Siriraj Center of Excellence for Stem Cell Research, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Stem Cell Res Ther. 2018 Feb 26;9(1):46. doi: 10.1186/s13287-018-0779-3.
BACKGROUND: Thalassemia is the most common genetic disease worldwide; those with severe disease require lifelong blood transfusion and iron chelation therapy. The definitive cure for thalassemia is allogeneic hematopoietic stem cell transplantation, which is limited due to lack of HLA-matched donors and the risk of post-transplant complications. Induced pluripotent stem cell (iPSC) technology offers prospects for autologous cell-based therapy which could avoid the immunological problems. We now report genetic correction of the beta hemoglobin (HBB) gene in iPSCs derived from a patient with a double heterozygote for hemoglobin E and β-thalassemia (HbE/β-thalassemia), the most common thalassemia syndrome in Thailand and Southeast Asia. METHODS: We used the CRISPR/Cas9 system to target the hemoglobin E mutation from one allele of the HBB gene by homology-directed repair with a single-stranded DNA oligonucleotide template. DNA sequences of the corrected iPSCs were validated by Sanger sequencing. The corrected clones were differentiated into hematopoietic progenitor and erythroid cells to confirm their multilineage differentiation potential and hemoglobin expression. RESULTS: The hemoglobin E mutation of HbE/β-thalassemia iPSCs was seamlessly corrected by the CRISPR/Cas9 system. The corrected clones were differentiated into hematopoietic progenitor cells under feeder-free and OP9 coculture systems. These progenitor cells were further expanded in erythroid liquid culture system and developed into erythroid cells that expressed mature HBB gene and HBB protein. CONCLUSIONS: Our study provides a strategy to correct hemoglobin E mutation in one step and these corrected iPSCs can be differentiated into hematopoietic stem cells to be used for autologous transplantation in patients with HbE/β-thalassemia in the future.
背景:地中海贫血症是全球最常见的遗传性疾病;病情严重者需要终身输血和铁螯合治疗。地中海贫血症的根治方法是异体造血干细胞移植,但由于缺乏 HLA 匹配的供体以及移植后并发症的风险,该方法的应用受到限制。诱导多能干细胞(iPSC)技术为基于自体细胞的治疗提供了前景,可避免免疫问题。我们现在报告了对来自血红蛋白 E 和β-地中海贫血(HbE/β-地中海贫血)双重杂合子患者的 iPSC 中β 珠蛋白(HBB)基因的遗传纠正,HbE/β-地中海贫血是泰国和东南亚最常见的地中海贫血综合征。
方法:我们使用 CRISPR/Cas9 系统通过同源定向修复用单链 DNA 寡核苷酸模板靶向 HBB 基因的一个等位基因中的血红蛋白 E 突变。通过 Sanger 测序验证校正后的 iPSC 的 DNA 序列。校正后的克隆被分化为造血祖细胞和红细胞,以确认其多能分化潜能和血红蛋白表达。
结果:CRISPR/Cas9 系统可无缝校正 HbE/β-地中海贫血症 iPSC 中的血红蛋白 E 突变。校正后的克隆在无饲养细胞和 OP9 共培养系统下分化为造血祖细胞。这些祖细胞在红细胞液体培养系统中进一步扩增,并发育成表达成熟 HBB 基因和 HBB 蛋白的红细胞。
结论:我们的研究提供了一种一步校正血红蛋白 E 突变的策略,这些校正后的 iPSC 可分化为造血干细胞,以便将来用于 HbE/β-地中海贫血症患者的自体移植。
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