Evidence map›Paper›PMID 41307130›Full record

ArticleHaematologica2026

COUP-TFII regulates hemoglobin switching by activating the BCL11A-XL repressor LIN28B and directly binding δ and β globin promoters in fetal

Carlotta Frigo, Valentina Pastori, Gianluca Zambanini, Martina Fabiano, Sajeela Ahmed, Elisabetta Citterio, Claudio Cantù, Antonella Ellena Ronchi

Abstract read
In one paragraph

Article in Haematologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Carlotta FrigoDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy.
Valentina PastoriDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy.
Gianluca ZambaniniWallenberg Centre for Molecular Medicine, Linköping University, Linköping, Sweden; Division of Molecular Medicine and Virology, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Present address: Max-Planck-Institut für molekulare Genetik, Berlin, Germany.
Martina FabianoDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy.
Sajeela AhmedDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy.
Elisabetta CitterioDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy; Department of Life Science, Health, and Health Professions, LINK Campus University, Rome, Italy.
Claudio CantùWallenberg Centre for Molecular Medicine, Linköping University, Linköping, Sweden; Division of Molecular Medicine and Virology, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Science for Life Laboratory - SciLifeLab, Linköping University, 58185 Linköping, Sweden. claudio.cantu@liu.se.
Antonella Ellena RonchiDipartimento di Biotecnologie e Bioscienze, Università degli Studi di Milano-Bicocca, Milan, Italy. antonella.ronchi@unimib.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The reactivation of fetal globin genes is the most promising treatment for β-hemoglobinopathies. This implies the reversal of the naturally occurring hemoglobin switching. Here, we show that expression of the orphan nuclear receptor COUP-TFII in adult HUDEP2 erythroid precursor cells activates γ-globin (HbF) at the expense of β-adult globin by specific occupation of the 'adult' δ-β-region within the β-locus. Notably, although COUP-TFII and the main γ-globin repressor BCL11A-XL share a similar DNA binding consensus and a large number of chromatin targets, including the locus control region of the β-locus itself, they bind differentially to the γ and β promoters, eliciting an opposite transcriptional outcome. In addition, we find that COUP-TFII activates Lin28B, a known post-transcriptional repressor of BCL11A-XL. Our work identifies a molecular mechanism that could be leveraged to increase γ-globin levels in patients affected by β-hemoglobinopathies.

Indexed as

beta-GlobinsCarrier ProteinsCOUP Transcription Factor IIdelta-GlobinsErythroid CellsHemoglobinsNuclear ProteinsPromoter Regions, GeneticRepressor ProteinsRNA-Binding ProteinsAdultFetusgamma-GlobinsGene Expression RegulationHumansProtein BindingBCL11A protein, humanbeta-GlobinsCarrier ProteinsCOUP Transcription Factor IIdelta-Globinsgamma-GlobinsHemoglobinsLIN28B protein, humanNuclear ProteinsRepressor ProteinsRNA-Binding Proteins

Identifiers

PMID41307130
PMCPMC13136808

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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.