Susanna Porcu - Academia.edu (original) (raw)

Papers by Susanna Porcu

Research paper thumbnail of Different Hemoglobin Switching Pattern of β-Thalassemia Mutations at the Proximal and Distal Human β-Globin CACCC Box

Blood, Nov 16, 2007

The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the ... more The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the function of the proximal element as a binding site for EKLF has already been well established, the role of the distal element remains unclear The distal CACCC box has been previously reported not to bind EKLF in vitro. A minor role of the distal CACCC element in β globin gene promoter function is suggested by the observation that naturally occurring β thalassemia mutations affecting the proximal CACCC box are far more severe than those affecting the distal element. Nevertheless recent evidences demonstrate: that EKLF does indeed bind to the distal CACCC motif, although with low affinity. that the CCTCACCC is required for maximal stimulation of the β-globin gene by EKLF and that silent β-thalassemia due to mutations of the distal CACCC box affects the binding and responsiveness to EKLF of the β-globin gene promoter. Our interest in the function of the distal CACCC element springs from the observation that β thalassemia mutation affecting the distal box show an age related pattern of expression being more severe in the childhood than in the adulthood. In order to get light inside the role of this element in the function of the β globin gene and in the γ to β hemoglobin switching we have analyzed the effect of mutations at the proximal and distal element “in vivo”. We have engineered, by site specific mutagenesis, the β-101 (distal CACCC element) and β-87 (proximal CACCC element) mutations inside the “minilocus “ γ-β construct. The minilocus construct has been widely used to study hemoglobin switching in vivo. This construct contains the full β-globin Locus Control Region (LCR), the Aγ globin gene, the β-globin gene and the 3′ hypersensitive site (HS) of the β-globin cluster. Three mice transgenic lines have been produced. The pattern of g versus β-globin switching has been analyzed during the development by S1 analysis and real time PCR. We have dissected the yolk sac at 10 days post conception (pc) to asses the embryonic stage of erythopoiesis; the fetal liver at 12, 14 and 16 days pc to asses the fetal stage or erythropoiesis when the g to b competitive switching take place; and the adult blood. Our results indicated that neither the β-101 nor the β-87 thalassemia mutations affect the competitive silencing of the b-globin gene in the yolk sac. During the fetal liver stage of erythropoiesis, were both human g and b human transgenes are expressed, the pattern of γ-β hemoglobin switching is striking different for the two different constructs. The b-87 minilocus γ-β construct shows a delayed switching patter mainly due to the low activation of the mutated β globin gene. The impairment of the expression of the β-87 globin gene became more severe during the fetal development compared to the control line. On the other hand the β-101 minilocus γ-β construct shows a γ-β hemoglobin switching pattern which is anticipated respect to the control line. In addition the effect of the β-101 mutation became less severe during the fetal development. These results highlight a possible role of the distal CACCC element in hemoglobin switching and in particular in the early stage of β-globin activation.

Research paper thumbnail of A new δ-chain variant hemoglobin A2-puglia or α2δ2 26 Glu→Asp (B8), detected by DNA analysis in a family of Southern Italian origin

Research paper thumbnail of Transgenic knockout mice exclusively expressing human hemoglobin S after transfer of a 240-kb β <sup>s</sup> -globin yeast artificial chromosome: A mouse model of sickle cell anemia

Proceedings of the National Academy of Sciences of the United States of America, Dec 8, 1998

Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Cu... more Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Current approaches to the development of murine models of SCA involve the elimination of functional murine ␣-and ␤-globin genes and substitution with human ␣ and ␤ s transgenes. Recently, two groups have produced mice that exclusively express human HbS. The transgenic lines used in these studies were produced by coinjection of human ␣-, ␥-, and ␤-globin constructs. Thus, all of the transgenes are integrated at a single chromosomal site. Studies in transgenic mice have demonstrated that the normal gene order and spatial organization of the members of the human ␤-globin gene family are required for appropriate developmental and stage-restricted expression of the genes. As the cis-acting sequences that participate in activation and silencing of the ␥-and ␤-globin genes are not fully defined, murine models that preserve the normal structure of the locus are likely to have significant advantages for validating future therapies for SCA. To produce a model of SCA that recapitulates not only the phenotype, but also the genotype of patients with SCA, we have generated mice that exclusively express HbS after transfer of a 240-kb ␤ s yeast artificial chromosome. These mice have hemolytic anemia, 10% irreversibly sickled cells in their peripheral blood, reticulocytosis, and other phenotypic features of SCA.

