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CRISPR/Cas9 for Sickle Cell Disease: Applications, Future Possibilities, and Challenges
Selami Demirci1,2, Alexis Leonard3, Juan J Haro-Mora3
1Cellular and Molecular Therapeutics Branch, NHLBI/NIDDK, National Institutes of Health, Bethesda, MD, USA. selami.demirci@nih.gov.
Genome editing with CRISPR/Cas9 offers a promising curative strategy for sickle cell disease (SCD). This technology can correct the genetic mutation or induce fetal hemoglobin to combat red blood cell sickling.
Area of Science:
- Genetics
- Molecular Biology
- Hematology
Background:
- Sickle cell disease (SCD) is a debilitating inherited blood disorder with limited treatment options.
- Despite over a century of research, a universal cure for SCD remains elusive, with only two FDA-approved drugs available.
Purpose of the Study:
- To summarize the application of CRISPR/Cas9 genome editing for sickle cell disease.
- To discuss the challenges and future outlook of CRISPR/Cas9 as a potential cure for SCD.
Main Methods:
- Review of CRISPR/Cas9 genome engineering strategies for SCD.
- Focus on correcting the causative mutation in hematopoietic stem/progenitor cells (HSPCs).
- Exploration of inducing fetal hemoglobin (HbF) expression to mitigate red blood cell sickling.
Main Results:
- CRISPR/Cas9 has revolutionized genome engineering, offering potential therapeutic avenues for SCD.
- Genome editing can correct the underlying mutation or compensate for it by increasing HbF levels.
- Development of corrected induced pluripotent stem cells (iPSCs) is another viable approach.
Conclusions:
- CRISPR/Cas9-based genome editing presents a significant advancement towards a definitive cure for sickle cell disease.
- Further research and clinical translation are necessary to overcome challenges and realize the full potential of this technology for SCD patients.
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