Direct correction of haemoglobin E β-thalassaemia using base editors

Haemoglobin E (HbE) β-thalassaemia causes approximately 50% of all severe thalassaemia worldwide; equating to around 30,000 births per year. HbE β-thalassaemia is due to a point mutation in codon 26 of the human HBB gene on one allele (GAG; glutamatic acid → AAG; lysine, E26K), and any mutation caus...

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Main Authors: Badat, M, Ejaz, A, Hua, P, Rice, S, Zhang, W, Hentges, LD, Fisher, CA, Denny, N, Schwessinger, R, Yasara, N, Roy, NBA, Issa, F, Roy, A, Telfer, P, Hughes, J, Mettananda, S, Higgs, DR, Davies, JOJ
Format: Journal article
Language:English
Published: Springer Nature 2023
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author Badat, M
Ejaz, A
Hua, P
Rice, S
Zhang, W
Hentges, LD
Fisher, CA
Denny, N
Schwessinger, R
Yasara, N
Roy, NBA
Issa, F
Roy, A
Telfer, P
Hughes, J
Mettananda, S
Higgs, DR
Davies, JOJ
author_facet Badat, M
Ejaz, A
Hua, P
Rice, S
Zhang, W
Hentges, LD
Fisher, CA
Denny, N
Schwessinger, R
Yasara, N
Roy, NBA
Issa, F
Roy, A
Telfer, P
Hughes, J
Mettananda, S
Higgs, DR
Davies, JOJ
author_sort Badat, M
collection OXFORD
description Haemoglobin E (HbE) β-thalassaemia causes approximately 50% of all severe thalassaemia worldwide; equating to around 30,000 births per year. HbE β-thalassaemia is due to a point mutation in codon 26 of the human HBB gene on one allele (GAG; glutamatic acid → AAG; lysine, E26K), and any mutation causing severe β-thalassaemia on the other. When inherited together in compound heterozygosity these mutations can cause a severe thalassaemic phenotype. However, if only one allele is mutated individuals are carriers for the respective mutation and have an asymptomatic phenotype (β-thalassaemia trait). Here we describe a base editing strategy which corrects the HbE mutation either to wildtype (WT) or a normal variant haemoglobin (E26G) known as Hb Aubenas and thereby recreates the asymptomatic trait phenotype. We have achieved editing efficiencies in excess of 90% in primary human CD34 + cells. We demonstrate editing of long-term repopulating haematopoietic stem cells (LT-HSCs) using serial xenotransplantation in NSG mice. We have profiled the off-target effects using a combination of circularization for in vitro reporting of cleavage effects by sequencing (CIRCLE-seq) and deep targeted capture and have developed machine-learning based methods to predict functional effects of candidate off-target mutations.
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spelling oxford-uuid:b9f92570-f238-4634-881c-8ac14f957fba2023-08-02T16:25:34ZDirect correction of haemoglobin E β-thalassaemia using base editorsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b9f92570-f238-4634-881c-8ac14f957fbaEnglishSymplectic ElementsSpringer Nature2023Badat, MEjaz, AHua, PRice, SZhang, WHentges, LDFisher, CADenny, NSchwessinger, RYasara, NRoy, NBAIssa, FRoy, ATelfer, PHughes, JMettananda, SHiggs, DRDavies, JOJHaemoglobin E (HbE) β-thalassaemia causes approximately 50% of all severe thalassaemia worldwide; equating to around 30,000 births per year. HbE β-thalassaemia is due to a point mutation in codon 26 of the human HBB gene on one allele (GAG; glutamatic acid → AAG; lysine, E26K), and any mutation causing severe β-thalassaemia on the other. When inherited together in compound heterozygosity these mutations can cause a severe thalassaemic phenotype. However, if only one allele is mutated individuals are carriers for the respective mutation and have an asymptomatic phenotype (β-thalassaemia trait). Here we describe a base editing strategy which corrects the HbE mutation either to wildtype (WT) or a normal variant haemoglobin (E26G) known as Hb Aubenas and thereby recreates the asymptomatic trait phenotype. We have achieved editing efficiencies in excess of 90% in primary human CD34 + cells. We demonstrate editing of long-term repopulating haematopoietic stem cells (LT-HSCs) using serial xenotransplantation in NSG mice. We have profiled the off-target effects using a combination of circularization for in vitro reporting of cleavage effects by sequencing (CIRCLE-seq) and deep targeted capture and have developed machine-learning based methods to predict functional effects of candidate off-target mutations.
spellingShingle Badat, M
Ejaz, A
Hua, P
Rice, S
Zhang, W
Hentges, LD
Fisher, CA
Denny, N
Schwessinger, R
Yasara, N
Roy, NBA
Issa, F
Roy, A
Telfer, P
Hughes, J
Mettananda, S
Higgs, DR
Davies, JOJ
Direct correction of haemoglobin E β-thalassaemia using base editors
title Direct correction of haemoglobin E β-thalassaemia using base editors
title_full Direct correction of haemoglobin E β-thalassaemia using base editors
title_fullStr Direct correction of haemoglobin E β-thalassaemia using base editors
title_full_unstemmed Direct correction of haemoglobin E β-thalassaemia using base editors
title_short Direct correction of haemoglobin E β-thalassaemia using base editors
title_sort direct correction of haemoglobin e β thalassaemia using base editors
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