Research paper thumbnail of The Human β Globin Locus Introduced by YAC Transfer Exhibits a Specific and Reproducible Pattern of Developmental Regulation in Transgenic Mice

Blood, Dec 1, 1997

The human b globin locus spans an 80-kb chromosomal re-strate that independent YAC transgenic lin... more The human b globin locus spans an 80-kb chromosomal re-strate that independent YAC transgenic lines exhibit remarkgion encompassing both the five expressed globin genes ably similar patterns of globin gene expression during develand the cis-acting elements that direct their stage-specific opment. The switch from g to b globin predominant expression during ontogeny. Sequences proximal to the expression occurs between day 11.5 and 12.5 of gestation, genes and in the locus control region, 60 kb upstream of the with no more than twofold differences in human b globin adult b globin gene, are required for developmental regula-mRNA levels between lines. Human b globin mRNA levels tion. Transgenic studies have shown that altering the strucwere twofold to fourfold lower than that of mouse b maj , tural organization of the locus disrupts the normal pattern revealing potentially significant differences in the regulatory of globin gene regulation. Procedures for introducing yeast sequences of the two loci. These findings provide an imartificial chromosomes (YACs) containing large genetic loci portant basis for studying regulatory elements within the b now make it possible to define the sequences reglobin locus. quired for stage-restricted gene expression in constructs ᭧ 1997 by The American Society of Hematology. that preserve the integrity of the b globin locus. We demon

Research paper thumbnail of Different switching patterns of β-thalassaemic mutations at the proximal and distal CACCC box of the human<i>HBB</i>(β-globin) gene

British Journal of Haematology, Aug 7, 2015

Research paper thumbnail of Multi-Organ Morphological Findings in a Humanized Murine Model of Sickle Cell Trait

International Journal of Molecular Sciences

Sickle cell disease (SCD) is caused by the homozygous beta-globin gene mutation that can lead to ... more Sickle cell disease (SCD) is caused by the homozygous beta-globin gene mutation that can lead to ischemic multi-organ damage and consequently reduce life expectancy. On the other hand, sickle cell trait (SCT), the heterozygous beta-globin gene mutation, is still considered a benign condition. Although the mechanisms are not well understood, clinical evidence has recently shown that specific pathological symptoms can also be recognized in SCT carriers. So far, there are still scant data regarding the morphological modifications referable to possible multi-organ damage in the SCT condition. Therefore, after genotypic and hematological characterization, by conventional light microscopy and transmission electron microscopy (TEM), we investigated the presence of tissue alterations in 13 heterozygous Townes mice, one of the best-known animal models that, up to now, was used only for the study of the homozygous condition. We found that endothelial alterations, as among which the thickening...

Research paper thumbnail of Delta‐globin gene expression improves sickle cell disease in a humanised mouse model

British Journal of Haematology, 2021

Sickle cell disease (SCD) is a widespread genetic disease associated with severe disability and m... more Sickle cell disease (SCD) is a widespread genetic disease associated with severe disability and multi‐organ damage, resulting in a reduced life expectancy. None of the existing clinical treatments provide a solution for all patients. Gene therapy and fetal haemoglobin (HbF) reactivation through genetic approaches have obtained promising, but early, results in patients. Furthermore, the search for active molecules to increase HbF is still ongoing. The delta‐globin gene produces the delta‐globin of haemoglobin A2 (HbA2). Although expressed at a low level, HbA2 is fully functional and could be a valid anti‐sickling agent in SCD. To evaluate the therapeutic potential of a strategy aimed to over‐express the delta‐globin gene in vivo, we crossed transgenic mice carrying a single copy of the delta‐globin gene, genetically modified to be expressed at a higher level (activated), with a humanised mouse model of SCD. The activated delta‐globin gene gives rise to a consistent production of HbA2, effectively improving the SCD phenotype. For the first time in vivo, these results demonstrate the therapeutic potential of delta‐globin, which could lead to novel approaches to the cure of SCD.

Research paper thumbnail of Delta-Globin Gene Expression Is Enhanced in vivo by Interferon Type I

Research paper thumbnail of Different Hemoglobin Switching Pattern of β-Thalassemia Mutations at the Proximal and Distal Human β-Globin CACCC Box

Blood

The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the ... more The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the function of the proximal element as a binding site for EKLF has already been well established, the role of the distal element remains unclear The distal CACCC box has been previously reported not to bind EKLF in vitro. A minor role of the distal CACCC element in β globin gene promoter function is suggested by the observation that naturally occurring β thalassemia mutations affecting the proximal CACCC box are far more severe than those affecting the distal element. Nevertheless recent evidences demonstrate: that EKLF does indeed bind to the distal CACCC motif, although with low affinity. that the CCTCACCC is required for maximal stimulation of the β-globin gene by EKLF and that silent β-thalassemia due to mutations of the distal CACCC box affects the binding and responsiveness to EKLF of the β-globin gene promoter. Our interest in the function of the distal CACCC element springs from the...

