Dai Yan, Chen Tyngwei, Ijaz Heba, Cho Elizabeth H, Steinberg Martin H
Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, 02118.
Am J Hematol. 2017 Nov;92(11):1177-1186. doi: 10.1002/ajh.24879. Epub 2017 Aug 28.
High fetal hemoglobin (HbF, α γ ) levels ameliorate the clinical manifestations of sickle cell disease and β thalassemia. The mechanisms that repress HbF expression and silence γ-globin genes in adults are incompletely characterized and only a single HbF inducer, hydroxyurea, is approved for treatment, and only in patients with sickle cell disease. We identified SIRT1, a protein deacetylase, as a new inducer of γ-globin. SIRT1 knockdown decreased, while SIRT1 ectopic expression upregulated γ-globin gene (HBG) expression in primary human erythroid cells and in K562 cells. The small molecule SIRT1 activators SRT2104 and SRT1720 enhanced HBG expression in cord blood human erythroblasts and reactivated silenced HBG in adult human erythroblasts. Furthermore, SIRT1 binds in the β-globin gene cluster locus control region (LCR) and HBG promoters, promotes the looping of the LCR to HBG promoter, and increases the binding of RNA polymerase II and H4K16Ac in the HBG promoter. SIRT1 suppressed the expression of the HBG suppressors BCL11A, KLF1, HDAC1 and HDAC2. Lastly, SIRT1 did not change the proliferation of human erythroid progenitor cells or the expression of differentiation marker CD235a. These data suggest that SIRT1 activates HBG expression through facilitating LCR looping to the HBG promoter, inhibiting the expression of transcriptional suppressors of HBG, and indirectly increasing histone acetylation in the HBG promoter. SIRT1 is a potential therapeutic target for γ-globin gene induction, and small molecule SIRT1 activators might serve as a lead compound for the development of new HbF inducers.
高胎儿血红蛋白(HbF,α₂γ₂)水平可改善镰状细胞病和β地中海贫血的临床表现。在成年人中,抑制HbF表达并使γ珠蛋白基因沉默的机制尚未完全明确,目前仅有单一的HbF诱导剂羟基脲被批准用于治疗,且仅适用于镰状细胞病患者。我们发现蛋白质脱乙酰酶SIRT1是γ珠蛋白的一种新诱导剂。在原代人红细胞和K562细胞中,敲低SIRT1会降低γ珠蛋白基因(HBG)的表达,而异位表达SIRT1则会上调其表达。小分子SIRT1激活剂SRT2104和SRT1720可增强脐血人成红细胞中的HBG表达,并重新激活成人成红细胞中沉默的HBG。此外,SIRT1结合在β珠蛋白基因簇的基因座控制区(LCR)和HBG启动子上,促进LCR与HBG启动子的环化,并增加RNA聚合酶II和H4K16Ac在HBG启动子上的结合。SIRT1抑制了HBG抑制因子BCL11A、KLF1、HDAC1和HDAC2的表达。最后,SIRT1不会改变人红细胞祖细胞的增殖或分化标志物CD235a的表达。这些数据表明,SIRT1通过促进LCR与HBG启动子的环化、抑制HBG转录抑制因子的表达以及间接增加HBG启动子中的组蛋白乙酰化来激活HBG表达。SIRT1是γ珠蛋白基因诱导的潜在治疗靶点,小分子SIRT1激活剂可能成为开发新型HbF诱导剂的先导化合物。