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A New Fetal Hemoglobin-Related Phenotype in Sickle Cell Anemia.

American journal of hematology·2026
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Exa-cel in Children with Transfusion-Dependent β-Thalassemia or Sickle Cell Disease.

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Modeling Genetic Diversity in Sickle Cell Disease Reveals Heterogeneous Responses to HbF-Inducing Therapies.

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PGC-1α agonism via oral administration of ZLN005 induces fetal hemoglobin and is antisickling in sickle mice.

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One cell at a time: HbF distribution in sickle cell disease.

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Fetal hemoglobin in sickle cell anemia.

Martin H Steinberg1

  • 1Division of Hematology/Oncology, Department of Medicine, Center of Excellence for Sickle Cell Disease, Center for Regenerative Medicine, Genome Science Institute, Boston University School of Medicine and Boston Medical Center, Boston, MA.

Blood
|August 19, 2020
PubMed
Summary

Fetal hemoglobin (HbF) can significantly improve sickle cell disease outcomes. Research explores HbF

Area of Science:

  • Genetics and Molecular Biology
  • Hematology
  • Pharmacology

Background:

  • Fetal hemoglobin (HbF) plays a crucial role in mitigating sickle cell disease (SCD) pathophysiology and clinical severity.
  • Understanding HbF's genetic regulation and its impact on SCD subphenotypes is key to developing effective therapies.

Purpose of the Study:

  • To review quantitative trait loci for HbF and β-globin haplotypes, particularly in Middle Eastern populations.
  • To examine the differential impact of HbF on SCD pathophysiology and subphenotypes.
  • To discuss clinical implications of HbF distribution variability and therapeutic strategies for HbF gene reactivation.

Main Methods:

  • Literature review focusing on genetic loci, haplotype analysis, and HbF's role in SCD.
  • Analysis of studies investigating HbF's impact on disease subphenotypes and erythrocyte distribution.

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  • Examination of pharmacologic and cell-based approaches for reactivating HbF gene expression.
  • Main Results:

    • Identified HbF quantitative trait loci and β-globin haplotypes, with emphasis on Middle Eastern variants.
    • Detailed the varied effects of HbF on SCD pathophysiology and clinical subphenotypes.
    • Highlighted clinical relevance of HbF levels and distribution in erythrocytes.
    • Summarized progress in pharmacologic and cell-based therapies for HbF reactivation.

    Conclusions:

    • Advances in understanding HbF gene expression and genomic editing offer promising avenues for SCD therapeutics.
    • Cell-based therapeutic approaches targeting HbF reactivation hold potential for curative intent in sickle cell disease.