The
Center is designed to provide a cell and gene therapy resource for the
whole of Baylor College of Medicine and its affiliated hospitals. The
organization of the Center reflects the following proposed functions.
It will provide support from the earliest level of vector development
to preparation of clinical grade materials, and submission of clinical
protocols and INDs. Since advances in three areas will be critical for
most cell or gene therapy strategies, pre-clinical research within the
Center will focus on transgene regulation, vector targeting, and stem
cell biology. In addition, there is a vector development core which
will consist of three investigators and nine additional scientific staff.
This core will work with investigators throughout the institution to
prepare a range of vectors expressing genes of interest. The core will
also be involved in improving the function of currently available vector
systems, and will import newly discovered vector systems and develop
them for clinical use.
The Center is also forming a series of working groups in specific areas
such as ocular gene therapy, neurodegenerative diseases, cardiovascular
diseases, solid tumors, leukemias and lymphomas in order to identify
suitable targets for a cellular and gene therapy approach. These small
groups are composed of 6-8 individuals from basic science departments
such as Genetics, from relevant clinical science departments such as
Cardiovascular Medicine and from the Cell and Gene Therapy Center itself.
Other relevant individuals may be brought in on an ad hoc basis. The
intent of these working parties is to identify candidate genes and diseases
that will be amenable to currently available technologies in cell and
gene therapy, and to provide a scheme of experimental development to
allow pre-clinical observations to evolve into clinical trials. These
working parties are also responsible for identifying resource requirements
and for the appointment of support staff and/or provision of equipment
and reagents for the relevant investigators.
While
scientists may be appointed directly to the Center with an academic
appointment in a relevant pre-clinical or clinical department, we can
also offer partial salary support to scientists who are working on gene
therapy related projects in other departments. We also support technical
staff and post-doctoral fellows working with such investigators outside
the Center. Hence, the Center has considerable flexibility in the way
its resources are used for the institution. The working groups overall
are coordinated by Dr. Brenner, the director of the Center for Cell
and Gene Therapy, who works with his executive committee containing
representatives from major pre-clinical and clinical departments.
Once an appropriate clinical target has been identified and the pre-clinical
studies have been completed, the Center contributes to the clinical
protocols by providing expertise from its Protocol Development Core
in developing clinical protocols that will be acceptable to the institutional
and federal regulatory authorities, including the Recombinant DNA Advisory
committee and the Food and Drug Administration. Thus, clinical investigators
with no previous experience in gene therapy can be assisted by a team
that has successfully submitted over 25 successful INDs in the field.
Finally, when the gene therapy protocols have been approved, the Good
Manufacturing Protocols (GMP) core works with the principal investigator
to prepare the vectors and cells for infusion. The treatment itself
can be carried out in the investigator's own inpatient facility or in
the stem cell transplant unit at Texas Children's Hospital or The Methodist
Hospital, as appropriate. These stem cell transplant units will be particularly
valuable for studies which require isolation of the treated individual
or in which infusions of large cell numbers with subsequent monitoring
are part of the protocol.
Research and training programs based in the Center for Cell and Gene
Therapy provide postdoctoral training for MD, MD/PhD, and PhD fellows.
The faculty are interested in and committed to the teaching and laboratory
instruction of postdoctoral trainees. Strong support comes from the
Center for both the financial and philosophical aspects of postdoctoral
study in recognition of the importance of developing the next generation
of research scientists.
The research interests of the faculty span areas such as hematopoiesis,
stem cell biology, hemopoietic stem cell transplantation, gene therapy,
immunotherapy, and vector development. Numerous collaborations and interactions
exist among the faculty members of the Center, and with faculty members
from other departments at the College. The environment at Baylor College
of Medicine, and the Texas Medical Center as a whole, is one that fosters
joint efforts between researchers involved in both basic and clinical
research programs.