Activation of delta-globin gene expression by erythroid Krupple-like
factor: a potential approach for gene therapy of sickle cell disease
D Donze, PH Jeancake and TM Townes
Department of Biochemistry and Molecular Genetics, Schools of Medicine and
Dentistry, University of Alabama at Birmingham.
Hemoglobin A2 (HbA2; alpha 2 delta 2) is a powerful inhibitor of HbS (alpha
2 beta 2(3)) polymerization. However, HbA2 levels are normally low in
sickle cell patients. We show that a major reason for low delta- globin
gene expression is the defective CACCC box at -90 in the delta- globin
promoter. When the CACCC box defect in delta is corrected, expression of an
HS2 delta /Luciferase reporter is equivalent to HS2 beta /Luciferase.
Erythroid Krupple-like factor (EKLF), which binds to the CACCC box of the
beta-globin gene and activates high-level expression, does not bind to the
normal delta-globin promoter. Our goal is to design a modified EKLF that
binds to the defective delta-globin promoter and enhances delta-globin gene
expression. To test the feasibility of this strategy, we inserted the
beta-globin CACCC box at - 90 of the delta-globin gene promoter to produce
an HS2 delta CAC-beta construct and quantitated human delta- and
beta-globin mRNA in stably transformed murine erythroleukemia (MEL) cells.
delta- Globin mRNA in these cells was 22.0% +/- 9.0% of total human globin
mRNA (delta/delta + beta) as compared with 3.0% +/- 1.3% in the HS2
delta-beta control. In a second set of experiments a GAL4 DNA-binding site
was inserted at - 90 of the delta-globin gene to produce an HS2 delta
GAL4-beta construct. This construct and a GAL4(1-147)/EKLF expression
vector were stably transfected into MEL cells. delta-Globin mRNA in these
cells was 27.8% +/- 7.1% of total human globin mRNA as compared with 9.9%
+/- 2.5% in the HS2 delta GAL4-beta plus GAL4(1-147) control. These results
show that delta-globin gene expression can be significantly increased by a
modified EKLF. Based on these results, we suggest that modified EKLFs,
which contain zinc fingers designed to bind specifically to the defective
delta-globin CACCC box, may be useful in gene therapy approaches to
increase HbA2 levels and inhibit HbS polymerization.
Volume 88,
Issue 10,
pp. 4051-4057,
11/15/1996
Copyright © 1996 by The American Society of Hematology