Research paper thumbnail of In Vivo Activation of the δ Globin Gene Promoter

Blood

The δ globin gene is the second adult β-like globin gene in humans and codes for the δ globin cha... more The δ globin gene is the second adult β-like globin gene in humans and codes for the δ globin chain which forms together with the α globin chain Hemoglobin A2 (HbA2). HbA2 represents less than 3% of the total hemoglobin in normal individuals and it is typically increased in β thalassemia carriers. The δ globin gene is highly homologous to the β globin gene since it derives from a common ancestor. In our previous work we (as well as others) have demonstrated, in vitro, that the creation of the β globin proximal CACCC box consensus sequence, the binding site of the trascription factor EKLF, on the δ globin gene promoter is sufficient to enhance its expression to a considerable extent. Here we show that the δ globin gene promoter can be activated “ in vivo” in a transgenic mice model. We have produced transgenic mice lines with a DNA construct in which the wild type (wt) β globin gene promoter and either the wt or the proximal CACCC box containing δ globin gene promoter are linked in c...

Research paper thumbnail of The Human β Globin Locus Introduced by YAC Transfer Exhibits a Specific and Reproducible Pattern of Developmental Regulation in Transgenic Mice

Blood

The human β globin locus spans an 80-kb chromosomal region encompassing both the five expressed g... more The human β globin locus spans an 80-kb chromosomal region encompassing both the five expressed globin genes and the cis-acting elements that direct their stage-specific expression during ontogeny. Sequences proximal to the genes and in the locus control region, 60 kb upstream of the adult β globin gene, are required for developmental regulation. Transgenic studies have shown that altering the structural organization of the locus disrupts the normal pattern of globin gene regulation. Procedures for introducing yeast artificial chromosomes (YACs) containing large genetic loci now make it possible to define the sequences required for stage-restricted gene expression in constructs that preserve the integrity of the β globin locus. We demonstrate that independent YAC transgenic lines exhibit remarkably similar patterns of globin gene expression during development. The switch from γ to β globin predominant expression occurs between day 11.5 and 12.5 of gestation, with no more than twofol...

Research paper thumbnail of Delayed Embryonic to Adult Globin Switching in HMGB2 Knock Out Mice

Blood

2152 Hypersensitive site 2 (HS2) of the locus control region (LCR) is required for the optimal re... more 2152 Hypersensitive site 2 (HS2) of the locus control region (LCR) is required for the optimal regulation of the beta globin gene cluster. Screening a λgt11 cord blood cDNA library with the tandem NFE2 repeat of HS2 as recognition site probe, we isolated 14 cDNA clones of HMGB2, a chromatin non histone protein. Binding to the HS2 region was confirmed in vivo by ChIP assay. Transactivation analysis in K562 cells showed mild repression of a luciferase reporter driven by HS2 and the γ-promoter. The DNA bending capacity and the increased expression of HMGB2 during erythroid differentiation are properties well suited to facilitate LCR looping toward the β-globin genes, the mechanism thought to mediate globin gene activation. Hence, HMGB2 binding to HS2 may be relevant for the regulation of the β-globin gene cluster. To assess the function of HMGB2 as a possible regulator of the globin genes we analyzed the hematological phenotype of the HMGB2 knock out mice during erythroid differentiati...

Research paper thumbnail of Deficiency in interferon type 1 receptor improves definitive erythropoiesis in Klf1 null mice

Cell death and differentiation, Jan 11, 2017

A key regulatory gene in definitive erythropoiesis is the transcription factor Krüppel-like facto... more A key regulatory gene in definitive erythropoiesis is the transcription factor Krüppel-like factor 1 (Klf1). Klf1 null mice die in utero by day 15.5 (E15.5) due to impaired definitive erythropoiesis and severe anemia. Definitive erythropoiesis takes place in erythroblastic islands in mammals. Erythroblastic islands are formed by a central macrophage (Central Macrophage of Erythroblastic Island, CMEI) surrounded by maturating erythroblasts. Interferon-β (IFN-β) is activated in the fetal liver's CMEI of Klf1 null mice. The inhibitory effect of IFN-β on erythropoiesis is known and, therefore, we speculated that IFN-β could have contributed to the impairment of definitive erythropoiesis in Klf1 knockout (KO) mice fetal liver. To validate this hypothesis, in this work we determined whether the inactivation of type I interferon receptor (Ifnar1) would ameliorate the phenotype of Klf1 KO mice by improving the lethal anemia. Our results show a prolonged survival of Klf1/Ifnar1 double KO...

