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Publication : Correction of sickle cell disease in adult mice by interference with fetal hemoglobin silencing.

First Author  Xu J Year  2011
Journal  Science Volume  334
Issue  6058 Pages  993-6
PubMed ID  21998251 Mgi Jnum  J:177861
Mgi Id  MGI:5296412 Doi  10.1126/science.1211053
Citation  Xu J, et al. (2011) Correction of sickle cell disease in adult mice by interference with fetal hemoglobin silencing. Science 334(6058):993-6
abstractText  Persistence of human fetal hemoglobin (HbF, alpha(2)gamma(2)) in adults lessens the severity of sickle cell disease (SCD) and the beta-thalassemias. Here, we show that the repressor BCL11A is required in vivo for silencing of gamma-globin expression in adult animals, yet dispensable for red cell production. BCL11A serves as a barrier to HbF reactivation by known HbF inducing agents. In a proof-of-principle test of BCL11A as a potential therapeutic target, we demonstrate that inactivation of BCL11A in SCD transgenic mice corrects the hematologic and pathologic defects associated with SCD through high-level pancellular HbF induction. Thus, interference with HbF silencing by manipulation of a single target protein is sufficient to reverse SCD.
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