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RM001 is an investigational, autologous, ex vivo CRISPR-Cas9 gene-edited hematopoietic stem cell therapy developed by Reforgene Medicine for the treatment of transfusion-dependent β-thalassemia (TDT). The therapy involves the collection of a patient's CD34+ hematopoietic stem and progenitor cells (HSPCs), which are then edited using CRISPR-Cas9 to disrupt the BCL11A erythroid-specific enhancer binding site within the promoters of the γ-globin genes (HBG1 and HBG2). By preventing the binding of the transcriptional repressor BCL11A, RM001 reactivates the production of fetal hemoglobin (HbF). Following myeloablative conditioning, the edited cells are re-infused into the patient, where they engraft and produce red blood cells containing high levels of HbF, thereby reducing or eliminating the need for chronic blood transfusions.
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