Research paper thumbnail of δ‐Globin Gene Structure and Expression in the K562 Cell Line

ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hem... more ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hemoglobin (Hb) in normal individuals. The δ‐globin gene is also expressed in the human erythroleukemia cell line K562. The expression of the δ‐globin gene in this cell line is unexpected since K562 shows an embryonic‐fetal globin gene expression pattern with no expression of the adult β‐globin gene. δ‐Globin gene activation has been proposed as a potential therapeutic tool for the cure of δ‐thalassemia (thal). In order to shed some light on the δ‐globin gene activation in K562 the present study has: (1) determined the complete nucleotide sequence of the δ‐ and β‐globin genes; (2) assessed, by reverse transcription‐polymerase chain reaction (RT‐PCR), the relative δ‐ and β‐globin mRNA level; and (3) analyzed the exact level of the endogenous expression δ‐globin gene by S1 mapping. No sequence variations were identified in the δ‐ and β‐globin genes when compared to the normal sequences. δ‐Globin mRNA represent more than 95% of the total δ + β‐mRNA content. The level of expression of the δ‐globin gene is 12.3% (±1.2) compared to the endogenous α‐globin gene. These results indicate that the high expression of the δ‐globin gene in K562 is most likely due to the transacting environment. Therefore, the presence and/or absence of specific transacting factors are able to specifically activate the human δ‐globin gene. The level of expression of the δ‐globin gene in this cell line suggests that it could be of relevance to identify the transacting factor(s) responsible for this selective activation in order to better understand the molecular mechanisms undergoing gene activation.

Research paper thumbnail of Transgenic Mice Specific and Reproducible Pattern of Developmental Regulation in The Human beta Globin Locus Introduced by YAC Transfer Exhibits a

Research paper thumbnail of d-Globin Gene Structure and Expression in the K562 Cell Line

Hemoglobin, 2003

ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hem... more ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hemoglobin (Hb) in normal individuals. The δ‐globin gene is also expressed in the human erythroleukemia cell line K562. The expression of the δ‐globin gene in this cell line is unexpected since K562 shows an embryonic‐fetal globin gene expression pattern with no expression of the adult β‐globin gene. δ‐Globin gene activation has been proposed as a potential therapeutic tool for the cure of δ‐thalassemia (thal). In order to shed some light on the δ‐globin gene activation in K562 the present study has: (1) determined the complete nucleotide sequence of the δ‐ and β‐globin genes; (2) assessed, by reverse transcription‐polymerase chain reaction (RT‐PCR), the relative δ‐ and β‐globin mRNA level; and (3) analyzed the exact level of the endogenous expression δ‐globin gene by S1 mapping. No sequence variations were identified in the δ‐ and β‐globin genes when compared to the normal sequences. δ‐Globin mRNA represent more than 95% of the total δ + β‐mRNA content. The level of expression of the δ‐globin gene is 12.3% (±1.2) compared to the endogenous α‐globin gene. These results indicate that the high expression of the δ‐globin gene in K562 is most likely due to the transacting environment. Therefore, the presence and/or absence of specific transacting factors are able to specifically activate the human δ‐globin gene. The level of expression of the δ‐globin gene in this cell line suggests that it could be of relevance to identify the transacting factor(s) responsible for this selective activation in order to better understand the molecular mechanisms undergoing gene activation.

Research paper thumbnail of Transgenic knockout mice exclusively expressing human hemoglobin S after transfer of a 240-kb  s-globin yeast artificial chromosome: A mouse model of sickle cell anemia

Proceedings of the National Academy of Sciences, 1998

Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Cu... more Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Current approaches to the development of murine models of SCA involve the elimination of functional murine ␣-and ␤-globin genes and substitution with human ␣ and ␤ s transgenes. Recently, two groups have produced mice that exclusively express human HbS. The transgenic lines used in these studies were produced by coinjection of human ␣-, ␥-, and ␤-globin constructs. Thus, all of the transgenes are integrated at a single chromosomal site. Studies in transgenic mice have demonstrated that the normal gene order and spatial organization of the members of the human ␤-globin gene family are required for appropriate developmental and stage-restricted expression of the genes. As the cis-acting sequences that participate in activation and silencing of the ␥-and ␤-globin genes are not fully defined, murine models that preserve the normal structure of the locus are likely to have significant advantages for validating future therapies for SCA. To produce a model of SCA that recapitulates not only the phenotype, but also the genotype of patients with SCA, we have generated mice that exclusively express HbS after transfer of a 240-kb ␤ s yeast artificial chromosome. These mice have hemolytic anemia, 10% irreversibly sickled cells in their peripheral blood, reticulocytosis, and other phenotypic features of SCA.

