Research Topics
| H Bobby GasparSummaryAffiliation: University College London Country: UK Publications
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Publications
Hematopoietic stem cell gene therapy for adenosine deaminase-deficient severe combined immunodeficiency leads to long-term immunological recovery and metabolic correctionH Bobby Gaspar
Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London WC1N 1EH, UK
Sci Transl Med 3:97ra80. 2011..There were no adverse leukemic side effects. Thus, gene therapy for ADA-SCID is safe, with effective immunological and metabolic correction, and may offer a viable alternative to conventional unrelated donor HSCT...
Kinase mutant Btk results in atypical X-linked agammaglobulinaemia phenotypeH B Gaspar
Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Clin Exp Immunol 120:346-50. 2000..Together, these data may provide an explanation for the variable XLA phenotype...
Successful reconstitution of immunity in ADA-SCID by stem cell gene therapy following cessation of PEG-ADA and use of mild preconditioningH Bobby Gaspar
Molecular Immunology Unit, Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK
Mol Ther 14:505-13. 2006..No serious side effects were seen either as a result of the conditioning procedure or due to retroviral insertion. Gene therapy is an effective treatment option for the treatment of ADA-SCID...
Gene therapy for severe combined immunodeficienciesH Bobby Gaspar
Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
Expert Opin Biol Ther 5:1175-82. 2005..These side effects are now being studied in detail and measures to prevent such events through alternative vectors delivery systems are in development at present...
Bone marrow transplantation and alternatives for adenosine deaminase deficiencyH Bobby Gaspar
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK
Immunol Allergy Clin North Am 30:221-36. 2010..In this article the author reviews the available data on treatment by these different options, and offers an overview on when each of the different treatment options should be used...
How I treat ADA deficiencyH Bobby Gaspar
Centre for Immunodeficiency, Molecular Immunology Unit, University College London Institute of Child Health, London, United Kingdom
Blood 114:3524-32. 2009....
Successful treatment of lymphoproliferative disease complicating primary immunodeficiency/immunodysregulatory disorders with reduced-intensity allogeneic stem-cell transplantationJonathan M Cohen
Department of Clinical Immunology, Great Ormond Street Hospital, London, United Kingdom
Blood 110:2209-14. 2007..With careful monitoring and pre-emptive therapy, we advocate this RIC SCT approach to patients with PID who have pre-existing EBV-LPD...
Long-term persistence of a polyclonal T cell repertoire after gene therapy for X-linked severe combined immunodeficiencyH Bobby Gaspar
Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London WC1N 1EH, UK
Sci Transl Med 3:97ra79. 2011..Further studies using vectors designed to limit mutagenesis and strategies to enhance B cell reconstitution are warranted to define the role of this treatment modality alongside conventional HSCT for SCID-X1...
Self-inactivating gammaretroviral vectors for gene therapy of X-linked severe combined immunodeficiencySusannah I Thornhill
Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Mol Ther 16:590-8. 2008....
Lentiviral vectors containing an enhancer-less ubiquitously acting chromatin opening element (UCOE) provide highly reproducible and stable transgene expression in hematopoietic cellsFang Zhang
Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London, United Kingdom
Blood 110:1448-57. 2007..These properties are achieved in the absence of classic enhancer activity and therefore may confer a high safety profile...
Outcome of hematopoietic stem cell transplantation for adenosine deaminase-deficient severe combined immunodeficiencyAmel Hassan
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, United Kingdom
Blood 120:3615-24; quiz 3626. 2012..These data detail for the first time the outcomes of HCT for ADA-SCID and show that, if patients survive HCT, long-term cellular and humoral immune recovery is achieved...
SAP gene transfer restores cellular and humoral immune function in a murine model of X-linked lymphoproliferative diseaseChristine Rivat
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, United Kingdom
Blood 121:1073-6. 2013..We demonstrate for the first time that HSC gene transfer corrects the cellular and humoral defects in SAP(-/-) mice providing proof of concept for gene therapy in XLP1...
