Gene Therapy and Genome Editing

Hematol Oncol Clin North Am. 2018 Apr;32(2):329-342. doi: 10.1016/j.hoc.2017.11.007. Epub 2018 Jan 9.

Abstract

The β-thalassemias are inherited blood disorders that result from insufficient production of the β-chain of hemoglobin. More than 200 different mutations have been identified. β-Thalassemia major requires life-long transfusions. The only cure for severe β-thalassemia is to provide patients with hematopoietic stem cells. Globin gene therapy promises a curative autologous stem cell transplantation without the immunologic complications of allogeneic transplantation. The future directions of gene therapy include enhancement of lentiviral vector-based approaches, fine tuning of the conditioning regimen, and the design of safer vectors. Progress in genetic engineering bodes well for finding a cure for severe globin disorders.

Keywords: CRISPR/Cas9; Gene editing; Gene transfer; Lentivirus; Thalassemia.

Publication types

  • Review

MeSH terms

  • CRISPR-Cas Systems
  • Gene Editing* / methods
  • Gene Transfer Techniques
  • Genetic Therapy* / methods
  • Genetic Vectors / genetics
  • Humans
  • Transduction, Genetic
  • beta-Globins / genetics*
  • beta-Thalassemia / genetics*
  • beta-Thalassemia / therapy*

Substances

  • beta-Globins