Research paper thumbnail of In vivo activation of the human  -globin gene: the therapeutic potential in  -thalassemic mice

Research paper thumbnail of Different switching patterns of β-thalassaemic mutations at the proximal and distal CACCC box of the human HBB (β-globin) gene

British Journal of Haematology, 2015

Research paper thumbnail of HLA-DQB1, DQA1 and DPB1 Alleles in Sardinian Patients with Insulin-Dependent Diabetes Mellitus

Standardization of Epidemiologic Studies of Host Susceptibility, 1994

Research paper thumbnail of Different Hemoglobin Switching Pattern of β-Thalassemia Mutations at the Proximal and Distal Human β-Globin CACCC Box

Blood, Nov 16, 2007

The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the ... more The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the function of the proximal element as a binding site for EKLF has already been well established, the role of the distal element remains unclear The distal CACCC box has been previously reported not to bind EKLF in vitro. A minor role of the distal CACCC element in β globin gene promoter function is suggested by the observation that naturally occurring β thalassemia mutations affecting the proximal CACCC box are far more severe than those affecting the distal element. Nevertheless recent evidences demonstrate: that EKLF does indeed bind to the distal CACCC motif, although with low affinity. that the CCTCACCC is required for maximal stimulation of the β-globin gene by EKLF and that silent β-thalassemia due to mutations of the distal CACCC box affects the binding and responsiveness to EKLF of the β-globin gene promoter. Our interest in the function of the distal CACCC element springs from the observation that β thalassemia mutation affecting the distal box show an age related pattern of expression being more severe in the childhood than in the adulthood. In order to get light inside the role of this element in the function of the β globin gene and in the γ to β hemoglobin switching we have analyzed the effect of mutations at the proximal and distal element “in vivo”. We have engineered, by site specific mutagenesis, the β-101 (distal CACCC element) and β-87 (proximal CACCC element) mutations inside the “minilocus “ γ-β construct. The minilocus construct has been widely used to study hemoglobin switching in vivo. This construct contains the full β-globin Locus Control Region (LCR), the Aγ globin gene, the β-globin gene and the 3′ hypersensitive site (HS) of the β-globin cluster. Three mice transgenic lines have been produced. The pattern of g versus β-globin switching has been analyzed during the development by S1 analysis and real time PCR. We have dissected the yolk sac at 10 days post conception (pc) to asses the embryonic stage of erythopoiesis; the fetal liver at 12, 14 and 16 days pc to asses the fetal stage or erythropoiesis when the g to b competitive switching take place; and the adult blood. Our results indicated that neither the β-101 nor the β-87 thalassemia mutations affect the competitive silencing of the b-globin gene in the yolk sac. During the fetal liver stage of erythropoiesis, were both human g and b human transgenes are expressed, the pattern of γ-β hemoglobin switching is striking different for the two different constructs. The b-87 minilocus γ-β construct shows a delayed switching patter mainly due to the low activation of the mutated β globin gene. The impairment of the expression of the β-87 globin gene became more severe during the fetal development compared to the control line. On the other hand the β-101 minilocus γ-β construct shows a γ-β hemoglobin switching pattern which is anticipated respect to the control line. In addition the effect of the β-101 mutation became less severe during the fetal development. These results highlight a possible role of the distal CACCC element in hemoglobin switching and in particular in the early stage of β-globin activation.

Research paper thumbnail of A new δ-chain variant hemoglobin A2-puglia or α2δ2 26 Glu→Asp (B8), detected by DNA analysis in a family of Southern Italian origin

Research paper thumbnail of Transgenic knockout mice exclusively expressing human hemoglobin S after transfer of a 240-kb β <sup>s</sup> -globin yeast artificial chromosome: A mouse model of sickle cell anemia

Proceedings of the National Academy of Sciences of the United States of America, Dec 8, 1998

Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Cu... more Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Current approaches to the development of murine models of SCA involve the elimination of functional murine ␣-and ␤-globin genes and substitution with human ␣ and ␤ s transgenes. Recently, two groups have produced mice that exclusively express human HbS. The transgenic lines used in these studies were produced by coinjection of human ␣-, ␥-, and ␤-globin constructs. Thus, all of the transgenes are integrated at a single chromosomal site. Studies in transgenic mice have demonstrated that the normal gene order and spatial organization of the members of the human ␤-globin gene family are required for appropriate developmental and stage-restricted expression of the genes. As the cis-acting sequences that participate in activation and silencing of the ␥-and ␤-globin genes are not fully defined, murine models that preserve the normal structure of the locus are likely to have significant advantages for validating future therapies for SCA. To produce a model of SCA that recapitulates not only the phenotype, but also the genotype of patients with SCA, we have generated mice that exclusively express HbS after transfer of a 240-kb ␤ s yeast artificial chromosome. These mice have hemolytic anemia, 10% irreversibly sickled cells in their peripheral blood, reticulocytosis, and other phenotypic features of SCA.

