Department of Biotechnology
inStem (Institute for Stem Cell Science and Regenerative Medicine)

Editing the core region in HPFH deletions alters fetal and adult globin expression for treatment of β-hemoglobinopathies.

Publication Type

Journal Article

Date of Publication

June 13, 2023

Journal

Molecular therapy. Nucleic acids

Volume/Issue

32

ISSN

2162-2531

Reactivation of fetal hemoglobin (HbF) is a commonly adapted strategy to ameliorate β-hemoglobinopathies. However, the continued production of defective adult hemoglobin (HbA) limits HbF tetramer production affecting the therapeutic benefits. Here, we evaluated deletional hereditary persistence of fetal hemoglobin (HPFH) mutations and identified an 11-kb sequence, encompassing putative repressor region (PRR) to β-globin exon-1 (βE1), as the core deletion that ablates HbA and exhibits superior HbF production compared with HPFH or other well-established targets. PRR-βE1-edited hematopoietic stem and progenitor cells (HSPCs) retained their genome integrity and their engraftment potential to repopulate for long-term hematopoiesis in immunocompromised mice producing HbF positive cells . Furthermore, PRR-βE1 gene editing is feasible without HSPC culture. Importantly, the editing induced therapeutically significant levels of HbF to reverse the phenotypes of both sickle cell disease and β-thalassemia major. These findings imply that PRR-βE1 gene editing of patient HSPCs could lead to improved therapeutic outcomes for β-hemoglobinopathy gene therapy.

Alternate Journal

Mol Ther Nucleic Acids

PubMed ID

37215154

PubMed Central ID

PMC10197010

Authors

Vigneshwaran Venkatesan
Abisha Crystal Christopher
Manuel Rhiel
Manoj Kumar K Azhagiri
Prathibha Babu
Kaivalya Walavalkar
Bharath Saravanan
Geoffroy Andrieux
Sumathi Rangaraj
Saranya Srinivasan
Karthik V Karuppusamy
Annlin Jacob
Abhirup Bagchi
Aswin Anand Pai
Yukio Nakamura
Ryo Kurita
Poonkuzhali Balasubramanian
Rekha Pai
Srujan Kumar Marepally
Kumarasamypet Murugesan Mohankumar
Shaji R Velayudhan
Melanie Boerries
Dimple Notani
Toni Cathomen
Alok Srivastava
Saravanabhavan Thangavel