Genetic Modification Proposal Form : Risk Assessment template for Genetic Modification involving Lentiviral constructs – v.MESB1.4 To be allocated by GM safety officer:- Final Risk Class : ___________________ HSE Ref (where appropriate): _____________________ Title of Project: Insert overall title here… Sub-title Leave blank unless the project is an amendment or extension to an existing project… Proposal Ref No: GM37/______________ Please refer to the specific and general guidance notes below before completing this form. Please remove the notes from the submitted document 1. Name of Principal Investigator (PI): 2. Department, building and room location of PI: 3. Telephone number and email address of PI: If this proposal is an for an umbrella project, please give names, positions and brief contact details for the other academic staff whose work is included: 4. Summary of risks considered (specify only those risks deriving from the existence and use of the GM construct or infected/integrated organism, not general health, safety and COSHH issues): Place a ‘’ in the relevant box(es) Risk being considered for which organism? Likelihood of event Nature of GM risk Negligible v. low but finite low but signif. insertional mutation leading to oncogenesis or other health effect infection by replicationThe experimenter competent retrovirus effects of infection and/or The experimenter gene / fRNA* expression at infection site insertional mutation leading Other humans locally to oncogenesis or other e.g. lab workers health effect Other humans locally infection by replicatione.g. lab workers competent retrovirus effects of infection and/or Other humans locally gene / fRNA* expression at e.g. lab workers infection site *fRNA – functional RNA e.g. shRNA used for knockdown of endogenous gene product The experimenter 1 Consequences of event quite likely None (of significance)/ mild/medium/ severe Risk Assessment for Genetic Modification involving Lentiviral constructs (cont.) 4. Summary of risks considered (cont.) Place ‘’ in the relevant box(es) Risk being considered for which organism? Likelihood of event Nature of GM risk Host species in lab/ containment facility effects on behaviour (e.g. aggression, biting risk) or pathogenicity of host Host species, external breeding of host with wild counterpart leading to persistence of integrated GM construct and effects on wild popn. Other species, external escape of GMO with ecol. impact on other spp. Other species, external horizontal transmission of GM construct/gene to other spp. with ecol. impact. Other species, external horizontal transmission to human pathogen increasing pathogenicity Negligible v. low but finite low but signif. Consequences of event quite likely None (of significance)/ mild/medium/ severe Other? – specify… 5. Summary of the proposed work: Place a ‘’ in the relevant box(es) Nature/subtitle of work Will it involve any of the following? in vitro / cell in vivo / manufacture of culture animal viral particles infection infection Manufacture of lentiviral particles containing construct encoding biological/marker fusion protein Delivery via lentiviral construct of biological/marker fusion protein to mouse and rat primary cell cultures, cell lines and organotypic culture Delivery via lentiviral construct of biological/marker fusion protein to mouse and rat tissues in vivo 6. Short summary description of aims of the overall project and intention behind the GM work proposed: e.g. The protein product of gene Y is thought to participate in process Z in mammals and we are examining its function in relation to its presumed downstream partner, protein Q. We propose to knock down the expression of gene Y in MMM cells using lentiviral shRNA constructs incorporating a marker gene (eGFP) to highlight infected cells. Where the planned activities involve elements related to gene therapy, please give these extra visibility here. e.g. We plan to use lentiviral constructs to restore activity of gene Y in haematopoietic progenitor cells from disease YY patients deficient for gene Y and reinject the modified cells into patients etc. etc. 2 Risk Assessment for Genetic Modification involving Lentiviral constructs (cont.) 7. Primary location(s) of proposed laboratory work (building and room location): 7a. Nature of work in primary location: 8. Secondary locations where GMO may be handled (e.g. culture suites, Central Research Facility etc): 8a. Nature of work in secondary location(s): If the answer to 7 or 8 above is a Biological Services facility, please here [ ] Please read the Generic Animal Containment Appendix (dated 19/05/10) downloaded from http://www.gla.ac.uk/colleges/mvls/campus/healthsafety/gmcommittees/gm-37/ By ticking this form, you confirm that the guidelines are sufficient to safely handle and house the proposed genetically modified strain. 9. Brief description of the biology of the system under investigation: e.g. Gene Y is a GeneYfunctionalpathwaymember that is expressed [state where and when] throughout both adult and foetal human tissues with highest levels found in the heart and brain. GeneY [state functional attributes] binds a range of growth factors including GrowthFactorsX, Y &Z. Upon ligand binding GeneY forms a homodimer or a heterodimer (with a GeneZ receptor), the latter of which potentiates GeneY’s signalling capability. Following dimerisation, GeneY undergoes autophosphorylation, activating the receptor and initiating several intracellular signalling pathways such as the GenesM,N&P pathway. 10. Summary description of the constructs to be used/made: a) Overall system name/description (e.g. 4th generation lentivirus construct based on XYZ vector, containing shRNA vs Gene Y, and marker gene eGFP). b) Summary of Lentiviral Coat Protein and Tropism to be employed (e.g. VSV-G; can infect mammals and insects). The important element to focus on here is whether the construct will be packaged into particles with enhanced dispersal/infection capability of relevance to human or ecosystem health, not just the breadth of the tropism as such. In parts c) – h) below – if you are bringing ready-made infectious lentiviral particles into the University, give details just for the construct(s) in those particles and the packaging system used to create the particles; if you are manufacturing the particles, give, in addition to this, details of the shuttle and other vectors used to create the construct itself. See notes for further info. c) Vector backbone and origins of replication etc. - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. d) Resistance genes 3 Risk Assessment for Genetic Modification involving Lentiviral constructs (cont.) - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. e) Marker genes and tags - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. f) Biological insert (i.e. the ‘functional’ part, designed to have an effect on the biology of the host cells / organism) - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. g) Expression modulators (e.g. promoter, WPRE, stating the version and its functional constituent parts where applicable) - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. h) Other constituents (only where significant to function and not covered in c)-g)) - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. i) Summary of the differences between the experimental/test and control constructs Please include a diagram of the vector/construct showing the features referred to in c) – h) wherever possible. 