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

Identification of novel HPFH-like mutations by CRISPR base editing that elevate the expression of fetal hemoglobin.

Publication Type

Research Support, Non-U.S. Gov't

Date of Publication

February 11, 2022

Journal

eLife

Volume/Issue

11

ISSN

2050-084X

Naturally occurring point mutations in the promoter switch hemoglobin synthesis from defective adult beta-globin to fetal gamma-globin in sickle cell patients with hereditary persistence of fetal hemoglobin (HPFH) and ameliorate the clinical severity. Inspired by this natural phenomenon, we tiled the highly homologous proximal promoters using adenine and cytosine base editors that avoid the generation of large deletions and identified novel regulatory regions including a cluster at the -123 region. Base editing at -123 and -124 bp of promoter induced fetal hemoglobin (HbF) to a higher level than disruption of well-known BCL11A binding site in erythroblasts derived from human CD34+ hematopoietic stem and progenitor cells (HSPC). We further demonstrated in vitro that the introduction of -123T > C and -124T > C HPFH-like mutations drives gamma-globin expression by creating a de novo binding site for KLF1. Overall, our findings shed light on so far unknown regulatory elements within the promoter and identified additional targets for therapeutic upregulation of fetal hemoglobin.

Alternate Journal

Elife

PubMed ID

35147495

PubMed Central ID

PMC8865852

Authors

Nithin Sam Ravi
Beeke Wienert
Stacia K Wyman
Henry William Bell
Anila George
Gokulnath Mahalingam
Jonathan T Vu
Kirti Prasad
Bhanu Prasad Bandlamudi
Nivedhitha Devaraju
Vignesh Rajendiran
Nazar Syedbasha
Aswin Anand Pai
Yukio Nakamura
Ryo Kurita
Muthuraman Narayanasamy
Poonkuzhali Balasubramanian
Saravanabhavan Thangavel
Srujan Marepally
Shaji R Velayudhan
Alok Srivastava
Mark A DeWitt
Merlin Crossley
Jacob E Corn
Kumarasamypet M Mohankumar

Keywords

CRISPR-Cas Systems
Cytosine
Fetal Hemoglobin
Point Mutation
Gene Editing
beta-Globins
Promoter Regions, Genetic
gamma-Globins
beta-Thalassemia
Anemia, Sickle Cell
Cell Line
Hematopoietic Stem Cells
Clustered Regularly Interspaced Short Palindromic Repeats
Humans
Adenine