Department of Medical Genetics, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China.
Guangdong Engineering and Technology Research Center for Molecular Diagnostics of Human Genetic Diseases, Guangzhou, Guangdong, China.
Br J Haematol. 2021 Jun;193(6):1220-1227. doi: 10.1111/bjh.17511. Epub 2021 May 17.
Reactivation of fetal haemoglobin (HbF) expression is an effective way to treat β-thalassaemia and sickle cell anaemia. In the present study, we identified a novel GATA zinc finger domain-containing protein 2A (GATAD2A) mutation, which contributed to the elevation of HbF and ameliorated clinical severity in a patient with β-thalassaemia, by targeted next-generation sequencing. Knockout of GATAD2A led to a significant induction of HbF in both human umbilical cord blood-derived erythroid progenitor-2 (HUDEP-2) and human cluster of differentiation (CD)34 cells with a detectable impact on erythroid differentiation. Furthermore, heterozygous knockout of GATAD2A impaired recruitment of chromodomain helicase DNA-binding protein 4 (CHD4) to the methyl-binding domain protein 2 (MBD2)-containing nucleosome remodelling and deacetylation (NuRD) complex. Our present data suggest that mutations causing the haploinsufficiency of GATAD2A might contribute to amelioration of clinical severity in patients with β-thalassaemia.
胎儿血红蛋白 (HbF) 的表达再激活是治疗β-地中海贫血和镰状细胞贫血的有效方法。在本研究中,我们通过靶向下一代测序鉴定了一种新的 GATA 锌指结构域包含蛋白 2A (GATAD2A) 突变,该突变导致β-地中海贫血患者 HbF 升高,并改善了临床严重程度。GATAD2A 的敲除导致人脐带血衍生红系祖细胞-2 (HUDEP-2) 和人 CD34 细胞中 HbF 的显著诱导,对红细胞分化有明显影响。此外,GATAD2A 的杂合敲除会损害染色质解旋酶 DNA 结合蛋白 4 (CHD4) 向含有甲基结合域蛋白 2 (MBD2) 的核小体重塑和去乙酰化 (NuRD) 复合物的募集。我们目前的数据表明,导致 GATAD2A 单倍体不足的突变可能有助于改善β-地中海贫血患者的临床严重程度。
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