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MUNC13.4-CD34 is an ex vivo gene therapy consisting of autologous CD34+ hematopoietic stem cells (HSCs) transduced with a lentiviral vector carrying a functional human UNC13D gene. Developed by Assistance Publique - Hôpitaux de Paris (AP-HP), this therapy is specifically designed to treat familial hemophagocytic lymphohistiocytosis type 3 (FHL3). FHL3 is a rare, life-threatening immune disorder caused by mutations in the UNC13D gene, which lead to a deficiency in the Munc13-4 protein. This protein is essential for the priming and fusion of lytic granules in cytotoxic T lymphocytes (CTLs) and natural killer (NK) cells. By restoring Munc13-4 expression in the hematopoietic lineage, the therapy aims to normalize the degranulation capacity of immune cells, thereby preventing the uncontrolled immune activation and hyperinflammatory cytokine storm characteristic of the disease.
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