Capture and generation of adenovirus specific T cells for adoptive immunotherapyIlenia Chatziandreou
Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Br J Haematol 136:117-26. 2007..The protocols can be readily translated to generate ADV-specific T cells suitable for clinical use and offer an effective immunotherapeutic strategy to control ADV infection...
Haemopoietic stem-cell transplantation with antibody-based minimal-intensity conditioning: a phase 1/2 studyKarin C Straathof
Great Ormond Street Children s Hospital, London, UK
Lancet 374:912-20. 2009..We tested a novel antibody-based minimal-intensity conditioning (MIC) regimen to assess whether this approach allowed curative donor stem-cell engraftment without non-haemopoietic toxicity...
Lentiviral vectors for T-cell suicide gene therapy: preservation of T-cell effector function after cytokine-mediated transductionWaseem Qasim
Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Mol Ther 15:355-60. 2007..We conclude that the use of interleukin-7 for lentiviral transduction offers the greatest potential for gene transfer to T cells without loss of function, and is favored for the clinical production of suicide gene modified T cells...
Gene therapy of X-linked severe combined immunodeficiency by use of a pseudotyped gammaretroviral vectorH Bobby Gaspar
Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Lancet 364:2181-7. 2004..INTERPRETATION: Gene therapy for SCID-X1 is a highly effective strategy for restoration of functional cellular and humoral immunity...
Increased incidence of EBV-related disease following paediatric stem cell transplantation with reduced-intensity conditioningJonathan Cohen
Department of Bone Marrow Transplantation, Great Ormond Street Hospital NHS Trust, London, UK
Br J Haematol 129:229-39. 2005..This probably reflects the profound immunosuppression following RIC SCT, together with the incomplete ablation of recipient-derived B cells...
CD34 stem cell top-ups without conditioning after initial haematopoietic stem cell transplantation for correction of incomplete haematopoietic and immunological recovery in severe congenital immunodeficienciesClaire Booth
Department of Clinical Immunology, Great Ormond Street Hospital NHS Trust, London, UK
Br J Haematol 135:533-7. 2006..Unconditioned stem cell boosts have limited toxicity but should be given early after the original graft to be effective...
Failure of SCID-X1 gene therapy in older patientsAdrian J Thrasher
Molecular Immunology Unit, Institute of Child Health, London, United Kingdom
Blood 105:4255-7. 2005..In particular, there is likely to be a limitation to initiation of normal thymopoiesis, and we therefore suggest that intervention for these patients should be considered as early as possible...
Management options for adenosine deaminase deficiency; proceedings of the EBMT satellite workshop (Hamburg, March 2006)Claire Booth
Molecular Immunology Unit, Institute of Child Health, University College London, and Department of Clinical Immunology, Great Ormond Street Hospital NHS Trust, London WC1N 3JH, UK
Clin Immunol 123:139-47. 2007..Long-term follow-up of treated patients highlights a significant incidence of non-immunological problems with cognitive, neurological and audiological abnormalities most prominent...
Cognitive and behavioral abnormalities in children after hematopoietic stem cell transplantation for severe congenital immunodeficienciesPenny Titman
Department of Psychosocial Services, Great Ormond Street Hospital National Health Service NHS Trust, London, UK
Blood 112:3907-13. 2008..The specific genetic diagnosis, consanguinity, and severe clinical course are associated with poor outcome. Long-term follow-up of these patients should include screening to identify and manage these problems more effectively...
Neonatal diagnosis of severe combined immunodeficiency leads to significantly improved survival outcome: the case for newborn screeningLucinda Brown
Department of Clinical Immunology, Great Ormond Street Hospital National Health Service Trust, London, UK
Blood 117:3243-6. 2011..Neonatal screening for SCID would significantly improve the outcome in this otherwise potentially devastating condition...
Update on clinical gene therapy in childhoodWaseem Qasim
Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Arch Dis Child 92:1028-31. 2007..Minimising such risks through improved vector design will play an important role in developing the next generation of gene based therapies and extending their applicability...
Gene therapy for severe combined immunodeficiency due to adenosine deaminase deficiencyClaudia A Montiel-Equihua
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, 30, Guilford Street, London WC1N 1EH, UK
Curr Gene Ther 12:57-65. 2012..In this document, we review the progress made so far in the development and establishment of gene therapy as an alternative form of treatment for ADA-SCID patients...
