Barcoding of Macaque Hematopoietic Stem and Progenitor Cells: A Robust Platform to Assess Vector Genotoxicity  Idalia M. Yabe, Lauren L. Truitt, Diego.

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Barcoding of Macaque Hematopoietic Stem and Progenitor Cells: A Robust Platform to Assess Vector Genotoxicity  Idalia M. Yabe, Lauren L. Truitt, Diego A. Espinoza, Chuanfeng Wu, Samson Koelle, Sandhya Panch, Marcus A.F. Corat, Thomas Winkler, Kyung-Rok Yu, So Gun Hong, Aylin Bonifacino, Allen Krouse, Mark Metzger, Robert E. Donahue, Cynthia E. Dunbar  Molecular Therapy - Methods & Clinical Development  Volume 11, Pages 143-154 (December 2018) DOI: 10.1016/j.omtm.2018.10.009 Copyright © 2018 Terms and Conditions

Figure 1 Design of Barcoded Vectors Three high-diversity barcode libraries were cloned upstream of the U3 region of the long terminal repeat (LTR) in three lentiviral vectors. The structure of the proviral integrated form is shown schematically for each vector: (A) Internal human elongation factor 1-α (EF1-α) promoter driving GFP expression, (B) murine stem cell virus (MSCV) promoter/enhancer in the LTR driving GFP expression, and (C) spleen focus-forming virus (SFFV) viral promoter/enhancer driving GFP expression. Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions

Figure 2 Analysis of Comparative Promoter Strength of Each Lentiviral Vector (A) Flow cytometric analysis of K562 cells transduced with the different vectors at the same MOI demonstrate varying intensities of GFP expression within the GFP+ cell population, with SFFV > MSCV > EF1α. (B) Separation Index (SI) was evaluated to compare the distance between positive and negative GFP populations for each vector. The higher the SI value, the larger the separation between the peaks and the stronger the expression from each vector’s promoter/enhancer. Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions

Figure 3 Experimental Design and GFP Marking Post-transplantation (A) Experimental design. Rhesus macaque peripheral blood stem and progenitor cells were mobilized into the blood with G-CSF and plerixafor and collected via apheresis. CD34+ HSPCs were enriched via immunoabsorption. CD34+ cells were split into 3 equal aliquots and each fraction was transduced with one of three LVs as shown. Following transduction, the cells were collected, combined, and reinfused into the autolous macaque after the macaque completed total-body irradiation (TBI) of 1,000 rads. (B) Percentage of GFP+ cells in peripheral blood granulocytes, B cells, and T cells tracked over time to the longest follow-up post-transplantation in animals ZJ41 (38 months) and ZJ48 (33 months). Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions

Figure 4 Vector Contributions and Clonal Diversity of EF1-α, MSCV, and SFFV Barcoded Vectors (A) The percentage contribution of each vector (EF1-α, MSCV, and SFFV) to total transduced hematopoiesis in granulocytes, B cells, and T cells purified from the blood of animals ZJ41 and ZJ48 over time post-transplantation. The read number of each vector’s library ID in a sample over the total read numbers for all library IDs in the sample ×100 is plotted. (B) Number of unique barcodes for each vector (EF1-α, MSCV, and SFFV) retrieved from all lineages (granulocytes, B cells, and T cells) at a single time point for each vector in ZJ41 and ZJ48. A threshold of 2,000 reads was applied to establish a master list of barcodes for each vector within each animal: to include a barcode on the master list, it must have contributed 2,000 reads at at least one time point. Once established on the master list, this barcode would be counted even at time points where it contributed less than 2,000 reads. The same barcode found contributing to more than one lineage was counted only once. (C) Cumulative number of unique barcodes retrieved for each vector (EF1-α, MSCV, and SFFV) from all three lineages combined (granulocytes, B cells, and T cells) over time in ZJ41 and ZJ48. (D) Simpson’s diversity index for all lineages combined (granulocytes, B cells, and T cells) combined in ZJ41 and ZJ48. Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions

Figure 5 Clonal Stability of Top-Contributing Clones Stacked area plots delineating the percentage contribution of the top 20 contributing clones in each lineage for each vector at the time of longest follow-up (38 months for ZJ41 and 33 months for ZJ48), tracked over all time points. Each of the top 20 clones is shown as a separate shaded region in the stack. Contributions from non-top 20 clones are shown as the remaining single solid color. Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions

Figure 6 Heatmaps Showing Lineage Contributions of Top-Contributing Clones Each row in the heatmap corresponds to a barcode and each column to a sample. The barcodes are ordered by unsupervised hierarchical clustering of the Euclidean distance between barcodes’ log fractional abundances in the samples. The color gradient depicts the log fractional contribution of individual barcodes to each sample. The contributions from the 20 most abundant barcodes identified in samples from every linage and time point are plotted over all lineages and time points. The top 20 most abundant barcodes in an individual sample are designed with asterisks, and each column thus contains 20 asterisks. Each row (barcode) contains a minimum of one asterisk, because a barcode must have been a top 20 contributor to at least one sample to be included in the heatmap. (A) Top 20 EF1-α clones at each time point in each lineage mapped for animal ZJ48. (B) Top 20 MSCV clones at each time point in each lineage mapped for animal ZJ48. (C) Top 20 SFFV clones at each time point in each lineage mapped for animal ZJ41. Short-term lineage-restricted progenitors contributing at months 1–3 can be seen being replaced by long-term multilineage progenitors. Molecular Therapy - Methods & Clinical Development 2018 11, 143-154DOI: (10.1016/j.omtm.2018.10.009) Copyright © 2018 Terms and Conditions