
Stefano B Rivella
University of Pennsylvania · Rehabilitation Medicine
Active 1990–2024
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
Regulatory Role of Transferrin in Erythropoiesis and Iron Metabolism
NIH · $5.4M · 2012–2027
NIH · $326k · 2007
Activin signaling in normal and disordered erythropoiesis
NIH · $5.2M · 2010–2023
NIH · $457k · 2009
NIH · $667k · 2010
Frequent coauthors
- 152 shared
Laura Breda
University of Chieti-Pescara
- 98 shared
Carla Casu
Children's Hospital of Philadelphia
- 77 shared
Sara Gardenghi
Children's Hospital of Philadelphia
- 57 shared
Patricia J. Giardina
- 54 shared
Amaliris Guerra
Children's Hospital of Philadelphia
- 50 shared
Robert W. Grady
Cornell University
- 47 shared
Pedro Luiz Ramos
- 47 shared
Yelena Ginzburg
Icahn School of Medicine at Mount Sinai
Labs
Rivella LabPI
Education
- 2002
Postdoctoral Scientist, Human Genetics
Memorial Sloan-Kettering Cancer Center
- 1997
Research Fellow, Genetics
University of Pavia
- 1990
B.Sc., Genetics
University of Pavia
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