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Blood, 1 January 2005, Vol. 105, No. 1, pp. 387-393.
Prepublished online as a Blood First Edition Paper on September 14, 2004; DOI 10.1182/blood-2004-04-1599.
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Submitted May 5, 2004
Accepted August 20, 2004
A sustained and pancellular reversal of gamma-globin gene silencing in adult human erythroid precursor cells
Natarajan V Bhanu, Tiffany A Trice, Y Terry Lee, Nicole Gantt, Patricia Oneal, Joseph D Schwartz, Pierre Noel, and Jeffery L Miller*
Laboratory of Chemical Biology, National Institute of Health, Bethesda, MD, USA; NIDDK and Hematology Services, Dept. of Laboratory Medicine, National Institute of Health, Bethesda, MD, USA
Laboratory of Chemical Biology, National Institute of Health, Bethesda, MD, USA
* Corresponding author; email: jm7f{at}nih.gov.
We systematically compared cytokine-mediated increases or decreases in proliferation with globin gene and protein expression in adult human erythroblasts. Despite their opposite effects on growth, stem cell factor (SCF) and transforming growth factor-beta (TGF-B) had synergistic effects with respect to HbF: average HbF/HbF+HbA ratio in erythropoietin (EPO)=1.4±1.0%; EPO+TGF-B=10.8±1.9%; EPO+SCF=19.1±6.2%; EPO+SCF+TGF-B (EST)=39.3±6.3%. PCR revealed significant increases in gamma-globin transcripts that were balanced by reduced beta-globin transcripts. Single-cell quantitative PCR demonstrated a complete reversal of gamma-globin gene silencing with detectable gamma-globin mRNA in over 95% of the cells. Immunostaining with HbF antibodies also showed a pancellular distribution in EST (96.2±0.01% HbF-positive) compared with a heterocellular distribution in EPO (42.9±0.01% HbF-positive). As shown here for the first time, a robust and pancellular reversal of gamma-globin gene silencing among hemoglobinized erythroblasts from adult humans may be achieved in the absence of hereditary mutation or direct genomic manipulation.

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