Hong Wei-Cong, Fang Jian-Pei, Xu Lyu-Hong
Department of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510000, Guangdong Province, China.
Department of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510000, Guangdong Province, China E-mail:
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2021 Oct;29(5):1676-1679. doi: 10.19746/j.cnki.issn.1009-2137.2021.05.050.
β-thalassemia is a monogenetic inherited hemolytic anemia, which results in a series of pathophysiological changes due to partial or complete inhibition of the synthesis of β-globin chain. The curative therapy for this disease is to reconstitute hematopoiesis, and transplantation with genetically modified autologous hematopoietic stem cells can avoid the major difficulties of traditional allogeneic hematopoietic stem cell transplantation,such as HLA matching and immune rejection. β-thalassemia gene therapy strategies mainly include gene integration and genome editing. The former relies on the development of lentiviral vectors and adds a fully functional HBB gene to the chromosome; the latter rapidly develops with the research of specific nuclease which can repair the HBB gene in situ. In this review, the latest progress of the two strategies in gene therapy of β-thalassemia is summarized.
β地中海贫血是一种单基因遗传性溶血性贫血,由于β珠蛋白链合成部分或完全受到抑制,从而导致一系列病理生理变化。该疾病的治愈性疗法是重建造血功能,而经基因改造的自体造血干细胞移植可避免传统异基因造血干细胞移植的主要难题,如人类白细胞抗原(HLA)匹配和免疫排斥反应。β地中海贫血基因治疗策略主要包括基因整合和基因组编辑。前者依赖于慢病毒载体的发展,并将一个功能完整的HBB基因添加到染色体中;后者随着能够原位修复HBB基因的特异性核酸酶的研究而迅速发展。在本综述中,总结了这两种策略在β地中海贫血基因治疗中的最新进展。