A Curative DNA Code for Hematopoietic Defects: Novel Cell Therapies for Monogenic Diseases of the Blood and Immune System

Hematol Oncol Clin North Am. 2022 Aug;36(4):647-665. doi: 10.1016/j.hoc.2022.05.002. Epub 2022 Jun 27.

Abstract

Innovations in programmable nucleases have expanded genetic engineering capabilities, raising the possibility of a new approach to curing monogenic hematological diseases. Feasibility studies using ex vivo targeted genome-editing, and nonintegrating viral vectors show outstanding potential for correcting genetic conditions at their root cause. This article reviews the latest technological advances in the CRISPR/Cas9 system alone and combined with engineered viruses as editing tools for human hematopoietic stem and progenitor cells (HSPCs). We discuss the early phase in human trials of genome editing-based therapies for hemoglobinopathies.

Keywords: Base editing; CRISPR/Cas9; DNA repair; Engineered viruses; Gene correction; Hematological diseases; Hematopoietic stem cells; Prime editing.

Publication types

  • Review
  • Research Support, N.I.H., Intramural

MeSH terms

  • CRISPR-Cas Systems
  • DNA
  • Gene Editing*
  • Genetic Vectors*
  • Hematopoietic Stem Cells
  • Humans
  • Immune System

Substances

  • DNA