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Updated: Nov 10, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
[Progress in Gene Therapy of Sickle Cell Disease Based on Hemoglobin F--Review]
Hao Liang1, Yun-Xia Wang1, Xu-Yan Li1
1Department of Biochemistry and Molecular Biology, Baotou Medical College, Baotou 014010, Inner Mongolia Autonomous Region, China.
Insights
Sickle cell disease (SCD) research explores fetal hemoglobin (HbF) induction. Gene editing technologies offer new therapeutic strategies for SCD and related blood disorders.
Area of Science:
- Genetics
- Molecular Biology
- Hematology
Background:
- Sickle cell disease (SCD) is a severe single-gene disorder impacting patient lifespan and quality of life.
- Fetal hemoglobin (HbF) induction presents a promising therapeutic avenue for SCD and other beta-hemoglobinopathies.
Purpose of the Study:
- To review the research progress on transcription factors regulating HbF gene expression.
- To explore the application of gene editing technologies for treating SCD.
Main Methods:
- Investigated transcription factors including BCL11A, ZBTB7A, KLF-1, c-MYB, and SOX6.
- Examined gene editing technologies such as CRISPR/Cas9, TALEN, and zinc finger nucleases.
Main Results:
- Identified key transcription factors that control HbF gene expression.
- Demonstrated the potential of gene editing tools in modulating these factors for therapeutic benefit.
Conclusions:
- The identified transcription factors and gene editing technologies provide a strong foundation for developing novel treatments for SCD and beta-thalassemia.
- Further research in this area holds promise for improving therapeutic outcomes for patients with hemoglobin disorders.
Abstract:
Sickle cell disease (SCD) is a single gene genetic disease, which seriously threatens the life span and quality of patients. On the basis of the pathogenesis of SCD and the alternative therapy based on fetal hemoglobin F (HbF), the research progress of transcription factors involved in the regulation of HbF gene expression, such as BCL11A, ZBTB7A, KLF-1, c-MYB and SOX6, as well as the application of CRISPR / Cas9, TALEN, zinc finger nuclease and other gene editing technologies in this field has been made, providing a solid theoretical basis for the exploration of new treatment schemes for β- like hemoglobin diseases, such as sickle cell disease and β- thalassemia.
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