The p53 challenge of hematopoietic stem cell gene editing

Ex vivo gene editing in hematopoietic stem and progenitor cells (HSPCs) represents a promising curative treatment strategy for monogenic blood disorders. Gene editing using the homology-directed repair (HDR) pathway enables precise genetic modifications ranging from single base pair correction to re...

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Main Authors: Sofie R. Dorset, Rasmus O. Bak
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050123000931
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author Sofie R. Dorset
Rasmus O. Bak
author_facet Sofie R. Dorset
Rasmus O. Bak
author_sort Sofie R. Dorset
collection DOAJ
description Ex vivo gene editing in hematopoietic stem and progenitor cells (HSPCs) represents a promising curative treatment strategy for monogenic blood disorders. Gene editing using the homology-directed repair (HDR) pathway enables precise genetic modifications ranging from single base pair correction to replacement or insertion of large DNA segments. Hence, HDR-based gene editing could facilitate broad application of gene editing across monogenic disorders, but the technology still faces challenges for clinical translation. Among these, recent studies demonstrate induction of a DNA damage response (DDR) and p53 activation caused by DNA double-strand breaks and exposure to recombinant adeno-associated virus vector repair templates, resulting in reduced proliferation, engraftment, and clonogenic capacity of edited HSPCs. While different mitigation strategies can reduce this DDR, more research is needed on this phenomenon to ensure safe and efficient implementation of HDR-based gene editing in the clinic.
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spelling doaj.art-0b88949a62f74f55ad37f8f99b180bc12023-06-23T04:43:13ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012023-09-01308389The p53 challenge of hematopoietic stem cell gene editingSofie R. Dorset0Rasmus O. Bak1Department of Biomedicine, Aarhus University, Aarhus C, DenmarkDepartment of Biomedicine, Aarhus University, Aarhus C, Denmark; Corresponding author Rasmus O. Bak, Department of Biomedicine, Aarhus University, Høegh-Guldbergsgade 10, Bldg. 1115, 8000 Aarhus C, Denmark.Ex vivo gene editing in hematopoietic stem and progenitor cells (HSPCs) represents a promising curative treatment strategy for monogenic blood disorders. Gene editing using the homology-directed repair (HDR) pathway enables precise genetic modifications ranging from single base pair correction to replacement or insertion of large DNA segments. Hence, HDR-based gene editing could facilitate broad application of gene editing across monogenic disorders, but the technology still faces challenges for clinical translation. Among these, recent studies demonstrate induction of a DNA damage response (DDR) and p53 activation caused by DNA double-strand breaks and exposure to recombinant adeno-associated virus vector repair templates, resulting in reduced proliferation, engraftment, and clonogenic capacity of edited HSPCs. While different mitigation strategies can reduce this DDR, more research is needed on this phenomenon to ensure safe and efficient implementation of HDR-based gene editing in the clinic.http://www.sciencedirect.com/science/article/pii/S2329050123000931p53p21GSE56DDRDNA damage responseCRISPR-Cas
spellingShingle Sofie R. Dorset
Rasmus O. Bak
The p53 challenge of hematopoietic stem cell gene editing
Molecular Therapy: Methods & Clinical Development
p53
p21
GSE56
DDR
DNA damage response
CRISPR-Cas
title The p53 challenge of hematopoietic stem cell gene editing
title_full The p53 challenge of hematopoietic stem cell gene editing
title_fullStr The p53 challenge of hematopoietic stem cell gene editing
title_full_unstemmed The p53 challenge of hematopoietic stem cell gene editing
title_short The p53 challenge of hematopoietic stem cell gene editing
title_sort p53 challenge of hematopoietic stem cell gene editing
topic p53
p21
GSE56
DDR
DNA damage response
CRISPR-Cas
url http://www.sciencedirect.com/science/article/pii/S2329050123000931
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