11. Justification for the use of each component of the construct: use as much space as you need here 12. If the lentivirus particles will be manufactured on campus (in any part of the University or associated hospitals), summarise the facilities available and the manufacture system, with consideration of GM safety issues: 13. Summary of procedures to be employed: use as much space as you need here 13a Laboratory Staff working on this project Provide a list of the personnel initially intended to be working with the GM materials in this proposal. If the list changes, an addendum can be provided to the Committee Chair on an annual basis. 14. Detailed risk assessment (this should illustrate why each box in the summary table on page 1 has been ticked, and should include consideration of appropriate containment): Special note for items 13 and 14: i) needles – if hypodermic syringe needles or glass capillary needles containing infectious GM organism or virus or construct are used at any point in the procedures, the project will inevitably be considered Class 2 or above. ii) safety cabinets/hoods – where a Class II safety cabinet is used to protect the worker from significant harm involved in the use of the GM organism, virus or construct, the project will inevitably be considered Class 2 or above. 4 Risk Assessment for Genetic Modification involving Lentiviral constructs (cont.) 15. How mature is the field? Cite evidence supporting the use of the GM technology proposed for the purpose proposed: use as much space as you need here 16. What classification do you wish this project and its activities to be considered under?: The answer you give here should be commensurate with a) the requirements laid down in the HSE Compendium of Guidance and its addenda, b) the risks explained in Section 14 above, and c) the proposed containment procedures. Place a ‘’ against the relevant classification: Class 1 Class 2 Class 3 Note – All except Class 1 will require notification to the HSE and payment of a fee. Signature of Proposer: Date of Proposal: Signature of GM Biological Safety Officer: Date approved and confirmed classification: Final classification: Date to HSE (if applicable): 5 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs If you have any questions about filling in or submitting this form, please contact: Jane Paton, Clerk to GM37 Committee, Room 140, West Medical Building, University Avenue, Glasgow G12 8QQ Tel: 0141 330 6151 Jane.Paton@glasgow.ac.uk LEGAL NOTES: In completing this submission, researchers are confirming they have consulted and are following the SACGM Compendium of Guidance (CoG) [Revised 2007], issued by the Scientific Advisory Committee for Genetic Modification Contained Use (//www.hse.gov.uk/) and the guidance to the regulations "A guide to the Genetically Modified Organisms (Contained-Use) Regulations - 2000" (HSE Books L29) (guide-L29). Copies of Notes and Regulations are available from Jane Paton REMIT NOTES: This form should be used whenever work using whole, or components of, lentiviruses is proposed that does not come within the remit of the general microbiological cloning (in e.g. E. coli) template form. Manipulation of single plasmids of 4th generation lentivirus vectors with no more than one component of a lentivirus (e.g. GAG, or POL, or ENV etc.), might come under the E. coli template, but handling of more than one component plasmid in a single project/lab or of complete infectious lentivirus particles does not. Guide to filling in each section: 1-3. One member of academic staff should be nominated here as PI for the GM proposal. Where two or more project leaders are involved collaboratively, or separately, in the work being proposed in a single GM submission, their names, affiliations and contact details should be given in an addendum to the submitted form. Please note – HSE practices have changed recently. It is still possible to notify to the HSE a ‘Connected Programme of Work’ that covers several types of activity at more than one Class level. In addition, where several groups want to do a similar activity/programme of activities, it is possible to submit a single ‘umbrella’ notification to HSE. On this document one person needs to be specified as P.I., but this person will not be held uniquely responsible for everything that happens under that notified/approved set of activities – each sub-P.I. will still be responsible for their part of the notified work exactly as they would be in all safety procedures within the University. 4. Please summarise the identified risks associated with the GM aspect of the work proposed. Consideration should be given to the experimenter, other third-party humans (e.g. lab co-workers, other employees, people outside the University), other individuals of the GM host species in the lab or outside, organisms of other species in the University or wild in the environment. Specify, using the summary table provided, the nature of the risk, the likelihood of the risk event(s) happening and the severity of the consequences of such occurrences. This section should tie in with the risk assessment details given in Section 14. The template form specifies a number of hazards that typically need to be considered in work using lentiviruses – alter this to suit if other risks need to be 6 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs specified or risks can be removed due to the nature of the work. In terms of risk likelihood, ‘negligible’ indicates effectively no risk (but we can’t specify a risk of exactly 0), v. low but finite indicates that some researchers or government officials have considered there to be a risk associated with that element of the GM work, and that risk has not been ruled out by further experimental studies, but it is not thought to be likely to occur other than in exceptional circumstances. In terms of Consequences and severity, ‘None (of significance)’ indicates that any effects would be localised, very mild, short term, highly treatable and extremely unlikely to cause future health or other problems in the organism being considered. It should be noted that, under ‘Host species in lab/containment facility’, mice kept in Biological Services facilities would never be mixed with non-infected mice after exposure to the infective material rendering them genetically modified (i.e. after lentivirus infection). Thus, only risks associated with unusual circumstances, such as escape of GM animals within the unit, need be considered here. 5. Each aspect or element of the GM work proposed should be summarised here (typical examples are given – again, add or remove rows to suit the proposed work). If viral particles are to be manufactured in the University of Glasgow or its associated hospitals, please state. Other work can be divided into ex vivo (in vitro, cell culture, tissue slices or organotypic culture) and in vivo (injection or other transfer method to live animals/plants). Please note – under some circumstances, manufacture of lentiviral particles can itself take the project into a situation where Class 2 notification to HSE is necessary. If you include this row and tick the box indicating that manufacture will take place on campus, you will be expected to justify carefully your procedures if you want the project to be approved at Class 1. 