Targeting Bcl11a distal regulatory elements for fetal hemoglobin reinduction
A DNA-targeting, artificial blood technology, applied in the direction of hemoglobin/myoglobin, peptide/protein components, blood diseases, etc., can solve problems that are not well understood, etc.
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[0349] The present inventors discovered and characterized regulatory elements of the BCL11A gene that are critical for BCL11A gene expression in cells of the erythroid lineage. Common genetic variants in these sequences were associated with fetal hemoglobin levels and the severity of beta-globin disturbances. These sequences contain distal regulatory elements with enhancer chromatin marks, accessible chromatin, activated histone marks, and occupied by erythroid transcription factors. These elements interact with the BCL11A promoter and promote gene expression in erythroid cells, but not in other lineages (eg, B lymphocytes) that express BCL11A. These regulatory elements can be focused for therapeutic purposes to achieve inhibition of BCL11A and re-induction of fetal hemoglobin. This can be achieved through mechanisms not limited to genome editing, nucleic acid binding or protein binding, and epigenetic modification. Advantages of the method include: disruption of physiologic...
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