Functional characterization of alloreactive T cells identifies CD25 and CD71 as optimal targets for a clinically applicable allodepletion strategySujith Samarasinghe
Department of Molecular Immunology, Institute of Child Health, London, United Kingdom
Blood 115:396-407. 2010..39% vs third-party response of 62%, n = 5). This strategy enables further clinical studies of adoptive immunotherapy with larger doses of ADTs to enhance immune reconstitution after T cell-depleted stem cell transplantation...
The β-globin locus control region in combination with the EF1α short promoter allows enhanced lentiviral vector-mediated erythroid gene expression with conserved multilineage activityClaudia A Montiel-Equihua
Centre for Immunodeficiency, Molecular Immunology Unit, Institute of Child Health, University College London, London, UK
Mol Ther 20:1400-9. 2012....
The impact of telomere erosion on memory CD8+ T cells in patients with X-linked lymphoproliferative syndromeFiona J Plunkett
Department of Immunology and Molecular Pathology, Royal Free and University College Medical School, London, UK
Mech Ageing Dev 126:855-65. 2005..This may contribute to the defective immunity found in XLP patients who survive acute EBV infection who develop EBV-related B cell lymphomas before the fourth decade of life...
Gene therapy: X-SCID transgene leukaemogenicityAdrian J Thrasher
Molecular Immunology Unit, Institute of Child Health, University College London, London WC1N 1EH, UK
Nature 443:E5-6; discussion E6-7. 2006..Here we show that transgenic IL2RG does not necessarily have potent intrinsic oncogenic properties, and argue that the interpretation of this observation with respect to human trials is overstated...
Gene therapy for primary immunodeficienciesChristine Rivat
UCL Institute of Child Health, Centre for Immunodeficiency, London WCIN 1EH, United Kingdom
Hum Gene Ther 23:668-75. 2012..In this review we summarize the status of these gene therapy trials and discuss the emerging application of similar strategies to other PIDs...
Insertional mutagenesis combined with acquired somatic mutations causes leukemogenesis following gene therapy of SCID-X1 patientsSteven J Howe
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, University College London, London, United Kingdom
J Clin Invest 118:3143-50. 2008....
Sleeping beauty transposition from nonintegrating lentivirusConrad A Vink
Institute of Child Health, University College London, UK
Mol Ther 17:1197-204. 2009..Importantly, integration site analysis revealed redirection toward a profile mimicking SB-plasmid integration and away from integration within transcriptionally active genes favored by integrase-proficient lentiviral vectors (ILVs)...
Gene therapy for severe combined immune deficiencyWaseem Qasim
Molecular Immunology Unit, Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
Expert Rev Mol Med 6:1-15. 2004....
Gene therapy for primary immunodeficiencyClaire Booth
Molecular Immunology Unit, Centre of Immunodeficiency, Institute of Child Health, London, UK
Curr Opin Pediatr 23:659-66. 2011..Current strategies directed towards improving the efficacy and safety profile of gene therapy will be discussed...
Improved survival after unrelated donor bone marrow transplantation in children with primary immunodeficiency using a reduced-intensity conditioning regimenKanchan Rao
Department of Bone Marrow Transplant, Great Ormond Street Hospital, London, United Kingdom
Blood 105:879-85. 2005....
Autologous transplantation of amniotic fluid-derived mesenchymal stem cells into sheep fetusesS W Steven Shaw
Prenatal Cell and Gene Therapy Group, Institute for Women s Health, University College London, London, UK
Cell Transplant 20:1015-31. 2011..Autologous cells derived from AF showed widespread organ migration and could offer an alternative way to ameliorate prenatal congenital disease...
Gene therapy for lympho-hematopoietic disordersAdrian J Thrasher
Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK
Curr Hematol Rep 4:305-9. 2005..Recently, several clinical studies have shown that conventional gene transfer technology can produce major beneficial therapeutic effects...
