Molecular Therapy: Nucleic Acids (Mar 2023)

Forced enhancer-promoter rewiring to alter gene expression in animal models

  • Scott A. Peslak,
  • Selami Demirci,
  • Vemika Chandra,
  • Byoung Ryu,
  • Saurabh K. Bhardwaj,
  • Jing Jiang,
  • Jeremy W. Rupon,
  • Robert E. Throm,
  • Naoya Uchida,
  • Alexis Leonard,
  • Khaled Essawi,
  • Aylin C. Bonifacino,
  • Allen E. Krouse,
  • Nathaniel S. Linde,
  • Robert E. Donahue,
  • Francesca Ferrara,
  • Matthew Wielgosz,
  • Osheiza Abdulmalik,
  • Nicole Hamagami,
  • Paula Germino-Watnick,
  • Anh Le,
  • Rebecca Chu,
  • Malikiya Hinds,
  • Mitchell J. Weiss,
  • Wei Tong,
  • John F. Tisdale,
  • Gerd A. Blobel

Journal volume & issue
Vol. 31
pp. 452 – 465

Abstract

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Transcriptional enhancers can be in physical proximity of their target genes via chromatin looping. The enhancer at the β-globin locus (locus control region [LCR]) contacts the fetal-type (HBG) and adult-type (HBB) β-globin genes during corresponding developmental stages. We have demonstrated previously that forcing proximity between the LCR and HBG genes in cultured adult-stage erythroid cells can activate HBG transcription. Activation of HBG expression in erythroid cells is of benefit to patients with sickle cell disease. Here, using the β-globin locus as a model, we provide proof of concept at the organismal level that forced enhancer rewiring might present a strategy to alter gene expression for therapeutic purposes. Hematopoietic stem and progenitor cells (HSPCs) from mice bearing human β-globin genes were transduced with lentiviral vectors expressing a synthetic transcription factor (ZF-Ldb1) that fosters LCR-HBG contacts. When engrafted into host animals, HSPCs gave rise to adult-type erythroid cells with elevated HBG expression. Vectors containing ZF-Ldb1 were optimized for activity in cultured human and rhesus macaque erythroid cells. Upon transplantation into rhesus macaques, erythroid cells from HSPCs expressing ZF-Ldb1 displayed elevated HBG production. These findings in two animal models suggest that forced redirection of gene-regulatory elements may be used to alter gene expression to treat disease.

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