Q1 · MEDICINE
Article
Author: Rettig, Garrett R ; Sheehan, Vivien A ; Bode, Nicole M ; Dever, Daniel P ; Kurgan, Gavin ; Collingwood, Michael A ; Uchida, Naoya ; Camarena, Joab ; Ponce, Ezequiel ; Porteus, Matthew H ; Zhao, Feifei ; Bak, Rasmus O ; Majeti, Ravindra ; Cromer, M Kyle ; Martin, Renata M ; Behlke, Mark A ; Lemgart, Viktor T ; Zhang, Yankai ; Goyal, Ankush ; Vakulskas, Christopher A ; Tisdale, John F ; Srifa, Waracharee ; Lesch, Benjamin J
β-Thalassemia pathology is due not only to loss of β-globin (HBB), but also to erythrotoxic accumulation and aggregation of the β-globin-binding partner, α-globin (HBA1/2). Here we describe a Cas9/AAV6-mediated genome editing strategy that can replace the entire HBA1 gene with a full-length HBB transgene in β-thalassemia-derived hematopoietic stem and progenitor cells (HSPCs), which is sufficient to normalize β-globin:α-globin messenger RNA and protein ratios and restore functional adult hemoglobin tetramers in patient-derived red blood cells. Edited HSPCs were capable of long-term and bilineage hematopoietic reconstitution in mice, establishing proof of concept for replacement of HBA1 with HBB as a novel therapeutic strategy for curing β-thalassemia.