Genome editing strategies for fetal hemoglobin induction in beta-hemoglobinopathies.

Abstract:

:Genome editing to correct a defective β-globin gene or induce fetal globin (HbF) for patients with beta-hemoglobinopathies has the potential to be a curative strategy available to all. HbF reactivation has long been an area of intense interest given the HbF inhibition of sickle hemoglobin (HbS) polymerization. Patients with HbS who also have high HbF tend to have less severe or even minimal clinical manifestations. Approaches to genetically engineer high HbF include de novo generation of naturally occurring hereditary persistence of fetal hemoglobin (HPFH) mutations, editing of transcriptional HbF repressors or their binding sites and/or regulating epigenetic intermediates controlling HbF expression. Recent preclinical and early clinical trial data show encouraging results; however, long-term follow-up is lacking, and the safety and efficacy concerns of genome editing remain.

journal_name

Hum Mol Genet

journal_title

Human molecular genetics

authors

Demirci S,Leonard A,Tisdale JF

doi

10.1093/hmg/ddaa088

subject

Has Abstract

pub_date

2020-09-30 00:00:00

pages

R100-R106

issue

R1

eissn

0964-6906

issn

1460-2083

pii

5836961

journal_volume

29

pub_type

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