6. This should cover broad aims only, and not be a full introduction and discussion of issues (refer to Section 14 below). 8. The ‘GMO’ will include packaged, infectious lentiviral particles, where relevant. 9. This should consist of a paragraph or so introducing the biology of the system being manipulated - please avoid unexplained jargon. This section is to help the committee see where the issues highlighted in the risk assessment come from and assess the completeness of the risk assessment. 10. In this section, please describe the overall system being used, and split the construct(s) up into their component parts. See General Guidelines Sections F and G below for examples. Again, this will help the committee to ascertain whether best GM practice is being employed in each aspect of the design and experimental plan. 11. Where a component is non-controversial, this can be brief, but the committee need to decide, from their own expertise and knowledge, whether there are issues that have not been fully covered in the risk assessment. 13. This should focus exclusively on methods/methodology to be employed, in simple, clear language. 14. The risk assessment should cover all possible aspects of risk, from the potential affected entity, through the nature of the risk, the construct components, to the methodological issues relating to risk. It should draw on, but not repeat in detail, items covered in any/all of the other sections. When considering the effect on other organisms, ‘harm’ is defined as effects on numbers or functioning of 7 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs organisms in an ecosytem. Factors to consider will include: shedding of viable virus in fluids from infected organisms; capacity of GM(M)O to survive, establish, disseminate and or displace other GM(M)Os; potential for gene transfer to other organisms; pathogenicity to animals/plants; gene expression products that are toxic to other organisms; phenotypic and genetic stability; no. of organisms released; and the characteristics of the environment into which GM(M)Os may escape. 15. Use this section to describe and cite work supporting your statements in the preceding sections and risk assessment. Highlight any aspects of the proposed work that are recent innovations or novel aspects of lentiviral construct work. 16. To summarise the current opinion about classification, if any of the following are the case in your proposed project and activities, then it is likely or inevitable that the project will be considered as Class 2 or above and will require notification to the HSE and payment of a fee: - use of a vector system earlier than 3rd/4th gen., particularly those without SIN (self-inactivating) LTRs - having a WPRE segment in the construct that contains sequence encoding full length WPV X protein in an expressible form (even if there is no promoter specifically driving its expression) - use of sharps (metal or glass needles, including small-diameter, blunt-ended instruments such as Hamilton syringes) to deliver viral particles to the host organism/tissue/cells or to harvest/purify infectious viral particles – risk here is skin puncture with transfer of virus particles to the experimenter or other worker - use of inherently dangerous inserts, such as oncogenes - use of larger volumes of fluid containing high-titre viral particles in such a way that risk of spillage is greater than ‘very low but finite’ - use of protocols that are likely to generate lots of viral particle-containing fluid aerosol or fluid splashes - use of Class 2 safety cabinets to protect the worker or the wider environment 8 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs General guidelines: A) Comments from HSE – the GM issues surrounding use of lentiviruses in biological and clinical research have been discussed several times by the SACGM committee. Below, extracts from several communications from the SACGM are given. Comments in a letter in Nov. 2007 (now superseded by more recent HSE statements) suggested that “Class 2 [was recommended] for all activities involving gene delivery via human pseudo-typed retrovirus/lentivirus constructs (including third generation replication defective pseudo particles). This is based on the inherent risks of insertional mutagenesis from these genetically modified constructs. This approach means that unless the users can justify why the work should be undertaken at lower containment, then containment level 2 should be should be the default position.’. This seems to have been intended to apply both to cell/tissue culture work and in vivo delivery. The minutes of SACGM meeting 10/07/2008 stated that “The working group discriminated between activities that involved, or did not involve, the use of sharps as their use was seen to significantly increase the potential for worker exposure. Consequently, the revised guidance bases classification, to a large degree, on whether control measures are required to minimise exposure to contaminated sharps….. Similarly some distinction in terms of risk was recommended for work with low titre/small volume work as opposed to high titre/large volume activities….. percutaneous injury should remain the focus of the guidance, but that duty holder should also be made aware of additional routes of exposure that may affect classification of the work…” [this latter referring to the risk of fluid splashes/aerosols infecting the worker via mucous membranes]. In a meeting of SACGM on 20/11/08 there was specific discussion of the guidelines for lenti work to be incorporated into the draft final revision of the Retrovirus section of the Compendium of Guidance (segments of which reproduced here): - The retrovirology section of the SACGM(CU) Compendium of Guidance has been revised in light of: members’ comments and discussion at preceding SACGM(CU) meetings (13 th & 14th meetings); and deliberations at the virology working group meeting in June. SACGM(CU)’s intention is to provide clarification on classification of activities involving retroviral/lentiviral vectors to permit researchers to make a sufficient and proportional assessment of the risks associated with such work. A final draft of the guidance is provided for consideration by the committee. A revised version of the section of the Compendium of Guidance dealing with