused by defective
synthesis of the β-globin chain of haemoglobin, leading to
imbalanced globin chains. Excess α-chains precipitate in erythroid
progenitor cells resulting in cell death, ineffective
erythropoiesis and severe anaemia. Decreased α-globin chain
synthesis leads to milder symptoms, exemplified by individuals who
co-inherit α-thalassaemia and β-thalassaemia. Therefore, a possible
therapeutic strategy in the treatment of β-thalassaemia could
include targeted reduction of α-globin chains to mimic
co-inheritance of α/β-thalassaemia. One way of reducing α-chain
synthesis is by using RNA interfering (RNAi). Numerous studies have
shown promising results utilising RNAi in vitro and in vivo. This
study will investigate the use of RNAi-mediated reduction of
α-globin chains for the therapy for β-thalassaemia.

Project 2: Novel cell and gene therapy
approaches for genetic disorders
Effective therapy of genetic diseases still faces major obstacles
in terms of long-term efficacy and safety. Our group is developing
novel therapies using intact functional loci. One strategy involves
the compaction of the therapeutic gene(s) and targeting their
uptake into the nuclei of transfected cells. Fluorescence in situ
hybridisation and reporter gene expression, are being used to
determine the optimum conditions for delivering intact functional
loci into haemopoietic, stem cells. Large genomic fragments may be
maintained either as free episomes or as artificial
minichromosomes, or may be integrated into specific chromosomal
regions. The delivery of intact genetic loci into patient stem
cells may eventually enable the combination of cell and gene
therapy approaches for the effective therapy of various
diseases.

Project 3: Development
and evaluation of novel fetal haemoglobin inducers for the therapy
of β-thalassaemia and sickle cell anaemia
The most important haemoglobinopathies from the clinical point of
view are the β-thalassaemias, sickle cell disease (SCD) and HbE
disease and the interactions between them. These
haemoglobinopathies are the result of mutations in the β-globin
gene, causing β-globin chain synthesis that is abnormal, very low
or absent leading to life-threatening severe anaemia, and blood
transfusion-dependency for life. An alternative approach to the
therapy of β-thalassemia is to reactivate fetal haemoglobin (HbF)
synthesis. Our research group has launched a focused research
effort to discover new approaches for screening of HbF inducers. We
recently created an cellular assay that has allowed us for the
first time to perform a side-by-side comparison of several
previously described fetal haemoglobin inducers including existing
pharmaceuticals used by patients unrelated to thalassaemia. This
project will evaluate recently discovered novel inducers of fetal
haemoglobin in our β-thalassemia mouse models and should provide
early 'proof-of-concept' and enable the initiation of preclinical
and clinical studies.

Project 4:
Understanding the molecular mechanisms leading to reactivation or
derepression of γ-globin gene
Haemoglobin disorders, such
as sickle cell disease and β-thalassaemia are the result of
mutations in the adult β-globin gene. When these disorders are
co-inherited with hereditary persistence of fetal haemoglobin (high
levels of γ-globin gene expression in adult life), the clinical
severity of disease is much reduced. Therefore, understanding the
molecular events involved in γ-globin gene regulation through
development has been the subject of intense investigation for many
years. These studies have led to a greater understanding of the
role of epigenetics in globin gene expression. As a result,
considerable efforts have been focused on the pharmacological
induction of fetal haemoglobin using epigenetic-specific agents
capable of modifying DNA methylation and histone acetylation. This
study will investigate the impact of epigenetics on γ-globin gene
silencing. Positive outcomes of such studies may pave the way
for the development of better treatment strategies for sickle cell
anaemia and β-thalassaemia patients.
team members
- Orane Delagneau - Honours Student (UoM Path)
- Betty Kao - PhD Student (UoM Paeds)
- Tejal Kulkarni - PhD Student (UoM Paeds)
- Bradley Mccoll - Research Officer
- Thian Ng - Honours Student (UoM Micro&Immun)
- Joe Sarsero - Research Fellow
publications
- Holloway TP., Rowley SM., Delatycki MB., Sarsero JP. Detection of interruptions in the GAA trinucleotide repeat expansion in the FXN gene of Friedreich ataxia. BIOTECHNIQUES 50 (3) : 182 (2011) PubMed
- Puspasari N., Rowley SM., Gordon L., Lockhart PJ., Ioannou PA., Delatycki MB., Sarsero JP. Long Range Regulation of Human FXN Gene Expression. PLOS ONE 6 (7) (2011) PubMed
competitive funding
-
2007-2008 NHMRC Development Grant ID
436938 - Novel fetal hemoglobin inducers for the therapy of
β-thalassaemia - Jim Vadolas - $280,375.
-
2011-2012 NHMRC Project Grant ID
1009989 - Site-specific integration of functional genomic loci:
Applications in gene therapy - Jim Vadolas & Richard
Wade-Martins - $430,000.
-
2012-2014 NHMRC Project Grant ID
1032871 - Development of RNAi therapy for β-thalassaemia - Jim
Vadolas, Suthat Fucharoen & Saovaros Svasti - $588,000.
-
2012-2013 NHMRC Development Grant
ID1039474 - Development of new gene therapy vectors for
β-thalassaemia - Jim Vadolas & Philippe Leboulch -
$279,000.
collaborations & affiliations
-
Dr. Richard Wade-Martins, Department
of Physiology, Anatomy and Genetics, University of Oxford,
UK.
-
Prof. S. Fucharoen and Dr Saovaros
Svasti. Institute of Molecular Biosciences, Thalassaemia Research
Centre, Mahidol University, Thailand.
-
Prof Don Bowden, Medical Therapy
Unit, Monash Medical Centre, Clayton, Melbourne, Australia.
-
Prof. Stuart Orkin and Dr Jian Xu,
Harvard Medical School, Children's Hospital Boston, USA.
-
Prof Philippe Leboulch. INSERM,
University of Paris, France.
-
Dr Marina Kleanthous and Dr Carsten
Lederer, The Cyprus Institute of Neurology and Genetics, Department
of Molecular Genetics of Thalassaemia Nicosia, Cyprus.
-
Dr Marnie Blewitt. Walter and Eliza
Hall Institute, Melbourne, Australia.
-
Dr Odilia Wijburg, Department of
Immunology and Microbiology, University of Melbourne,
Australia.
-
Dr Chee Kai Chan and Dr Adam Hart,
Latrobe University, Melbourne, Australia.