Evidence map›Paper›PMID 33620431›Full record

ArticleBlood advances2021

In vivo HSPC gene therapy with base editors allows for efficient reactivation of fetal γ-globin in β-YAC mice.

Chang Li, Aphrodite Georgakopoulou, Arpit Mishra, Sucheol Gil, R David Hawkins, Evangelia Yannaki, André Lieber

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

74 citing papers in PubMed, 87 citations in OpenAlex.

  1. Trial
  2. Overview of Delivery Methods for Gene Editing.Methods in molecular biology (Clifton, N.J.) · 2027
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Molecular therapy. Advances · 2026
    Article
  10. Article
  11. Review
  12. Genes & diseases · 2026
    Review
  13. Article
  14. Article
  15. Molecular therapy. Nucleic acids · 2025
    Review
  16. Article
  17. Review
  18. Molecular therapy. Methods & clinical development · 2025
    Article
  19. Article
  20. Article

14 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

7 authors at 2 institutions in 2 countries.

Chang LiDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
Aphrodite GeorgakopoulouDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
Arpit MishraDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
Sucheol GilDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
R David HawkinsDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
Evangelia YannakiGene and Cell Therapy Center, Hematology Department, George Papanicolaou Hospital, Thessaloniki, Greece; and.
André LieberDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, WA.
University of Washington Medical Center · USUniversity of Washington · US

Funding

Ras-MAPK Regulation of Lymphatic Vessel Valve DevelopmentR01HL120888 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PHILIP D KING · 2015 to 2026
$4.6M
Approach for in vivo gene delivery into hematopoietic stem cells for hemophilia A therapyR01HL141781 · NHLBI · UNIVERSITY OF WASHINGTON · PI LIEBER, ANDRE MICHAEL · 2018 to 2021
$2.3M
NHLBI NIH HHS R01 HL120888NHLBI NIH HHS R01 HL141781
6 · The paper itself

Abstract

Base editors are capable of installing precise genomic alterations without creating double-strand DNA breaks. In this study, we targeted critical motifs regulating γ-globin reactivation with base editors delivered via HDAd5/35++ vectors. Through optimized design, we successfully produced a panel of cytidine and adenine base editor (ABE) vectors targeting the erythroid BCL11A enhancer or recreating naturally occurring hereditary persistence of fetal hemoglobin (HPFH) mutations in the HBG1/2 promoter. All 5 tested vectors efficiently installed target base conversion and led to γ-globin reactivation in human erythroid progenitor cells. We observed ~23% γ-globin protein production over β-globin, when using an ABE vector (HDAd-ABE-sgHBG-2) specific to the -113A>G HPFH mutation. In a β-YAC mouse model, in vivo hematopoietic progenitor/stem cell (HSPC) transduction with HDAd-ABE-sgHBG-2 followed by in vivo selection resulted in >40% γ-globin+ erythrocytes in the peripheral blood. This result corresponded to 21% γ-globin production over human β-globin. The average -113A>G conversion in total bone marrow cells was 20%. No alterations in hematological parameters, erythropoiesis, and bone marrow cellular composition were observed after treatment. No detectable editing was found at top-scoring, off-target genomic sites. Bone marrow lineage-negative cells from primary mice were capable of reconstituting secondary transplant-recipient mice with stable γ-globin expression. Importantly, the advantage of base editing over CRISPR/Cas9 was reflected by the markedly lower rates of intergenic HBG1/2 deletion and the absence of detectable toxicity in human CD34+ cells. Our observations suggest that HDAd-vectorized base editors represent a promising strategy for precise in vivo genome engineering for the treatment of β-hemoglobinopathies.

Indexed as

Fetal Hemoglobingamma-GlobinsAnimalsbeta-GlobinsGenetic TherapyHematopoietic Stem CellsMicebeta-GlobinsFetal Hemoglobingamma-Globins

Identifiers

PMID33620431
PMCPMC7903237
OpenAlexW3097924092

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.