lentivirus work was issued on December 2008. - Risk assessment for work with these vectors, should not only consider the properties of the transgene but also the inherent hazards of the vectors i.e. replication competence; and insertional mutagenesis (e.g. activation of adjacent proto-oncogenes or insertional inactivation of tumour suppressor genes) and whether these are relevant to the type of activities undertaken in the laboratory and clinical setting. - The current (i.e. pre-Nov. 2008) advice in the Compendium of Guidance is that work involving replication defective pseudotyped lentiviral or retroviral vectors should be undertaken as a Class 2 activity as a minimum (unless justification can be provided why this is not appropriate), because of the inherent hazardous properties of the viral vectors. The revised guidance (i.e. post-Nov. 2008) changes this advice such that certain activities including small scale, laboratory studies (e.g. transduction of cells in vitro), which involve the use of multiply disabled viral constructs containing a non-harmful transgene and do not involve the direct use of sharps or aerosol/splash generation, can be undertaken as a Class 1 activity. The revised guidance retains extensive advice on the key aspects of vector design that need to be built into the risk assessment. - In terms of likelihood of exposure, the use of sharps is relatively clear cut. However, the guidance provides advice that where mucosal or inhalation routes of exposure are deemed significant then the work should also be classified as Class 2. ‘Significance’ is described in terms of titre, volume and the likelihood of generating aerosols or splash. Comments from dutyholders (i.e. Safety officers / GM committees) relate to how they might decide on whether this exposure route is deemed significant. - Applications of these vectors in the clinic may involve the use of sharps for delivery of vectors into patients and indeed the potential for splashes or aerosol generation is perceived as greater than in the laboratory. Consequently, the revised guidance is likely to result in clinical applications being considered as Class 2. However, in many cases, the use of lentiviral/retroviral vectors involves transduction of cells ex-vivo, with subsequent transduced cells used for patient treatment. In such circumstances, the hazards associated with 9 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs the viral vectors are not deemed relevant to the risk assessment and a lower classification of the work may be appropriate. - Hazards associated with these vectors are summarised as: stable expression of transgenes, insertional mutagenesis and potential for generation of replication competent virus. Replication defective vectors that cannot infect human cells can generally be considered class 1. For replication defective retroviruses and lentiviruses capable of infecting human cells, if the risk assessment demonstrates they are adequately attenuated, it is possible to designate the activity as class 1 :- Factors supporting this classification will include: low risk of generation of RCV (e.g. a third generation packaging system), self inactivating (SIN) LTR and non-harmful insert. However, contaminated sharps represent a significant hazard…and their use should be excluded for vectors that can infect human cells, if the activity is to be designated class 1. - The most likely route of accidental infection with a retrovirus will be via inadvertent percutaneous inoculation. Consequently, the direct use of sharps (e.g. needles, blades, glass Pasteur pipettes, Hamiulton syringes, glass capillaries, broken glass in recent contact with viral particles) for virus manipulation would be incompatible with Class 1 designation, for retroviruses and lentiviruses that are both replication defective and capable of infecting human cells….. where the use of sharps for work with these viruses cannot be avoided, it is incumbent upon the user to formulate a policy for the control of sharps to minimise inadvertent exposure. This should include documented training of staff in their safe use and disposal and the work classified as Class 2. Hollow needles and other sharps should be used with extreme care and only when necessary. Needles should never be re-sheathed, but rather disposed of directly into an appropriate container for autoclaving or incineration. - Worker exposure can occur via other routes, which become significant where the laboratory work involves large volumes/titres of viral vectors and/or the use of aerosol generating procedures; in which case exposure via a mucosal or inhalation route needs to be carefully assessed. Where exposure via this route is deemed significant, use of a microbiological safety cabinet is appropriate and the work should be classified as Class 2. Where product sterility is the sole purpose for necessitating the use of a microbiological safety cabinet (and indeed gloves), then this should not be used as the basis for classification. Where gloves and/or Class 2 cabinet are used to minimise a real risk of exposure of the worker handling the viral particles, then the inherent risk of the activity will almost certainly be deemed to require Class 2 notification or above. - The risk of exposure to lentiviral/retroviral vectors in transduced cells subsequently used for other activities (e.g. non-fixed flow cytometry; inoculation of animals; in vitro propagation; clinical gene therapy applications) is negligible, where the cells do not incorporate any helper function and where residual virus titres have been reduced by replacing the potentially infectious cell supernatant medium. In those circumstances, no additional containment measures beyond those needed for the non-transduced cells are required. For experimental animals that have been inoculated with non-replicating virus, the risk of operator exposure from the infected animals is minimal as is the potential for virus shedding. It is therefore appropriate to house these animals in a containment level 1 facility. Where the animals are used for post mortem procedures classification should be assessed on a case-by-case basis. - classification into a GM activity does not necessarily mean that all the measures from the associated containment-level will need to be applied. If it is adequately justified by the risk assessment, derogation may be sought from the Competent Authority to exclude unwarranted measures. B) Summary description of the origin, development and current state of the art of lentiviral vectors. Viral vectors have become a widely used tool for the delivery of foreign genes into cells, either in vivo or in vitro. Lentiviral vectors are increasingly popular choices for this purpose, as they can be easily and safely manipulated to allow the insertion of foreign genes into the genome for stable expression. Lentivirus vectors have several key advantages including the ability to cause long-term gene expression changes and the capability to infect almost all dividing and non-dividing cells (refs 