Research paper thumbnail of The Human β Globin Locus Introduced by YAC Transfer Exhibits a Specific and Reproducible Pattern of Developmental Regulation in Transgenic Mice

Blood, Dec 1, 1997

The human b globin locus spans an 80-kb chromosomal re-strate that independent YAC transgenic lin... more The human b globin locus spans an 80-kb chromosomal re-strate that independent YAC transgenic lines exhibit remarkgion encompassing both the five expressed globin genes ably similar patterns of globin gene expression during develand the cis-acting elements that direct their stage-specific opment. The switch from g to b globin predominant expression during ontogeny. Sequences proximal to the expression occurs between day 11.5 and 12.5 of gestation, genes and in the locus control region, 60 kb upstream of the with no more than twofold differences in human b globin adult b globin gene, are required for developmental regula-mRNA levels between lines. Human b globin mRNA levels tion. Transgenic studies have shown that altering the strucwere twofold to fourfold lower than that of mouse b maj , tural organization of the locus disrupts the normal pattern revealing potentially significant differences in the regulatory of globin gene regulation. Procedures for introducing yeast sequences of the two loci. These findings provide an imartificial chromosomes (YACs) containing large genetic loci portant basis for studying regulatory elements within the b now make it possible to define the sequences reglobin locus. quired for stage-restricted gene expression in constructs ᭧ 1997 by The American Society of Hematology. that preserve the integrity of the b globin locus. We demon

Research paper thumbnail of Different switching patterns of β-thalassaemic mutations at the proximal and distal CACCC box of the human<i>HBB</i>(β-globin) gene

British Journal of Haematology, Aug 7, 2015

Research paper thumbnail of Multi-Organ Morphological Findings in a Humanized Murine Model of Sickle Cell Trait

International Journal of Molecular Sciences

Sickle cell disease (SCD) is caused by the homozygous beta-globin gene mutation that can lead to ... more Sickle cell disease (SCD) is caused by the homozygous beta-globin gene mutation that can lead to ischemic multi-organ damage and consequently reduce life expectancy. On the other hand, sickle cell trait (SCT), the heterozygous beta-globin gene mutation, is still considered a benign condition. Although the mechanisms are not well understood, clinical evidence has recently shown that specific pathological symptoms can also be recognized in SCT carriers. So far, there are still scant data regarding the morphological modifications referable to possible multi-organ damage in the SCT condition. Therefore, after genotypic and hematological characterization, by conventional light microscopy and transmission electron microscopy (TEM), we investigated the presence of tissue alterations in 13 heterozygous Townes mice, one of the best-known animal models that, up to now, was used only for the study of the homozygous condition. We found that endothelial alterations, as among which the thickening...

Research paper thumbnail of Delta‐globin gene expression improves sickle cell disease in a humanised mouse model

British Journal of Haematology, 2021

Sickle cell disease (SCD) is a widespread genetic disease associated with severe disability and m... more Sickle cell disease (SCD) is a widespread genetic disease associated with severe disability and multi‐organ damage, resulting in a reduced life expectancy. None of the existing clinical treatments provide a solution for all patients. Gene therapy and fetal haemoglobin (HbF) reactivation through genetic approaches have obtained promising, but early, results in patients. Furthermore, the search for active molecules to increase HbF is still ongoing. The delta‐globin gene produces the delta‐globin of haemoglobin A2 (HbA2). Although expressed at a low level, HbA2 is fully functional and could be a valid anti‐sickling agent in SCD. To evaluate the therapeutic potential of a strategy aimed to over‐express the delta‐globin gene in vivo, we crossed transgenic mice carrying a single copy of the delta‐globin gene, genetically modified to be expressed at a higher level (activated), with a humanised mouse model of SCD. The activated delta‐globin gene gives rise to a consistent production of HbA2, effectively improving the SCD phenotype. For the first time in vivo, these results demonstrate the therapeutic potential of delta‐globin, which could lead to novel approaches to the cure of SCD.

Research paper thumbnail of Delta-Globin Gene Expression Is Enhanced in vivo by Interferon Type I

Research paper thumbnail of Different Hemoglobin Switching Pattern of β-Thalassemia Mutations at the Proximal and Distal Human β-Globin CACCC Box

Blood

The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the ... more The CACCC box is duplicated in the β globin gene promoter of humans and other mammals. While the function of the proximal element as a binding site for EKLF has already been well established, the role of the distal element remains unclear The distal CACCC box has been previously reported not to bind EKLF in vitro. A minor role of the distal CACCC element in β globin gene promoter function is suggested by the observation that naturally occurring β thalassemia mutations affecting the proximal CACCC box are far more severe than those affecting the distal element. Nevertheless recent evidences demonstrate: that EKLF does indeed bind to the distal CACCC motif, although with low affinity. that the CCTCACCC is required for maximal stimulation of the β-globin gene by EKLF and that silent β-thalassemia due to mutations of the distal CACCC box affects the binding and responsiveness to EKLF of the β-globin gene promoter. Our interest in the function of the distal CACCC element springs from the...

