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Molecular Therapy — Nucleic Acids· 2026Q1

Beyond repressor disruption: Designing activator motifs to boost fetal hemoglobin

Selami Demirci

Short summary

Researchers replaced a repressor binding site in fetal hemoglobin promoters with an activator motif, leading to robust γ-globin expression and reduced sickling in sickle cell disease cells.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Novel strategy replaces repressor binding site with an activator motif in fetal hemoglobin promoters.
  • Engineered promoters (HBG1/2) support robust γ-globin expression.
  • Reduced sickling observed in erythroid cells from SCD HSPCs.
  • Approach moves beyond simple repressor disruption for HbF reactivation.

AI-generated from the title and abstract; the full text is not read.

Abstract

Fetal hemoglobin (HbF) reactivation is now a powerful and clinically validated strategy for sickle cell disease (SCD). Many genome-editing approaches achieve this by disrupting regulatory sequences involved in γ-globin silencing, such as the BCL11A erythroid enhancer. In a recent issue of Molecular Therapy Nucleic Acids, Chalumeau et al.1 replaced the BCL11A binding site in the HBG1/2 promoters with a composite TAL1:GATA1 activating motif rather than only disrupting a repressor site. The edited promoters supported robust γ-globin expression and reduced sickling in erythroid cells derived from SCD hematopoietic stem and progenitor cells (HSPCs).

The authors' abstract, as published at the source. Molecular Therapy — Nucleic Acids, 2026 · DOI ↗

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Field: Genetics (Medicine)

GeneticsMedicine