1-4). These vectors have proven highly efficient in vivo and have achieved stable long term gene expression in target tissues, such as the brain, retina, liver and muscle. The complexity of the lentivirus genome has been exploited to build novel biosafety features in the design of these vectors. In addition to the structural gag, pol and env genes common to all 10 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs retroviruses, HIV contains two regulatory genes, tat and rev, essential for viral replication, and four accessory genes, vif, vpr, vpu and nef, that are not crucial for viral growth in vitro but are critical for in vivo replication and pathogenesis. The first two generations of lentivirus vector carried the HIV-derived cis-acting sequences necessary for transcription, encapsidation, reverse transcription, and integration. They thus encompassed, from the 5' to 3' end, the HIV 5' LTR, the leader sequence and the 5' splice donor site, approximately 360 bp of the gag gene (with the gag reading frame closed by a synthetic stop codon), 700 bp of the env gene containing the rev-responsive element (RRE) and a splice acceptor site, an internal promoter (typically the immediate-early enhancer/promoter of human cytomegalovirus (CMV) or that of the phosphoglycerokinase gene (PGK)), the transgene, and the HIV 3' LTR. Vector particles were produced by cotransfection of the three constructs in 293T cells (4). In this design, significant levels of transcription from the vector LTR and of accumulation of unspliced genomic RNA occur only in the presence of Tat and Rev. Diagram of retroviral genomes and structure of a retrovirus particle In 3rd and 4th generation vectors, a 4-plasmid viral particle production system is employed: i) HIVbased vector plasmid designed to accommodate the desired biological insert and marker genes, as well as harbouring the packaging signal, , and 5’ LTR/promoter and 3’ self-inactivating LTR (SIN LTR); ii) Packaging construct containing HIV gag and pol genes; iii) Construct expressing HIV rev; iv) Construct expressing envelope protein. Tat was eliminated from the system as its job could be performed by constitutively active promoter sequences in the 5’ LTR (7). This design makes the expression of the packaging functions conditional on complementation available only in producer cells and incorporates only three of the nine genes of HIV1 in the construct that infects target cells and becomes integrated into the genome. Only 6-7% of the original vector sequence is left in the recombinant virus and recombination with integrated wild-type HIV virus or endogenous retroviruses is more or less impossible. Furthermore, many nucleotide changes have been made to sequences used in these vectors to render sequence similarity to wild strains of the parent viruses even lower. All lentivirus vector systems can be tested if need be for production of replication competent lentivirus, RCL (usually occurring via recombination). Previous experience in large11 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs scale production facilities has shown that RCL is typically not detected when using 3rd and 4th generation vector systems in the production of lentiviral constructs packaged into infective particles. Assays for RCL can include p24 ELISA and qRT-PCR type assays. Please see Sastry et al. (2005) for details of how to perform such assays. The final GMMs therefore harbour replication- and recombination-disabled lentivirus vectors capable of expressing user-specified genes at high level. References. 1) Gallay, P., S. Swingler, C. Aiken, and D. Trono. 1995. HIV-1 infection of nondividing cells: C-terminal tyrosine phosphorylation of the viral matrix protein is a key regulator. Cell 80: 379-388. 2) Lewis, P. F., M. Hensel, and M. Emerman. 1992. Human immunodeficiency virus infection of cell arrested in the cell cycle. EMBO J. 11: 3053-3058. 3) Lewis, P. F., and M. Emerman. 1994. Passage through mitosis is required for oncoretroviruses but not for the human immunodeficiency virus. J. Virol. 68: 510-516. 4) Naldini, L., U. Blömer, P. Gallay, D. Ory, R. Mulligan, F. H. Gage, I. M. Verma, and D. Trono. 1996. In vivo gene delivery and stable transduction of nondividing cells by a lentiviral vector. Science 272: 263-267. 5) Burns, J. C., T. Friedmann, W. Driever, M. Burrascano, and J.-K. Yee. 1993. Vesicular stomatitis virus G glycoprotein pseudotyped retroviral vectors: concentration to very high titer and efficient gene transfer into mammalian and non-mammalian cells. Proc. Natl. Acad. Sci. USA 90: 8033-803. 6) Zufferey, R., D. Nagy, R. J. Mandel, L. Naldini, and D. Trono. 1997. Multiply attenuated lentiviral vector achieves efficient gene delivery in vivo. Nat. Biotechnol. 15: 871-875. 7) Dull, T. Zuffery, R. Kelly, M. Mandel, RJ. Nguyen, M. Trono, D., and Naldini, L. 1998. A third generation lentivirus vector with a conditional packaging system. J. Virol. 72: 84638471. 8) Sinn P.L., Sauter S.L. and McCray Jr P.B. 2005. Gene therapy progress and prospects: development of improved lentiviral and retroviral vectors – design, biosafety and production. Gene Therapy 12: 1089-1098. 9) Sastry L., Xu Y., Duffy L., Koop S., Jasti A., Roehl H., Jolly D., and Cornetta K. 2005. Product-enhanced reverse transcriptase assay for replication-competent retrovirus and lentivirus detection. Human Gene Therapy 16: 1227-1236 C) Pseudotyped particles Lentiviral constructs are often packaged into VSV-G pseudotyped lentiviral particles. VSV-G pseudotyping involves packaging the genome and other contents of the virus into the VSV (vesicular stomatitis virus) glycoprotein envelope, which will then exhibit infection behaviour (and antigenicity) characteristic of the VSV virus, providing the constructed viral particles with a broad tropism and the ability to deliver genes to many different cell types. The VSV genome does not contain the same functional packaging elements as those employed in the creation of the lentiviral constructs. Thus, no recombination can occur with wild-type strains of VSV virus leading to creation of novel VSV virus with unintended genes in the environment. The VSV is an arbovirus and transmission of wild strains normally occurs via mechanical events (splashing onto wounds etc.) rather than via inhalation of aerosol. There is thus a small but finite risk of infection via the splashing route. Wild strains of VSV are considered high risk and come under anti-terrorism legislation. 