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编辑 γ-珠蛋白抑制因子结合位点可恢复胎儿血红蛋白合成并纠正镰状细胞病表型。

Editing a γ-globin repressor binding site restores fetal hemoglobin synthesis and corrects the sickle cell disease phenotype.

机构信息

Laboratory of Human Lymphohematopoiesis, INSERM UMR1163, Paris, France.

Paris Diderot University-Sorbonne Paris Cité, Paris, France.

出版信息

Sci Adv. 2020 Feb 12;6(7). doi: 10.1126/sciadv.aay9392. Print 2020 Feb.

Abstract

Sickle cell disease (SCD) is caused by a single amino acid change in the adult hemoglobin (Hb) β chain that causes Hb polymerization and red blood cell (RBC) sickling. The co-inheritance of mutations causing fetal γ-globin production in adult life hereditary persistence of fetal Hb (HPFH) reduces the clinical severity of SCD. HPFH mutations in the γ-globin promoters disrupt binding sites for the repressors BCL11A and LRF. We used CRISPR-Cas9 to mimic HPFH mutations in the promoters by generating insertions and deletions, leading to disruption of known and putative repressor binding sites. Editing of the LRF-binding site in patient-derived hematopoietic stem/progenitor cells (HSPCs) resulted in γ-globin derepression and correction of the sickling phenotype. Xenotransplantation of HSPCs treated with gRNAs targeting the LRF-binding site showed a high editing efficiency in repopulating HSPCs. This study identifies the LRF-binding site as a potent target for genome-editing treatment of SCD.

摘要

镰状细胞病(SCD)是由成人血红蛋白(Hb)β链中的单个氨基酸变化引起的,导致 Hb 聚合和红细胞(RBC)镰变。导致成人中胎儿γ珠蛋白产生的突变的共同遗传 遗传性胎儿血红蛋白持续存在(HPFH)降低了 SCD 的临床严重程度。γ珠蛋白启动子中的 HPFH 突变破坏了抑制因子 BCL11A 和 LRF 的结合位点。我们使用 CRISPR-Cas9 通过产生插入和缺失来模拟启动子中的 HPFH 突变,从而破坏已知和假定的抑制因子结合位点。在患者来源的造血干细胞/祖细胞(HSPC)中编辑 LRF 结合位点导致 γ 珠蛋白去抑制和镰变表型的纠正。针对 LRF 结合位点的 gRNA 处理的 HSPC 的异种移植显示出在重 populate HSPC 中具有高编辑效率。这项研究确定了 LRF 结合位点作为 SCD 基因组编辑治疗的有效靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2344/7015694/237099a51747/aay9392-F1.jpg

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