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Long-Term Engraftment and Fetal Globin Induction upon BCL11A Gene Editing in Bone-Marrow-Derived CD34+ Hematopoietic Stem and Progenitor Cells.


ABSTRACT: To develop an effective and sustainable cell therapy for sickle cell disease (SCD), we investigated the feasibility of targeted disruption of the BCL11A gene, either within exon 2 or at the GATAA motif in the intronic erythroid-specific enhancer, using zinc finger nucleases in human bone marrow (BM) CD34+ hematopoietic stem and progenitor cells (HSPCs). Both targeting strategies upregulated fetal globin expression in erythroid cells to levels predicted to inhibit hemoglobin S polymerization. However, complete inactivation of BCL11A resulting from bi-allelic frameshift mutations in BCL11A exon 2 adversely affected erythroid enucleation. In contrast, bi-allelic disruption of the GATAA motif in the erythroid enhancer of BCL11A did not negatively impact enucleation. Furthermore, BCL11A exon 2-edited BM-CD34+ cells demonstrated a significantly reduced engraftment potential in immunodeficient mice. Such an adverse effect on HSPC function was not observed upon BCL11A erythroid-enhancer GATAA motif editing, because enhancer-edited CD34+ cells achieved robust long-term engraftment and gave rise to erythroid cells with elevated levels of fetal globin expression when chimeric BM was cultured ex vivo. Altogether, our results support further clinical development of the BCL11A erythroid-specific enhancer editing in BM-CD34+ HSPCs as an autologous stem cell therapy in SCD patients.

SUBMITTER: Chang KH 

PROVIDER: S-EPMC5363298 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Long-Term Engraftment and Fetal Globin Induction upon <i>BCL11A</i> Gene Editing in Bone-Marrow-Derived CD34<sup>+</sup> Hematopoietic Stem and Progenitor Cells.

Chang Kai-Hsin KH   Smith Sarah E SE   Sullivan Timothy T   Chen Kai K   Zhou Qianhe Q   West Jason A JA   Liu Mei M   Liu Yingchun Y   Vieira Benjamin F BF   Sun Chao C   Hong Vu P VP   Zhang Mingxuan M   Yang Xiao X   Reik Andreas A   Urnov Fyodor D FD   Rebar Edward J EJ   Holmes Michael C MC   Danos Olivier O   Jiang Haiyan H   Tan Siyuan S  

Molecular therapy. Methods & clinical development 20170111


To develop an effective and sustainable cell therapy for sickle cell disease (SCD), we investigated the feasibility of targeted disruption of the <i>BCL11A</i> gene, either within exon 2 or at the GATAA motif in the intronic erythroid-specific enhancer, using zinc finger nucleases in human bone marrow (BM) CD34<sup>+</sup> hematopoietic stem and progenitor cells (HSPCs). Both targeting strategies upregulated fetal globin expression in erythroid cells to levels predicted to inhibit hemoglobin S p  ...[more]

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