Regulation of the fetal hemoglobin silencing factor BCL11A.

Ann N Y Acad Sci
Authors
Abstract

The clinical severity of sickle cell disease and β-thalassemia, the major disorders of β-globin, can be ameliorated by increased production of fetal hemoglobin (HbF). Here, we provide a brief overview of the fetal-to-adult hemoglobin switch that occurs in humans shortly after birth and review our current understanding of one of the most potent known regulators of this switching process, the multiple zinc finger-containing transcription factor BCL11A. Originally identified in genome-wide association studies, multiple orthogonal lines of evidence have validated BCL11A as a key regulator of hemoglobin switching and as a promising therapeutic target for HbF induction. We discuss recent studies that have highlighted its importance in silencing the HbF-encoding genes and discuss opportunities that exist to further understand the regulation of BCL11A and its mechanism of action, which could provide new insight into opportunities to induce HbF for therapeutic purposes.

Year of Publication
2016
Journal
Ann N Y Acad Sci
Volume
1368
Issue
1
Pages
25-30
Date Published
2016 Mar
ISSN
1749-6632
URL
DOI
10.1111/nyas.13024
PubMed ID
26963603
PubMed Central ID
PMC4870126
Links
Grant list
R01 DK103794 / DK / NIDDK NIH HHS / United States
R21 HL120791 / HL / NHLBI NIH HHS / United States
U01 HL117720 / HL / NHLBI NIH HHS / United States