Evidence map›Paper›PMID 20676099›Full record

ArticleNature genetics2010

Haploinsufficiency for the erythroid transcription factor KLF1 causes hereditary persistence of fetal hemoglobin.

Joseph Borg, Petros Papadopoulos, Marianthi Georgitsi, Laura Gutiérrez, Godfrey Grech, Pavlos Fanis, Marios Phylactides, Annemieke J M H Verkerk, Peter J van der Spek, Christian A Scerri and 12 more

3 registry-linked trialsOpen access · greenAbstract readCase Reports
In one paragraph

Article in Nature genetics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 208 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 2 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04432623 phase1 / phase2enrolling by invitationnot on this mapstarted 2020, after this paper: background citation

A Phase 1b Sequential Open Label Dose-Ranging Study of Safety, Pharmacokinetics, and Preliminary Activity of Benserazide in Subjects With Beta Thalassemia Intermedia and Sickle Cell Disease

TypeinterventionalSponsorPhoenicia BioScienceRan2020 to 2026Enrolled36ConditionsBeta Thalassemia Intermedia, Sickle Cell DiseaseArmsBenserazide Only Product
NCT06433570 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Detection of Krupple Like Factor -1(KLF1/ EKLF) DNA Mutations in Beta Thalassemia Patients

TypeobservationalSponsorAssiut UniversityRan2024 to 2027Enrolled100ConditionsEKLF Mutations in Beta Thalassemia PatientsArmsmultiplex PCR
NCT06440603 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Erythroid Krüppel Like Factor (EKLF) Gene Expression in β-thalassemia Patients

TypeobservationalSponsorRofaida Hassan AhmedRan2024 to 2027Enrolled150Conditionsβ-thalassemiaArmsPCR
3 · Its place in the literature

Who cites it

208 citing papers in PubMed, 2 syntheses or guidelines pooled it, 372 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
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  6. New Gene Therapy Strategy for β-Thalassemia.Stem cell reviews and reports · 2026
    Review
  7. Article
  8. Article
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  13. Article
  14. Frontiers in pediatrics · 2026
    Article
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148 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 5 countries.

Joseph BorgLaboratory of Molecular Genetics, Department of Physiology and Biochemistry, University of Malta, Msida, Malta.
Petros Papadopoulos
Marianthi Georgitsi
Laura Gutiérrez
Godfrey Grech
Pavlos Fanis
Marios Phylactides
Annemieke J M H Verkerk
Peter J van der Spek
Christian A Scerri
Wilhelmina Cassar
Ruth Galdies
Wilfred van Ijcken
Zeliha Ozgür
Nynke Gillemans
Jun Hou
Marisa Bugeja
Frank G Grosveld
Marieke von Lindern
Alex E Felice
George P Patrinos
Sjaak Philipsen
Erasmus MC · NLErasmus University Rotterdam · NLUniversity of Malta · MTMater Dei Hospital · MTUniversity of Patras · GRCyprus Institute of Neurology and Genetics · CYNetherlands Consortium for Healthy Ageing · NL

Funding

Molecular basis of human gamma-globin gene activation.R01HL073455 · NHLBI · ERASMUS MEDICAL CENTER · PI GROSVELD, FRANKLIN G · 2003 to 2006
$859k
NHLBI NIH HHS R01 HL073455NHLBI NIH HHS R01-HL073455
6 · The paper itself

Abstract

Hereditary persistence of fetal hemoglobin (HPFH) is characterized by persistent high levels of fetal hemoglobin (HbF) in adults. Several contributory factors, both genetic and environmental, have been identified but others remain elusive. HPFH was found in 10 of 27 members from a Maltese family. We used a genome-wide SNP scan followed by linkage analysis to identify a candidate region on chromosome 19p13.12-13. Sequencing revealed a nonsense mutation in the KLF1 gene, p.K288X, which ablated the DNA-binding domain of this key erythroid transcriptional regulator. Only family members with HPFH were heterozygous carriers of this mutation. Expression profiling on primary erythroid progenitors showed that KLF1 target genes were downregulated in samples from individuals with HPFH. Functional assays suggested that, in addition to its established role in regulating adult globin expression, KLF1 is a key activator of the BCL11A gene, which encodes a suppressor of HbF expression. These observations provide a rationale for the effects of KLF1 haploinsufficiency on HbF levels.

Indexed as

AdultCells, CulturedErythropoiesisFamilyFemaleFetal HemoglobinGene Expression Regulation, DevelopmentalGenetic Diseases, InbornHumansKruppel-Like Transcription FactorsLoss of HeterozygosityMalePedigreeTranscription FactorsTransfectionerythroid Kruppel-like factorFetal HemoglobinKruppel-Like Transcription FactorsTranscription Factors

Identifiers

PMID20676099
PMCPMC2930131
OpenAlexW2155119455

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.