Research paper thumbnail of In Vivo Activation of the δ Globin Gene Promoter

Blood

The δ globin gene is the second adult β-like globin gene in humans and codes for the δ globin cha... more The δ globin gene is the second adult β-like globin gene in humans and codes for the δ globin chain which forms together with the α globin chain Hemoglobin A2 (HbA2). HbA2 represents less than 3% of the total hemoglobin in normal individuals and it is typically increased in β thalassemia carriers. The δ globin gene is highly homologous to the β globin gene since it derives from a common ancestor. In our previous work we (as well as others) have demonstrated, in vitro, that the creation of the β globin proximal CACCC box consensus sequence, the binding site of the trascription factor EKLF, on the δ globin gene promoter is sufficient to enhance its expression to a considerable extent. Here we show that the δ globin gene promoter can be activated “ in vivo” in a transgenic mice model. We have produced transgenic mice lines with a DNA construct in which the wild type (wt) β globin gene promoter and either the wt or the proximal CACCC box containing δ globin gene promoter are linked in c...

Research paper thumbnail of The Human β Globin Locus Introduced by YAC Transfer Exhibits a Specific and Reproducible Pattern of Developmental Regulation in Transgenic Mice

Blood

The human β globin locus spans an 80-kb chromosomal region encompassing both the five expressed g... more The human β globin locus spans an 80-kb chromosomal region encompassing both the five expressed globin genes and the cis-acting elements that direct their stage-specific expression during ontogeny. Sequences proximal to the genes and in the locus control region, 60 kb upstream of the adult β globin gene, are required for developmental regulation. Transgenic studies have shown that altering the structural organization of the locus disrupts the normal pattern of globin gene regulation. Procedures for introducing yeast artificial chromosomes (YACs) containing large genetic loci now make it possible to define the sequences required for stage-restricted gene expression in constructs that preserve the integrity of the β globin locus. We demonstrate that independent YAC transgenic lines exhibit remarkably similar patterns of globin gene expression during development. The switch from γ to β globin predominant expression occurs between day 11.5 and 12.5 of gestation, with no more than twofol...

Research paper thumbnail of Delayed Embryonic to Adult Globin Switching in HMGB2 Knock Out Mice

Blood

2152 Hypersensitive site 2 (HS2) of the locus control region (LCR) is required for the optimal re... more 2152 Hypersensitive site 2 (HS2) of the locus control region (LCR) is required for the optimal regulation of the beta globin gene cluster. Screening a λgt11 cord blood cDNA library with the tandem NFE2 repeat of HS2 as recognition site probe, we isolated 14 cDNA clones of HMGB2, a chromatin non histone protein. Binding to the HS2 region was confirmed in vivo by ChIP assay. Transactivation analysis in K562 cells showed mild repression of a luciferase reporter driven by HS2 and the γ-promoter. The DNA bending capacity and the increased expression of HMGB2 during erythroid differentiation are properties well suited to facilitate LCR looping toward the β-globin genes, the mechanism thought to mediate globin gene activation. Hence, HMGB2 binding to HS2 may be relevant for the regulation of the β-globin gene cluster. To assess the function of HMGB2 as a possible regulator of the globin genes we analyzed the hematological phenotype of the HMGB2 knock out mice during erythroid differentiati...

Research paper thumbnail of Deficiency in interferon type 1 receptor improves definitive erythropoiesis in Klf1 null mice

Cell death and differentiation, Jan 11, 2017

A key regulatory gene in definitive erythropoiesis is the transcription factor Krüppel-like facto... more A key regulatory gene in definitive erythropoiesis is the transcription factor Krüppel-like factor 1 (Klf1). Klf1 null mice die in utero by day 15.5 (E15.5) due to impaired definitive erythropoiesis and severe anemia. Definitive erythropoiesis takes place in erythroblastic islands in mammals. Erythroblastic islands are formed by a central macrophage (Central Macrophage of Erythroblastic Island, CMEI) surrounded by maturating erythroblasts. Interferon-β (IFN-β) is activated in the fetal liver's CMEI of Klf1 null mice. The inhibitory effect of IFN-β on erythropoiesis is known and, therefore, we speculated that IFN-β could have contributed to the impairment of definitive erythropoiesis in Klf1 knockout (KO) mice fetal liver. To validate this hypothesis, in this work we determined whether the inactivation of type I interferon receptor (Ifnar1) would ameliorate the phenotype of Klf1 KO mice by improving the lethal anemia. Our results show a prolonged survival of Klf1/Ifnar1 double KO...