Autoimmune lymphoproliferative syndrome: molecular basis of disease and clinical phenotypeAusten Worth
Department of Clinical Immunology, Great Ormond Street Hospital NHS Trust, London, UK
Br J Haematol 133:124-40. 2006..This review provides a detailed insight into the pathophysiology of lymphocyte apoptosis and how this relates to the variable and complex clinical manifestations of ALPS...
SAP mediates specific cytotoxic T-cell functions in X-linked lymphoproliferative diseaseReza Sharifi
Molecular Immunology Unit, Institute of Child Health, University College London, London, United Kingdom
Blood 103:3821-7. 2004..These studies demonstrate that in XLP the lack of SAP affects specific signaling pathways resulting in severe disruption of CTL function...
The C76R transmembrane activator and calcium modulator cyclophilin ligand interactor mutation disrupts antibody production and B-cell homeostasis in heterozygous and homozygous miceChiara Bacchelli
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, United Kingdom
J Allergy Clin Immunol 127:1253-9.e13. 2011..5% to 1% of healthy subjects. The contribution of the C104R mutation to the B-cell defects observed in patients with common variable immunodeficiency therefore remains unclear...
Pegademase bovine (PEG-ADA) for the treatment of infants and children with severe combined immunodeficiency (SCID)Claire Booth
Centre for Immunodeficiency, Molecular Immunology Unit, UCL Institute of Child Health, London, UK
Biologics 3:349-58. 2009..We also review the long-term outcome of patients receiving ERT and discuss the role of PEG-ADA in the management of infants and children with ADA-SCID, alongside other therapeutic options...
Gene therapy in primary immunodeficienciesAdrian J Thrasher
Molecular Immunology Unit, Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
Expert Rev Clin Immunol 1:239-45. 2005..New strategies to overcome these issues are likely to establish gene therapy as an efficacious strategy for many forms of primary immunodeficiencies...
Adoptive immunotherapy with allodepleted donor T-cells improves immune reconstitution after haploidentical stem cell transplantationPersis J Amrolia
Department of Bone Marrow Transplantation, Great Ormond St Childrens Hospital, London WC1N 3JH, United Kingdom
Blood 108:1797-808. 2006..These data demonstrate that allodepleted donor T cells can be safely used to improve T-cell recovery after haploidentical SCT and may broaden the applicability of this approach...
Gammaretrovirus-mediated correction of SCID-X1 is associated with skewed vector integration site distribution in vivoKerstin Schwarzwaelder
National Center for Tumor Diseases, German Cancer Research Center, Heidelberg, Germany
J Clin Invest 117:2241-9. 2007....
Abnormal expression of only the CD34 part of a transgenic CD34/herpes simplex virus-thymidine kinase fusion protein is associated with ganciclovir resistanceEmad Bennour
INSERM U645, 25020 Besançon, France
Hum Gene Ther 19:699-709. 2008..This is to our knowledge the first example of a loss of function of a FuProtein, of which one part is still expressed while the other one, suffering a selection pressure, is no longer detectable...
Severe cutaneous papillomavirus disease after haematopoietic stem-cell transplantation in patients with severe combined immunodeficiencyH Bobby Gaspar
Br J Haematol 127:232-3. 2004
Carrier frequency of a nonsense mutation in the adenosine deaminase (ADA) gene implies a high incidence of ADA-deficient severe combined immunodeficiency (SCID) in Somalia and a single, common haplotype indicates common ancestryJuan J Sanchez
Department of Forensic Genetics, Institute of Forensic Medicine, University of Copenhagen, DK 2100 Copenhagen, Denmark
Ann Hum Genet 71:336-47. 2007..ADA-SCID may be a frequent immunodeficiency disorder in Somalia, but will be underdiagnosed due to the prevailing socioeconomic and nutritional deprivation...
Serial transplantation of mismatched donor hematopoietic cells between HLA-identical sibling pairs with congenital immunodeficiency: in vivo tolerance permits rapid immune reconstitution following T-replete transplantation without GVHD in the secondary reJonathan M Cohen
Department of Bone Marrow Transplantation, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, United Kingdom
Blood 108:2124-6. 2006....
