The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia

β-thalassemia is characterized by reduced or absence of β-globin production, resulting in anemia. Current therapies include blood transfusion combined with iron chelation. BM transplantation, although curative, is restricted by the matched donor limitation. Gene therapy, on the other hand, is promis...

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Main Authors: Ekati Drakopoulou, Eleni Papanikolaou, Nicholas P. Anagnou
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.4061/2011/987980
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author Ekati Drakopoulou
Eleni Papanikolaou
Nicholas P. Anagnou
author_facet Ekati Drakopoulou
Eleni Papanikolaou
Nicholas P. Anagnou
author_sort Ekati Drakopoulou
collection DOAJ
description β-thalassemia is characterized by reduced or absence of β-globin production, resulting in anemia. Current therapies include blood transfusion combined with iron chelation. BM transplantation, although curative, is restricted by the matched donor limitation. Gene therapy, on the other hand, is promising, and its success lies primarily on designing efficient globin vectors that can effectively and stably transduce HSCs. The major breakthrough in β-thalassemia gene therapy occurred a decade ago with the development of globin LVs. Since then, researchers focused on designing efficient and safe vectors, which can successfully deliver the therapeutic transgene, demonstrating no insertional mutagenesis. Furthermore, as human HSCs have intrinsic barriers to HIV-1 infection, attention is drawn towards their ex vivo manipulation, aiming to achieve higher yield of genetically modified HSCs. This paper presents the current status of gene therapy for β-thalassemia, its success and limitations, and the novel promising strategies available involving the therapeutic role of HSCs.
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institution Kabale University
issn 1687-966X
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publishDate 2011-01-01
publisher Wiley
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spelling doaj-art-234a980524c2424ea39a80c3508035042025-02-03T01:20:44ZengWileyStem Cells International1687-966X1687-96782011-01-01201110.4061/2011/987980987980The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-ThalassemiaEkati Drakopoulou0Eleni Papanikolaou1Nicholas P. Anagnou2Laboratory of Cell and Gene Therapy, Centre for Basic Research, Biomedical Research Foundation of the Academy of Athens (BRFAA), 115 27 Athens, GreeceLaboratory of Cell and Gene Therapy, Centre for Basic Research, Biomedical Research Foundation of the Academy of Athens (BRFAA), 115 27 Athens, GreeceLaboratory of Cell and Gene Therapy, Centre for Basic Research, Biomedical Research Foundation of the Academy of Athens (BRFAA), 115 27 Athens, Greeceβ-thalassemia is characterized by reduced or absence of β-globin production, resulting in anemia. Current therapies include blood transfusion combined with iron chelation. BM transplantation, although curative, is restricted by the matched donor limitation. Gene therapy, on the other hand, is promising, and its success lies primarily on designing efficient globin vectors that can effectively and stably transduce HSCs. The major breakthrough in β-thalassemia gene therapy occurred a decade ago with the development of globin LVs. Since then, researchers focused on designing efficient and safe vectors, which can successfully deliver the therapeutic transgene, demonstrating no insertional mutagenesis. Furthermore, as human HSCs have intrinsic barriers to HIV-1 infection, attention is drawn towards their ex vivo manipulation, aiming to achieve higher yield of genetically modified HSCs. This paper presents the current status of gene therapy for β-thalassemia, its success and limitations, and the novel promising strategies available involving the therapeutic role of HSCs.http://dx.doi.org/10.4061/2011/987980
spellingShingle Ekati Drakopoulou
Eleni Papanikolaou
Nicholas P. Anagnou
The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
Stem Cells International
title The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
title_full The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
title_fullStr The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
title_full_unstemmed The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
title_short The Ongoing Challenge of Hematopoietic Stem Cell-Based Gene Therapy for β-Thalassemia
title_sort ongoing challenge of hematopoietic stem cell based gene therapy for β thalassemia
url http://dx.doi.org/10.4061/2011/987980
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