Research paper thumbnail of δ‐Globin Gene Structure and Expression in the K562 Cell Line

ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hem... more ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hemoglobin (Hb) in normal individuals. The δ‐globin gene is also expressed in the human erythroleukemia cell line K562. The expression of the δ‐globin gene in this cell line is unexpected since K562 shows an embryonic‐fetal globin gene expression pattern with no expression of the adult β‐globin gene. δ‐Globin gene activation has been proposed as a potential therapeutic tool for the cure of δ‐thalassemia (thal). In order to shed some light on the δ‐globin gene activation in K562 the present study has: (1) determined the complete nucleotide sequence of the δ‐ and β‐globin genes; (2) assessed, by reverse transcription‐polymerase chain reaction (RT‐PCR), the relative δ‐ and β‐globin mRNA level; and (3) analyzed the exact level of the endogenous expression δ‐globin gene by S1 mapping. No sequence variations were identified in the δ‐ and β‐globin genes when compared to the normal sequences. δ‐Globin mRNA represent more than 95% of the total δ + β‐mRNA content. The level of expression of the δ‐globin gene is 12.3% (±1.2) compared to the endogenous α‐globin gene. These results indicate that the high expression of the δ‐globin gene in K562 is most likely due to the transacting environment. Therefore, the presence and/or absence of specific transacting factors are able to specifically activate the human δ‐globin gene. The level of expression of the δ‐globin gene in this cell line suggests that it could be of relevance to identify the transacting factor(s) responsible for this selective activation in order to better understand the molecular mechanisms undergoing gene activation.

Research paper thumbnail of Transgenic Mice Specific and Reproducible Pattern of Developmental Regulation in The Human beta Globin Locus Introduced by YAC Transfer Exhibits a

Research paper thumbnail of d-Globin Gene Structure and Expression in the K562 Cell Line

Hemoglobin, 2003

ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hem... more ABSTRACT The δ‐globin gene produces the δ chain of Hb A2 which represents less than 3% of the hemoglobin (Hb) in normal individuals. The δ‐globin gene is also expressed in the human erythroleukemia cell line K562. The expression of the δ‐globin gene in this cell line is unexpected since K562 shows an embryonic‐fetal globin gene expression pattern with no expression of the adult β‐globin gene. δ‐Globin gene activation has been proposed as a potential therapeutic tool for the cure of δ‐thalassemia (thal). In order to shed some light on the δ‐globin gene activation in K562 the present study has: (1) determined the complete nucleotide sequence of the δ‐ and β‐globin genes; (2) assessed, by reverse transcription‐polymerase chain reaction (RT‐PCR), the relative δ‐ and β‐globin mRNA level; and (3) analyzed the exact level of the endogenous expression δ‐globin gene by S1 mapping. No sequence variations were identified in the δ‐ and β‐globin genes when compared to the normal sequences. δ‐Globin mRNA represent more than 95% of the total δ + β‐mRNA content. The level of expression of the δ‐globin gene is 12.3% (±1.2) compared to the endogenous α‐globin gene. These results indicate that the high expression of the δ‐globin gene in K562 is most likely due to the transacting environment. Therefore, the presence and/or absence of specific transacting factors are able to specifically activate the human δ‐globin gene. The level of expression of the δ‐globin gene in this cell line suggests that it could be of relevance to identify the transacting factor(s) responsible for this selective activation in order to better understand the molecular mechanisms undergoing gene activation.

Research paper thumbnail of Transgenic knockout mice exclusively expressing human hemoglobin S after transfer of a 240-kb  s-globin yeast artificial chromosome: A mouse model of sickle cell anemia

Proceedings of the National Academy of Sciences, 1998

Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Cu... more Sickle cell anemia (SCA) and thalassemia are among the most common genetic diseases worldwide. Current approaches to the development of murine models of SCA involve the elimination of functional murine ␣-and ␤-globin genes and substitution with human ␣ and ␤ s transgenes. Recently, two groups have produced mice that exclusively express human HbS. The transgenic lines used in these studies were produced by coinjection of human ␣-, ␥-, and ␤-globin constructs. Thus, all of the transgenes are integrated at a single chromosomal site. Studies in transgenic mice have demonstrated that the normal gene order and spatial organization of the members of the human ␤-globin gene family are required for appropriate developmental and stage-restricted expression of the genes. As the cis-acting sequences that participate in activation and silencing of the ␥-and ␤-globin genes are not fully defined, murine models that preserve the normal structure of the locus are likely to have significant advantages for validating future therapies for SCA. To produce a model of SCA that recapitulates not only the phenotype, but also the genotype of patients with SCA, we have generated mice that exclusively express HbS after transfer of a 240-kb ␤ s yeast artificial chromosome. These mice have hemolytic anemia, 10% irreversibly sickled cells in their peripheral blood, reticulocytosis, and other phenotypic features of SCA.

Research paper thumbnail of In vivo activation of the human  -globin gene: the therapeutic potential in  -thalassemic mice

Research paper thumbnail of Different switching patterns of β-thalassaemic mutations at the proximal and distal CACCC box of the human HBB (β-globin) gene

British Journal of Haematology, 2015

Research paper thumbnail of HLA-DQB1, DQA1 and DPB1 Alleles in Sardinian Patients with Insulin-Dependent Diabetes Mellitus

Standardization of Epidemiologic Studies of Host Susceptibility, 1994