12 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs Other envelope proteins can be utilised to provide advantages for transducing other defined cell types. These may include Ebola virus, Hantavirus, Rabies virus, Ross River virus, murine leukemia virus and baculovirus. The envelope to be used is a consideration for the risk assessment and details of proposed envelopes to be used should be included. D) 3rd and 4th generation lentiviral particles used to deliver the construct by one-time infection usually consist of: - VSV-G glycoprotein envelope - HIV-1 or -2 Gag-encoded capsid proteins - HIV-1 or -2 Pol-encoded reverse transcriptase and integrase enzymes - two RNA copies of the expression constructs. These particles are replication-incompetent and cannot be produced in infected cells during the experiment. There is no risk of inadvertent production of replication-competent retrovirus by recombination as the potentially recombining stages have been designed in such a way as to make recombination impossible. E) The lentiviral particles are assembled using vectors with the following features: - Rous Sarcoma virus/HIV-1 5’LTR hybrid promoter - HIV-1 packaging signal - Rev Response Element - HIV-1 cPPT - central polypurine tract - Promoter – ubiquitous or cell/tissue/stage restricted, to direct expression of biological and marker genes in the construct - WPRE - U3/HIV-1 truncated, self-inactivating 3’LTR. The pseudotyped lentiviral particles contain no viral genes but only viral sequences to facilitate the packaging of the expression construct into virions (5’ and 3’ LTRs and packaging signal). The U3/HIV-1 truncated 3’LTR self-inactivates the 5’LTR in transduced cells. The gag gene encoding the capsid and matrix proteins, pol gene encoding proteins required for reverse transcription and integration of the viral genome, the env gene encoding the VSV-G envelope protein and the Rev protein are encoded by genes in three accessory plasmids that are only used in the generation of the pseudotyped lentiviral particles. These genes are not present in the genome of the ‘host’ virus that produces the VSV-G pseudotyped lentiviral particles. The central polypurine tract (cPPT) serves to enhance the efficiency of integration and insert gene expression by facilitating nuclear translocation of pre-integration complexes. The viral vectors may contain the WPRE (Woodchuck Hepatitis Virus Post-transcriptional Regulatory Element) to enhance expression of the genes harboured in the expression construct. Its mechanism of action is unclear, but may involve the facilitation of nuclear export and/or stability of viral mRNA, or enhanced transcriptional termination and avoidance of readthrough beyond the construct. This element was first described in Donello et al., 1998 and in Zufferey et al., 1999 and there has been a good deal of work on it since. Kingsman et al., 2005 wrote a summary highlighting the concerns about the presence of promoter and partial (60 a.a.) coding sequence of the WHV X protein within the first generation WPRE element. Protein X has been reported to be a major factor in the increased incidence of liver cancer after infection by natural routes with Hepatitis B-type hepadnaviruses. It is unclear whether there is any real evidence that this 60 a.a. N-terminal fragment of protein X is directly oncogenic, although it may act as a cofactor for oncogenicity with weak effect. It also seems that partial-Protein X cannot be expressed under the control of the promoter in 13 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs the WPRE element, even in lentiviral constructs, except in the presence of a second enhancer, examples of which are not present in the WPRE construct. It could potentially be expressed as a result of readthrough from endogenous genes adjacent to the viral construct integration site, although there is no direct evidence that this happens. Such readthrough effects would be reduced by the deliberate inclusion of insulator elements flanking the expressed portions of the integrated construct. It is also possible to abrogate the potential expression from the included protein X promoter using newer generation WPRE elements lacking all or part of this promoter, and/or by site-directed mutagenesis to remove the start codon or other portions of the coding sequence. These modifications have been shown not to affect the efficiency of the WPRE element in enhancing expression of genes contained within the lentiviral construct. F) Description of components of the lentiviral vectors to be used (see Q10 parts a) to g) on the form) Below are examples of the kind of description you should use, to make it easy for the committee to evaluate each of the components in the GM system: a) Overall system name/description (e.g. 4th generation lentivirus construct based on XYZ vector, containing shRNA vs Gene Y, and marker gene eGFP). Entries in this section might look something like the following: 4th generation lentivirus system based on pLentiLox pLL4.0 and pLL4.2 vectors, containing a variety of promoters, GeneX/FLAG/RFP fusion protein, insulator sequences and GeneX binding target element System constitutes: - Main expression construct vector pLL4.0 or pLL4.2 - packaging system on 3 plasmids (2 separate systems will be tried): pLP1 (Invitrogen) or pMDLg/pRRE – expresses Gag and Pol proteins in Rev-dependent manner pLP2 (Invitrogen) or pRSV.rev – expresses Rev protein pLP/VSVG (Invitrogen) or pMD2.VSVG – expresses VSV-G envelope protein The main expression construct has been made elsewhere, and is based on the insertion of the biological and marker sequences described below into the multicloning site of pcDNA3.1 Zeo+ (Invitrogen), based on pBR322 and the pUC plasmid series. b) Summary of Lentiviral Coat Protein and Tropism to be employed Entries in this section might look something like the following: Coat protein of the packaged infectious particles will be VSV-G. This has a wide tropism and can infect all mammal species tested so far, as well as a range of insect vectors. c) Vector backbone and origins of replication etc. - Lentiviral contruct(s): Entries in this section might look something like the following: Main construct – pUC6 backbone and E. coli ColE1 origin, multiple cloning site with TOPO cloning site, V5 epitope tag coding sequence and transcriptional stop sequence Accessory plasmids: pLP1, pLP2, pLP/VSVG, and pMDLg/pRRE, pRSV.rev, pMD2.VSVG – all based on pUC sequence and E. coli ColE1 origin 14 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs - Other plasmids e.g. those initially containing the biological insert / fRNA etc. pcDNA3.1 clones: f1 origin, ColE1 origin, SV40 origin d) Resistance genes Entries in this section might look something like the following: - Lentiviral contruct(s): Main construct: - AmpR; Blasticidin resistance gene Accessory plasmids: pLP1, pLP2, pLP/VSVG, and pMDLg/pRRE, pRSVrev, pMD2.VSVG – AmpR - Other plasmids e.g. those initially containing the biological insert / fRNA etc. pcDNA3.1 clones: AmpR; Neomycin resistance Note – these sections (and see below) on ‘Other plasmids…’ will be needed wherever the inserts to be included in the lenti constructs are cloned in other vectors initially and are not covered by a relevant E. coli GM RA. e) Marker genes and tags Entries in this section might look something like the following: - Lentiviral contruct(s): C-terminal V5 tag for convenient detection; FLAG tag within fusion protein - Other plasmids e.g. those initially containing the biological insert / fRNA etc. pcDNA3.1 clones: FLAG tag within fusion protein f) Biological insert (i.e. the ‘functional’ part, designed to have an effect on the biology of the host cells / organism) Entries in this section might look something like the following: - Lentiviral contruct(s) and pcDNA3.1 clones: Fusion protein with the following components: Full length mouse GeneX ORF – FLAG – RFP (Red fluorescent protein). This insert will be cloned into the vector in such a way as to remove the eGFP coding sequence but leave the LoxP sites flanking the expression insert. g) Expression modulators (e.g. promoter, WPRE, stating the version and its functional constituent parts where applicable) Entries in this section might look something like the following: - Lentiviral contruct(s): - CMV promoter for high-level expression of biological insert - Other promoters instead of or alongside CMV - including UbiC, U6, CamKII, PGK, synapsin1, tau. - HS4 insulator and/or CTCF binding site sequences from chicken -globin locus - RRE – rev response element - WPRE – modified to remove potential for expression of N-term. fragment of WHV protein X - Mecp2 binding target elements – a) Mecp2 binding target oligonucleotide from Bdnf promoter IV; b) 500bp from Bdnf promoter IV; c) fragment from Mecp2 promoter thought to be a binding target for Mecp2; synthetic binding target oligonuc. based on known binding properties and selectivity - Polyadenylation signals / transcriptional termination sequences - Other plasmids e.g. those initially containing the biological insert / fRNA etc. pcDNA3.1: - CMV promoter (for biological insert) - T7 promoter (for biological insert) 15 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs - bGH polyadenylation signal / transcriptional terminator (pA; for biological insert) - SV40 origin / promoter (for Neomycin resistance gene expression) - SV40 pA (for Neomycin resistance gene expression) h) Other constituents (only where significant to function and not covered in b)-f)) Entries in this section might look something like the following: - Lentiviral contruct(s): - Other plasmids e.g. those initially containing the biological insert / fRNA etc. Ψ packaging sequence U3 3’ LTR 5’ LTR – these LTRs together function in packaging to create lentiviral particles, but are selfinactivating (SIN) after integration into the target cell genome and thus render the integrated lentiviral construct incapable of being mobilised into infectious particles even in the presence of active endogenous or exogenous retrovirus. LoxP sites flanking the biological insert – these will not be used in this series of experiments. G) Controls for lentiviral delivery experiments (see Q10 part h) on the form) Experiments utilising lentiviral constructs to deliver genes or gene knockout reagents to cells/organisms usually involve several controls. Each application should describe both the main experimental constructs and the control constructs, as appropriate to the experiment, explaining what each is for. The descriptions of the constructs should include the vector-based constituents from which the final construct is derived, the gene(s) to be inserted, marker genes deployed after infection, and resistance genes deployed during construct creation and packaging or after infection, plus any other components. Entries in this section might look something like the following: e.g. for an experiment to test the efficacy of GeneX overexpression in changing the phenotype of Cell types Y, Z and W, with additional tests to find the optimum conditions for such an effect: A series of test lentiviral constructs will be made, variably containing: - GeneX/FLAG/RFP fusion protein - insulator sequences flanking expression cassette, as above - variety of GeneX binding target elements, as above - variety of promoters, as above Control constructs will be made with the same regulatory features, but from which only RFP is expressed, or no exogenous protein at all. OR e.g. for an experiment to test the effect of RNAi-based knockdown of gene Y: Main experimental construct: - pRRLU6shGeneY(R)sincpptCMV.GFP.p ( GeneY shRNA hairpin + eGFP) Control construct for testing effect of scrambled sequence RNAi-based reagent for gene Y – tests non-specific effect of a insert with that base composition but no targeted functional purpose: 16 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs - pRRLU6shGeneYscr(R)sincpptCMV.GFP.p (scrambled GeneY shRNA hairpin + eGFP) Construct for testing effect of marker gene alone: - pRRLCMV.GFP.p (eGFP) 17 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs Diagrams of vectors and constructs – please use clear diagrams made to illustrate the features of most relevance to the risk assessment. Please remember that the committee may not have seen the particular vectors to be employed or have come across the construct design before, so these diagrams are of considerable use in familiarising them with the proposed elements of the work. Examples are given below: pLentiLox4.0 18 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs 19 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs H) Safety procedures and justification Where mammalian cell lines and organotypic cultures are used for transduction using lentiviral constructs, they should be manipulated in sterile conditions using standard tissue culture practice. This will involve the use of Class II Microbiological Safety Cabinets (‘hoods’) to protect the work. Where any further safety concerns require the use of Class II cabinets to protect the worker, this should be given enhanced visibility in the risk assessment and the concerns clearly stated. Usually, any work requiring this level of containment for the protection of the worker will require classification of the GM activity at Class 2 or above and HSE notification. For primary cells and cell lines, viral transduction is normally carried out using a range of MOI (multiplicity of infection) dependent on each cell line and each viral particle titre. After transduction, media are replaced and cells allowed to express genes from the construct for periods of 24 to 96 hours. Viral particles can be pipetted onto the cells, reducing the risk of accidental infection of the experimenter and lab co-workers. To inactivate remaining packaged virus particles in the medium, all plasticware and reagents that come into contact with the viral particles and transduced cells should be soaked in 3% Virkon for 24 hours prior to disposal either by autoclaving or by incineration. Again, if safety and escape issues arise in relation to virus inactivation and disposal beyond those normally associated with Class 1 GM work, these should be given prominence in the risk assessment and may require Class 2 classification. Experiments using unfixed cells and/or media supernatant should only be carried out in containment level 1 facilities if the work is classified at Class 1, or if the work is done in sealed containers and the risk of the containers being compromised with consequent release of infectious lentiviral particles is judged to be negligible or very low. Any procedures involving puncture