The genetics of human hematopoiesis and its disruption in disease

Abstract Hematopoiesis, or the process of blood cell production, is a paradigm of multi‐lineage cellular differentiation that has been extensively studied, yet in many aspects remains incompletely understood. Nearly all clinically measured hematopoietic traits exhibit extensive variation and are hig...

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Main Authors: Erik L Bao, Aaron N Cheng, Vijay G Sankaran
Format: Article
Language:English
Published: Springer Nature 2019-07-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201910316
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author Erik L Bao
Aaron N Cheng
Vijay G Sankaran
author_facet Erik L Bao
Aaron N Cheng
Vijay G Sankaran
author_sort Erik L Bao
collection DOAJ
description Abstract Hematopoiesis, or the process of blood cell production, is a paradigm of multi‐lineage cellular differentiation that has been extensively studied, yet in many aspects remains incompletely understood. Nearly all clinically measured hematopoietic traits exhibit extensive variation and are highly heritable, underscoring the importance of genetic variation in these processes. This review explores how human genetics have illuminated our understanding of hematopoiesis in health and disease. The study of rare mutations in blood and immune disorders has elucidated novel roles for regulators of hematopoiesis and uncovered numerous important molecular pathways, as seen through examples such as Diamond‐Blackfan anemia and the GATA2 deficiency syndromes. Additionally, population studies of common genetic variation have revealed mechanisms by which human hematopoiesis can be modulated. We discuss advances in functionally characterizing common variants associated with blood cell traits and discuss therapeutic insights, such as the discovery of BCL11A as a modulator of fetal hemoglobin expression. Finally, as genetic techniques continue to evolve, we discuss the prospects, challenges, and unanswered questions that lie ahead in this burgeoning field.
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spelling doaj-art-fd1fc1258f84423a82df2e0adecc738c2025-08-20T03:46:11ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842019-07-0111811310.15252/emmm.201910316The genetics of human hematopoiesis and its disruption in diseaseErik L Bao0Aaron N Cheng1Vijay G Sankaran2Division of Hematology/Oncology, Boston Children's Hospital, Harvard Medical SchoolDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical SchoolDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical SchoolAbstract Hematopoiesis, or the process of blood cell production, is a paradigm of multi‐lineage cellular differentiation that has been extensively studied, yet in many aspects remains incompletely understood. Nearly all clinically measured hematopoietic traits exhibit extensive variation and are highly heritable, underscoring the importance of genetic variation in these processes. This review explores how human genetics have illuminated our understanding of hematopoiesis in health and disease. The study of rare mutations in blood and immune disorders has elucidated novel roles for regulators of hematopoiesis and uncovered numerous important molecular pathways, as seen through examples such as Diamond‐Blackfan anemia and the GATA2 deficiency syndromes. Additionally, population studies of common genetic variation have revealed mechanisms by which human hematopoiesis can be modulated. We discuss advances in functionally characterizing common variants associated with blood cell traits and discuss therapeutic insights, such as the discovery of BCL11A as a modulator of fetal hemoglobin expression. Finally, as genetic techniques continue to evolve, we discuss the prospects, challenges, and unanswered questions that lie ahead in this burgeoning field.https://doi.org/10.15252/emmm.201910316blood disordersgeneticsgenome‐wide association studieshematopoiesis
spellingShingle Erik L Bao
Aaron N Cheng
Vijay G Sankaran
The genetics of human hematopoiesis and its disruption in disease
EMBO Molecular Medicine
blood disorders
genetics
genome‐wide association studies
hematopoiesis
title The genetics of human hematopoiesis and its disruption in disease
title_full The genetics of human hematopoiesis and its disruption in disease
title_fullStr The genetics of human hematopoiesis and its disruption in disease
title_full_unstemmed The genetics of human hematopoiesis and its disruption in disease
title_short The genetics of human hematopoiesis and its disruption in disease
title_sort genetics of human hematopoiesis and its disruption in disease
topic blood disorders
genetics
genome‐wide association studies
hematopoiesis
url https://doi.org/10.15252/emmm.201910316
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