PMID- 35741383 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2079-7737 (Print) IS - 2079-7737 (Electronic) IS - 2079-7737 (Linking) VI - 11 IP - 6 DP - 2022 Jun 4 TI - Gene Editing-Based Technologies for Beta-hemoglobinopathies Treatment. LID - 10.3390/biology11060862 [doi] LID - 862 AB - Beta (beta)-thalassemia is a group of human inherited abnormalities caused by various molecular defects, which involves a decrease or cessation in the balanced synthesis of the beta-globin chains in hemoglobin structure. Traditional treatment for beta-thalassemia major is allogeneic bone marrow transplantation (BMT) from a completely matched donor. The limited number of human leukocyte antigen (HLA)-matched donors, long-term use of immunosuppressive regimen and higher risk of immunological complications have limited the application of this therapeutic approach. Furthermore, despite improvements in transfusion practices and chelation treatment, many lingering challenges have encouraged researchers to develop newer therapeutic strategies such as nanomedicine and gene editing. One of the most powerful arms of genetic manipulation is gene editing tools, including transcription activator-like effector nucleases, zinc-finger nucleases, and clustered regularly interspaced short palindromic repeat-Cas-associated nucleases. These tools have concentrated on gamma- or beta-globin addition, regulating the transcription factors involved in expression of endogenous gamma-globin such as KLF1, silencing of gamma-globin inhibitors including BCL11A, SOX6, and LRF/ZBTB7A, and gene repair strategies. In this review article, we present a systematic overview of the appliances of gene editing tools for beta-thalassemia treatment and paving the way for patients' therapy. FAU - Rahimmanesh, Ilnaz AU - Rahimmanesh I AD - Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Boshtam, Maryam AU - Boshtam M AD - Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 81583-88994, Iran. FAU - Kouhpayeh, Shirin AU - Kouhpayeh S AD - Erythron Genetics and Pathobiology Laboratory, Department of Immunology, Isfahan 76351-81647, Iran. FAU - Khanahmad, Hossein AU - Khanahmad H AD - Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Dabiri, Arezou AU - Dabiri A AUID- ORCID: 0000-0002-9696-5135 AD - Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Ahangarzadeh, Shahrzad AU - Ahangarzadeh S AUID- ORCID: 0000-0002-2377-3319 AD - Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Esmaeili, Yasaman AU - Esmaeili Y AD - Biosensor Research Center, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Bidram, Elham AU - Bidram E AUID- ORCID: 0000-0002-6319-3204 AD - Biosensor Research Center, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. AD - Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Vaseghi, Golnaz AU - Vaseghi G AD - Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 81583-88994, Iran. FAU - Haghjooy Javanmard, Shaghayegh AU - Haghjooy Javanmard S AD - Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Shariati, Laleh AU - Shariati L AD - Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. AD - Cancer Prevention Research, Isfahan University of Medical Sciences, Isfahan 73461-81746, Iran. FAU - Zarrabi, Ali AU - Zarrabi A AUID- ORCID: 0000-0003-0391-1769 AD - Department of Biomedical Engineering, Faculty of Engineering and Natural Sciences, Istinye University, Sariyer, Istanbul 34396, Turkey. FAU - Varma, Rajender S AU - Varma RS AUID- ORCID: 0000-0001-9731-6228 AD - Regional Centre of Advanced Technologies and Materials, Department of Physical Chemistry, Faculty of Science, Palacky University, Slechtitelu 27, 783 71 Olomouc, Czech Republic. LA - eng GR - 199306/Isfahan University of Medical Sciences/ PT - Journal Article PT - Review DEP - 20220604 PL - Switzerland TA - Biology (Basel) JT - Biology JID - 101587988 PMC - PMC9219845 OTO - NOTNLM OT - CRISPR OT - TALEN OT - ZFN OT - beta-thalassemia OT - gene therapy COIS- The authors declare no conflict of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/04 CRDT- 2022/06/24 01:11 PHST- 2022/04/10 00:00 [received] PHST- 2022/05/19 00:00 [revised] PHST- 2022/05/31 00:00 [accepted] PHST- 2022/06/24 01:11 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/04 00:00 [pmc-release] AID - biology11060862 [pii] AID - biology-11-00862 [pii] AID - 10.3390/biology11060862 [doi] PST - epublish SO - Biology (Basel). 2022 Jun 4;11(6):862. doi: 10.3390/biology11060862.