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羟基脲对镰状细胞病基因治疗中用于造血祖细胞动员的小鼠骨髓和外周血的影响。

Effect of voxelotor on murine bone marrow and peripheral blood with hematopoietic progenitor cell mobilization for gene therapy of sickle cell disease.

作者信息

Mendelson Avital, Liu Yunfeng, Bao Weili, Shi Patricia A

机构信息

Laboratory of Stem Cell Biology and Engineering, New York Blood Center, New York, NY, USA.

Laboratory of Complement Biology, New York Blood Center, New York, NY, USA.

出版信息

Blood Cells Mol Dis. 2024 Mar;105:102824. doi: 10.1016/j.bcmd.2024.102824. Epub 2024 Jan 19.

DOI:10.1016/j.bcmd.2024.102824
PMID:38262104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11032021/
Abstract

In preparation for hematopoietic stem cell mobilization and collection, current ex vivo gene therapy protocols for sickle cell disease require patients to undergo several months of chronic red cell transfusion. For health care equity, alternatives to red cell transfusion should be available. We examined whether treatment with GBT1118, the murine analog of voxelotor, could be a safe and feasible alternative to red cell transfusion. We found that 3 weeks of treatment with GBT1118 increased the percentage of bone marrow hematopoietic stem cells and upon plerixafor mobilization, the percentage of peripheral blood hematopoietic stem cells. Our data suggest that voxelotor should be further explored for its potential safety and utility as preparation for hematopoietic stem cell mobilization and collection.

摘要

在为造血干细胞动员和采集做准备时,目前用于镰状细胞病的体外基因治疗方案要求患者接受数月的慢性红细胞输血。为了实现医疗公平,应该有红细胞输血的替代方案。我们研究了伏索利特的鼠类类似物GBT1118治疗是否可以作为红细胞输血的一种安全可行的替代方案。我们发现,用GBT1118治疗3周可提高骨髓造血干细胞的百分比,并且在使用普乐沙福进行动员后,外周血造血干细胞的百分比也会提高。我们的数据表明,应进一步探索伏索利特在造血干细胞动员和采集准备方面的潜在安全性和实用性。

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1
Effect of voxelotor on murine bone marrow and peripheral blood with hematopoietic progenitor cell mobilization for gene therapy of sickle cell disease.羟基脲对镰状细胞病基因治疗中用于造血祖细胞动员的小鼠骨髓和外周血的影响。
Blood Cells Mol Dis. 2024 Mar;105:102824. doi: 10.1016/j.bcmd.2024.102824. Epub 2024 Jan 19.
2
No evidence for cell activation or brain vaso-occlusion with plerixafor mobilization in sickle cell mice.在镰状细胞小鼠中,没有证据表明普乐沙福动员会导致细胞活化或脑血管闭塞。
Blood Cells Mol Dis. 2016 Mar;57:67-70. doi: 10.1016/j.bcmd.2015.12.008. Epub 2015 Dec 21.
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J Clin Invest. 2025 Feb 27;135(8). doi: 10.1172/JCI189801. eCollection 2025 Apr 15.
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Modulation of the allosteric and vasoregulatory arms of erythrocytic oxygen transport.红细胞氧运输的变构和血管调节机制的调节。

本文引用的文献

1
CRISPR-Cas9 Editing of the and Promoters to Treat Sickle Cell Disease.CRISPR-Cas9 编辑 和 启动子以治疗镰状细胞病。
N Engl J Med. 2023 Aug 31;389(9):820-832. doi: 10.1056/NEJMoa2215643.
2
Managing Sickle Cell Disease in Patients for Whom Blood Transfusion Is Not an Option.镰状细胞病患者的管理,对于那些不适合输血的患者。
Hematol Oncol Stem Cell Ther. 2023 Apr 4;16(3):254-261. doi: 10.56875/2589-0646.1044.
3
Model-informed drug development of voxelotor in sickle cell disease: Exposure-response analysis to support dosing and confirm mechanism of action.
Front Physiol. 2024 Jun 10;15:1394650. doi: 10.3389/fphys.2024.1394650. eCollection 2024.
基于模型的罗沙司他治疗镰状细胞病的药物研发:暴露-反应分析以支持剂量选择并确认作用机制。
CPT Pharmacometrics Syst Pharmacol. 2022 Jun;11(6):698-710. doi: 10.1002/psp4.12780. Epub 2022 Apr 21.
4
Biologic and Clinical Efficacy of LentiGlobin for Sickle Cell Disease.慢病毒载体基因疗法 LentiGlobin 治疗镰状细胞病的生物学和临床疗效。
N Engl J Med. 2022 Feb 17;386(7):617-628. doi: 10.1056/NEJMoa2117175. Epub 2021 Dec 12.
5
Murine bone marrow mesenchymal stromal cells have reduced hematopoietic maintenance ability in sickle cell disease.鼠骨髓间充质基质细胞在镰状细胞病中造血维持能力降低。
Blood. 2021 Dec 16;138(24):2570-2582. doi: 10.1182/blood.2021012663.
6
Biomarkers of clinical severity in treated and untreated sickle cell disease: a comparison by genotypes of a single center cohort and African Americans in the NHANES study.治疗和未治疗镰状细胞病的临床严重程度的生物标志物:单中心队列和 NHANES 研究中非裔美国人的基因型比较。
Br J Haematol. 2021 Aug;194(4):767-778. doi: 10.1111/bjh.17682. Epub 2021 Jul 15.
7
Increased hemoglobin affinity for oxygen with GBT1118 improves hypoxia tolerance in sickle cell mice.GBT1118 增加血红蛋白对氧气的亲和力可提高镰状细胞小鼠的缺氧耐受力。
Am J Physiol Heart Circ Physiol. 2021 Aug 1;321(2):H400-H411. doi: 10.1152/ajpheart.00048.2021. Epub 2021 Jul 2.
8
Treatment of sickle cell disease by increasing oxygen affinity of hemoglobin.通过提高血红蛋白的氧亲和力来治疗镰状细胞病。
Blood. 2021 Sep 30;138(13):1172-1181. doi: 10.1182/blood.2021012070.
9
Post-Transcriptional Genetic Silencing of to Treat Sickle Cell Disease.用 治疗镰状细胞病的转录后基因沉默。
N Engl J Med. 2021 Jan 21;384(3):205-215. doi: 10.1056/NEJMoa2029392. Epub 2020 Dec 5.
10
CRISPR-Cas9 Gene Editing for Sickle Cell Disease and β-Thalassemia.CRISPR-Cas9 基因编辑治疗镰状细胞病和 β-地中海贫血。
N Engl J Med. 2021 Jan 21;384(3):252-260. doi: 10.1056/NEJMoa2031054. Epub 2020 Dec 5.