国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (2): 185-188.

• 综述 • 上一篇    下一篇

β-地中海贫血CRISPR/Cas9基因治疗研究进展

李焕荣,李增彦   

  1. 300052  天津医科大学总医院妇产科
  • 收稿日期:2016-12-27 修回日期:2017-01-19 出版日期:2017-04-15 发布日期:2017-05-18
  • 通讯作者: 李增彦,E-mail:li_zengyan@sina.com E-mail:414967423@qq.com

Gene Therapy Advances of CRISPR/Cas9 in β-thalassaemia

LI Huan-rong,LI Zeng-yan   

  1. Department of Gynecology and Obstetrics,Tianjin Medical University General Hospital,Tianjin 300052,China
  • Received:2016-12-27 Revised:2017-01-19 Published:2017-04-15 Online:2017-05-18
  • Contact: LI Zeng-yan,li_zengyan@sina.com E-mail:414967423@qq.com

摘要: 【摘  要】  β-地中海贫血是人β珠蛋白(HBB)基因突变的一种基因遗传病,导致珠蛋白生成障碍,目前尚无根治可能。成簇的规律间隔性短回文重复序列及其相关蛋白(CRISPR/Cas)系统是细菌和古生菌的获得性免疫系统,可对多种生物的基因组进行遗传改造。而CRISPR/Cas9系统因其便于操作、花费低、高特异性、可同时打靶任意数量基因等优点被广泛应用。目前应用CRISPR/Cas9系统诱导多能干细胞结合校正人HBB基因已成为可能,产生的正常血红蛋白可改善β-地中海贫血患者的相关症状。但该系统的脱靶效应如果发生在人类身上,后果将难以想象。最新研究通过增加CRISPR切除特异性和控制Cas9减少脱靶效应,增加CRISPR/Cas9基因编辑的安全性。综述CRISPR/Cas9系统以及应对脱靶效应的最新研究进展。
    【关键词】 

关键词: β地中海贫血, 基因, 治疗, CRISPR/Cas

Abstract: 【Abstract】  β-thalassaemia is a genetic disease of human β-globin (HBB) gene mutation, there is no cure possible, leading to the disorder of globin expression. CRISPR/Cas system, as the acquired immune system of bacteria and archaea, can transform the genome of many organisms at present. CRISPR/Cas9 systems is widely used for the advantages of easy programming, inexpensive construction, high specificity and multiplexed genome editing. The latest study using CRISPR/Cas9 systems combined with induced pluripotent stem cells to correct human HBB has become possible,meanwhile produces normal hemoglobin to reduce the symptom of patients with β-thalassaemia. The outcome will be a tremendous disasters, if off-target effect occured in human, that′s scientist worried about. To increase the safety of CRISPR/Cas9 gene editing, the latest research avoid the off-targets effect by increasing the specificity of CRISPR resection and controlling the Cas9 effectively. We reviewed the latest researches on the CRISPR/Cas9 systems and deal with off target effects.
【Keywords】 

Key words: beta-thalassemia, Genes, Therapy, CRISPR/Cas