of sealed vessels containing viral particles should receive enhanced visibility in the risk assessment. Any procedures involving hypodermic syringe needles will need to be classified at Class 2 or above, as needlestick injury becomes a significant risk (see section I) below). I) Routes of escape for lentiviral constructs packaged into viral particles Potential routes of escape are: Aerosol Incorrect disposal of culture materials Needlestick injury to experimenter or third party Escape of recently infected animal/plant outside of the Biological Services or other containment facility The potential for escape by aerosol is low if all work with unsealed virus particle-containing fluids is done within Class II hoods. Aerosol could also possibly arise during application of viral particles to cells/tissues if this has to be carried out outside a hood. Aerosol could also possibly arise during waste disposal if fluids are released before autoclaving is complete. Contact with fluids containing viral particles would only result in infection of the experimenter or lab co-workers if contact was oral, or via skin lesions, cuts etc., and then only if unprotected by gloves etc. 20 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs Where infectious lentiviral particles are to be transported between labs, the protocol should involve double-sealed containment e.g. the use of screw-top tubes packed securely into a container with a sealing lid. If lentiviral particles are being delivered to live animals by injection, there is a risk of needlestick injury to the experimenter or to third parties present during delivery (e.g. Biol. Services personnel, other lab workers). The likelihood of such an injury taking place should be considered. The risk would seem to be greatest to the experimenter unless the organism to which the particles are being delivered needs to be handled during delivery by other staff. J) Other routes of escape for lentiviral components and inserts Lentiviral particles are often packaged using producer cell lines such as HEK293-FT. Many of these lines are certified free of adventitious agents. Where cell lines not so certified are used, there exists a risk that parts of the lentiviral system or biological insert could be picked up by a resident adventitious agent (e.g. HIV, EBV etc.) and incorporated into its genome in such as way as to enhance its transmissibility or ability to persist in the environment. These risks should be considered in the risk assessment. K) Consequences of escape If the experimenter or third party worker are exposed to virus or viral infected cells, the likelihood of disease is very low or negligible with 3rd and 4th generation lentiviral constructs. Infection via inhalation or injection of virus would be limited to mucosal cells or cells at the site of injection (in vivo experiments have shown diffusion of infectious particles no more than millimetres from the injection site). Even if the infected worker had a pre-existing HIV infection, the chances of recombination are extremely small due to the design of the vector. There is no available evidence for transfer of infectious viral particles to other vulnerable cells via the bloodstream or lymphatic system except in cases where the intention was to transduce cells of the immune system in the bloodstream/bone marrow. Viral particles that do not infect cells are estimated to become inactive within hours and no viable virus should remain after 48 hours. Experiments to look for viral particles in urine and faeces of animals infected with lentiviral constructs by injection into nervous system tissues have found none. Virus is not incorporated into the germline and will not be passed to offspring. Contact with viral particles and infection of cells at the contact site could result in a transient immune response with local swelling and inflammation. This is unlikely to be more than a minor effect unless the nature of the biological insert(s)/markers make it more likely or more severe. Any effects of expression of the functional parts of the construct are likely to be negligible, but the following should be considered: - gene expression in cells local to the injury (intended biological constituents of construct and other genes in the construct, including WHV protein X and marker genes) - gene knockdown in cells local to the injury (due to intended biological constituents of construct) - other effects of the construct on endogenous gene expression - insertional mutagenesis in the infected individual’s genome leading to enhanced expression of an oncogene or oncogenic cofactor or repression of a tumour suppressor gene - insertional mutagenesis in the infected individual’s genome leading to disruption of other endogenous gene function 21 Guidance Notes for Risk Assessment for Genetic Modification involving Lentiviral constructs Since 3rd and 4th generation lentiviral constructs cannot replicate after infection, there is no risk of continued infectivity of the needlestuck individual, so no virus could be passed on to other people. The design of 4th generation lentiviral constructs is such that there is essentially no risk of recombination with other extant human or animal/plant viruses to create new strains with altered properties. Insertional mutagenesis effects have been considered to be the main element of risk with newer generation lentivirus constructs. The construct is designed to become integrated into the genome. Sites of integration have been studied and the current consensus is that, with current generations of lentivirus construct in common use in non-therapeutic experiments, there is little selectivity. Thus, the construct can integrate anywhere within or between genes, with no preference for genic regions, coding regions or promoter regions. Little risk is thought to be associated with integration into introns, although sense-orientation integration within a gene might disrupt splicing and expression of that gene. No enhancer/repressor sequences are present, so direct transcriptional effects on such integration events are unlikely, although effects acting via disruption of chromatin structure cannot be ruled out. The a priori probability of integration into an exon or promoter of an endogenous gene is thus ~3.5%, the proportion of the genome occupied by these kinds of sequence. Any integration event that disrupts endogenous gene function would only do so if dominant effects on gene expression manifest for the gene in question, as typically only one integration event will happen per cell, and that will occur monoallelically. The oncogenesis observed in clinical trials for treatment of X-linked SCID has been shown to be strongly associated with multiple features of the design of that experiment, and is not thought likely to occur in cases where the biological gene components of the construct do not give cells a growth advantage. Several other trials have monitored oncogenesis and have reported no adverse events of this nature over many patient-months of follow-up. 22