Evidence map›Paper›PMID 27525524›Full record

ArticleNature medicine2016

A genome-editing strategy to treat β-hemoglobinopathies that recapitulates a mutation associated with a benign genetic condition.

Elizabeth A Traxler, Yu Yao, Yong-Dong Wang, Kaitly J Woodard, Ryo Kurita, Yukio Nakamura, Jim R Hughes, Ross C Hardison, Gerd A Blobel, Chunliang Li and 1 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 213 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
213citing papers in PubMed, 1 pooled it
24.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

213 citing papers in PubMed, 1 synthesis or guideline pooled it, 378 citations in OpenAlex.

  1. Pooled it
  2. CRISPR-Cas9 Editing of theThe New England journal of medicine · 2023
    Trial
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  11. Nonclinical evaluation of renizgamglogene autogedtemcel for SCD and TDT.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
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153 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Elizabeth A TraxlerDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Yu YaoDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Yong-Dong WangDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0001-8751-9216
Kaitly J WoodardDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Ryo KuritaCell Engineering Division, RIKEN BioResource Center, Tsukuba, Japan.
Yukio NakamuraCell Engineering Division, RIKEN BioResource Center, Tsukuba, Japan.
Jim R HughesMedical Research Council, Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, Oxford University, Oxford, UK.
Ross C HardisonDepartment of Biochemistry and Molecular Biology, Pennsylvania State University, University Park, Pennsylvania, USA.ORCID 0000-0003-4084-7516
Gerd A BlobelDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Chunliang LiDepartment of Tumor Cell Biology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Mitchell J WeissDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0002-6734-4858
St. Jude Children's Research Hospital · USChildren's Hospital of Philadelphia · USPennsylvania State University · USRIKEN BioResource Research Center · JPUniversity of Oxford · GBUniversity of Tsukuba · JP

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Regulation of Hemoglobin SwitchingR01HL119479 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Gerd A Blobel · 2013 to 2026
$8.0M
VISION: ValIdated Systematic IntegratiON of epigenomic dataR24DK106766 · NIDDK · PENNSYLVANIA STATE UNIVERSITY, THE · PI BLOBEL, GERD A, BODINE, DAVID M. · 2016 to 2020
$6.2M
Global Predictions and Tests of Hematopoietic RegulationR56DK065806 · NIDDK · PENNSYLVANIA STATE UNIVERSITY, THE · PI BLOBEL, GERD A, BODINE, DAVID M. · 2014 to 2014
$224k
Determining the function of Trim58 in terminal erythropoiesisF30DK102291 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TRAXLER, ELIZABETH · 2014 to 2016
$123k
Medical Research Council MC_UU_12009/15NCI NIH HHS P30 CA021765NHLBI NIH HHS R01 HL119479NIDDK NIH HHS F30 DK102291NIDDK NIH HHS R24 DK106766NIDDK NIH HHS R56 DK065806
6 · The paper itself

Abstract

Disorders resulting from mutations in the hemoglobin subunit beta gene (HBB; which encodes β-globin), mainly sickle cell disease (SCD) and β-thalassemia, become symptomatic postnatally as fetal γ-globin expression from two paralogous genes, hemoglobin subunit gamma 1 (HBG1) and HBG2, decreases and adult β-globin expression increases, thereby shifting red blood cell (RBC) hemoglobin from the fetal (referred to as HbF or α2γ2) to adult (referred to as HbA or α2β2) form. These disorders are alleviated when postnatal expression of fetal γ-globin is maintained. For example, in hereditary persistence of fetal hemoglobin (HPFH), a benign genetic condition, mutations attenuate γ-globin-to-β-globin switching, causing high-level HbF expression throughout life. Co-inheritance of HPFH with β-thalassemia- or SCD-associated gene mutations alleviates their clinical manifestations. Here we performed CRISPR-Cas9-mediated genome editing of human blood progenitors to mutate a 13-nt sequence that is present in the promoters of the HBG1 and HBG2 genes, thereby recapitulating a naturally occurring HPFH-associated mutation. Edited progenitors produced RBCs with increased HbF levels that were sufficient to inhibit the pathological hypoxia-induced RBC morphology found in SCD. Our findings identify a potential DNA target for genome-editing-mediated therapy of β-hemoglobinopathies.

Indexed as

Erythroid Precursor CellsAnemia, Sickle Cellbeta-Globinsbeta-ThalassemiaCRISPR-Cas SystemsFetal Hemoglobingamma-GlobinsGene EditingHemoglobin AHumansIn Situ Hybridization, FluorescenceMutagenesis, Site-DirectedMutationPromoter Regions, GeneticReverse Transcriptase Polymerase Chain ReactionRNA, Messengerbeta-GlobinsFetal Hemoglobingamma-GlobinsHemoglobin ARNA, Messenger

Identifiers

PMID27525524
PMCPMC5706766
OpenAlexW2511090954

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Registered trials

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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.