Evidence map›Paper›PMID 31698466›Full record

ArticleBlood advances2019

Genome editing of HBG1 and HBG2 to induce fetal hemoglobin.

Jean-Yves Métais, Phillip A Doerfler, Thiyagaraj Mayuranathan, Daniel E Bauer, Stephanie C Fowler, Matthew M Hsieh, Varun Katta, Sagar Keriwala, Cicera R Lazzarotto, Kevin Luk and 17 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 2 pooled it
12.5field-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

117 citing papers in PubMed, 2 syntheses or guidelines pooled it, 175 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. CRISPR-Cas9 Editing of theThe New England journal of medicine · 2023
    Trial
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  19. Pleiotropic Effects of Polymorphisms in theInternational journal of molecular sciences · 2025
    Article
  20. Article

57 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

27 authors at 6 institutions in 2 countries.

Jean-Yves MétaisDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Phillip A DoerflerDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Thiyagaraj MayuranathanDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Daniel E BauerDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
Stephanie C FowlerDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Matthew M HsiehMolecular and Clinical Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD.
Varun KattaDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Sagar KeriwalaDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Cicera R LazzarottoDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Kevin LukDepartment of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA; and.
Michael D NeelDivision of Orthopedics.
S Scott PerryFlow Cytometry and Cell Sorting Shared Resource.
Samuel T PetersDepartment of Cell and Molecular Biology, and.
Shaina N PorterDepartment of Cell and Molecular Biology, and.
Byoung Y RyuDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Akshay SharmaDepartment of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN.
Devlin SheaDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
John F TisdaleMolecular and Clinical Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD.
Naoya UchidaMolecular and Clinical Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD.
Scot A WolfeDepartment of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA; and.
Kaitly J WoodardDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Yuxuan WuDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
Yu YaoDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Jing ZengDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
Shondra Pruett-MillerDepartment of Cell and Molecular Biology, and.
Shengdar Q TsaiDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Mitchell J WeissDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
St. Jude Children's Research Hospital · USBoston Children's Hospital · USInstitute of Molecular and Cell Biology · RUNational Heart Lung and Blood Institute · USUniversity of Massachusetts Chan Medical School · USBroad Institute · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
VIROSOME/PROTEOLIPOSOME MEDIATED GENE TRANSFERP01HL053749 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WEISS, MITCHELL J · 1994 to 2022
$43.6M
Next generation hybrid nucleases for precise excision of latent HIV-1 provirusR01AI117839 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUBAN, JEREMY, WOLFE, SCOT A · 2015 to 2019
$4.6M
A novel human T-cell platform to define biological effects of genome editingU01AI157189 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TSAI, SHENGDAR · 2020 to 2022
$1.8M
Engineered Cas9 Nucleases with Single-Genomic-Site Precision for CYBB CorrectionR01GM115911 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SONTHEIMER, ERIK J., WOLFE, SCOT A · 2016 to 2019
$1.6M
A novel human T-cell platform to define biological effects of genome editingU01HL145793 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TSAI, SHENGDAR · 2018 to 2018
$651k
A novel human T-cell platform to define biological effects of genome editingU01EB029373 · NIBIB · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TSAI, SHENGDAR · 2019 to 2019
$611k
Doris Duke Charitable Foundation 2017093NCI NIH HHS P30 CA021765NHLBI NIH HHS P01 HL053749NHLBI NIH HHS U01 HL145793NIAID NIH HHS R01 AI117839NIAID NIH HHS U01 AI157189NIBIB NIH HHS U01 EB029373NIGMS NIH HHS R01 GM115911
6 · The paper itself

Abstract

Induction of fetal hemoglobin (HbF) via clustered regularly interspaced short palindromic repeats/Cas9-mediated disruption of DNA regulatory elements that repress γ-globin gene (HBG1 and HBG2) expression is a promising therapeutic strategy for sickle cell disease (SCD) and β-thalassemia, although the optimal technical approaches and limiting toxicities are not yet fully defined. We disrupted an HBG1/HBG2 gene promoter motif that is bound by the transcriptional repressor BCL11A. Electroporation of Cas9 single guide RNA ribonucleoprotein complex into normal and SCD donor CD34+ hematopoietic stem and progenitor cells resulted in high frequencies of on-target mutations and the induction of HbF to potentially therapeutic levels in erythroid progeny generated in vitro and in vivo after transplantation of hematopoietic stem and progenitor cells into nonobese diabetic/severe combined immunodeficiency/Il2rγ-/-/KitW41/W41 immunodeficient mice. On-target editing did not impair CD34+ cell regeneration or differentiation into erythroid, T, B, or myeloid cell lineages at 16 to 17 weeks after xenotransplantation. No off-target mutations were detected by targeted sequencing of candidate sites identified by circularization for in vitro reporting of cleavage effects by sequencing (CIRCLE-seq), an in vitro genome-scale method for detecting Cas9 activity. Engineered Cas9 containing 3 nuclear localization sequences edited human hematopoietic stem and progenitor cells more efficiently and consistently than conventional Cas9 with 2 nuclear localization sequences. Our studies provide novel and essential preclinical evidence supporting the safety, feasibility, and efficacy of a mechanism-based approach to induce HbF for treating hemoglobinopathies.

Indexed as

Gene EditingAnemia, Sickle CellAnimalsBase SequenceCRISPR-Cas SystemsDisease Models, AnimalErythropoiesisFetal Hemoglobingamma-GlobinsGene Expression RegulationGene TargetingHematopoietic Stem CellsHematopoietic Stem Cell TransplantationHemoglobinopathiesHeterograftsHumansFetal Hemoglobingamma-GlobinsRNA, Guide, CRISPR-Cas Systems

Identifiers

PMID31698466
PMCPMC6855127
OpenAlexW2983573843

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.