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Stefano B Rivella

Stefano B Rivella

University of Pennsylvania · Rehabilitation Medicine

Active 1990–2024

h-index73
Citations16.7k
Papers401129 last 5y
Funding$14.1M1 active
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About

Stefano B Rivella, PhD, is a Professor of Pediatrics (Hematology) at the University of Pennsylvania's Perelman School of Medicine. He is the leader of the RNA Gene Therapeutics group at The Penn Institute for RNA Innovation. His research focuses on gene therapy approaches for blood disorders, including beta-thalassemia and other hematopoietic stem cell-related conditions. Dr. Rivella has contributed to the development of gene therapy techniques, including lentiviral genomic integrations, to cure blood diseases. His work involves exploring the molecular mechanisms of iron metabolism, erythropoiesis, and the genetic basis of blood disorders, aiming to improve therapeutic strategies for these conditions.

Research topics

  • Medicine
  • Biology
  • Immunology
  • Cell biology
  • Internal medicine
  • Genetics
  • Cancer research
  • Pathology
  • Biochemistry

Selected publications

  • In vivo hematopoietic stem cell modification by mRNA delivery

    Science · 2023 · 297 citations

    • Biology
    • Cell biology
    • Cancer research

    Hematopoietic stem cells (HSCs) are the source of all blood cells over an individual's lifetime. Diseased HSCs can be replaced with gene-engineered or healthy HSCs through HSC transplantation (HSCT). However, current protocols carry major side effects and have limited access. We developed CD117/LNP-messenger RNA (mRNA), a lipid nanoparticle (LNP) that encapsulates mRNA and is targeted to the stem cell factor receptor (CD117) on HSCs. Delivery of the anti-human CD117/LNP-based editing system yielded near-complete correction of hematopoietic sickle cells. Furthermore, in vivo delivery of pro-apoptotic PUMA (p53 up-regulated modulator of apoptosis) mRNA with CD117/LNP affected HSC function and permitted nongenotoxic conditioning for HSCT. The ability to target HSCs in vivo offers a nongenotoxic conditioning regimen for HSCT, and this platform could be the basis of in vivo genome editing to cure genetic disorders, which would abrogate the need for HSCT.

  • Tmprss6-ASO as a tool for the treatment of Polycythemia Vera mice

    PLoS ONE · 2021 · 21 citations

    Senior authorCorresponding
    • Medicine
    • Cancer research
    • Internal medicine

    Polycythemia Vera (PV) is a chronic myeloproliferative neoplasm resulting from an acquired driver mutation in the JAK2 gene of hematopoietic stem and progenitor cells resulting in the overproduction of mature erythrocytes and abnormally high hematocrit, in turn leading to thromboembolic complications. Therapeutic phlebotomy is the most common treatment to reduce the hematocrit levels and consequently decrease thromboembolic risk. Here we demonstrate that, by using the iron restrictive properties of the antisense oligonucleotides against Tmprss6 mRNA, we can increase hepcidin to achieve effects equivalent to therapeutic phlebotomy. We provide evidence that this less invasive approach could represent an additional therapeutic tool for the treatment of PV patients.

  • DNA binding to TLR9 expressed by red blood cells promotes innate immune activation and anemia

    Science Translational Medicine · 2021 · 201 citations

    • Biology
    • Immunology
    • Cell biology

    Red blood cells detect and bind cell-free nucleic acids, contributing to anemia and immune cell activation during acute inflammation.

Recent grants

Frequent coauthors

  • Laura Breda

    University of Chieti-Pescara

    152 shared
  • Carla Casu

    Children's Hospital of Philadelphia

    98 shared
  • Sara Gardenghi

    Children's Hospital of Philadelphia

    77 shared
  • Patricia J. Giardina

    57 shared
  • Amaliris Guerra

    Children's Hospital of Philadelphia

    54 shared
  • Robert W. Grady

    Cornell University

    50 shared
  • Pedro Luiz Ramos

    47 shared
  • Yelena Ginzburg

    Icahn School of Medicine at Mount Sinai

    47 shared

Labs

  • Rivella LabPI

Education

  • Postdoctoral Scientist, Human Genetics

    Memorial Sloan-Kettering Cancer Center

    2002
  • Research Fellow, Genetics

    University of Pavia

    1997
  • B.Sc., Genetics

    University of Pavia

    1990

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