Target intelligence / Profile preview

Beta-globin (hemoglobin subunit beta) (HBB)

Target
HBB
Molecular classification
Structural protein, Globin family, Hemoglobin component
01

Overview

The beta-globin protein, encoded by the **HBB gene** on chromosome 11, is a component of adult hemoglobin (HbA) responsible for binding and transporting oxygen in red blood cells[7][6][3][5]. A single point mutation in the HBB gene (Glu6Val/E6V) causes sickle cell disease (SCD), where the abnormal hemoglobin S (HbS) polymerizes under low-oxygen conditions, distorting red blood cells into a sickle shape[7][3][4]. This leads to chronic hemolytic anemia, vaso-occlusion, pain crises, and multi-organ damage. The HBB gene is the direct molecular target of several drugs and gene therapy approaches, and its mutation is a key biomarker and causal factor in SCD and other hemoglobinopathies[1][2][5][6][7].

Other names
Hemoglobin betaβ-globinHemoglobin subunit betaHBB geneHemoglobin S (mutation form)HbS (sickle mutation form)
02

Mechanism of action

Increasing affinity of hemoglobin for oxygen (Voxelotor); Increasing fetal hemoglobin (HbF) production (Hydroxyurea); Reducing sickling/oxidative damage (L-glutamine); Blocking cell adhesion/vaso-occlusion (Crizanlizumab); Correcting HBB mutation (gene editing)

03

Biological functions

Oxygen transportGas exchange in red blood cellsMaintenance of red blood cell shape and flexibility
04

Disease associations

Hemoglobinopathy (sickle cell disease, sickle cell anemia)β-thalassemiaOther inherited anemias
05

Safety considerations

Off-target effects with gene-editing therapiesImmunogenic risks for gene therapiesIron overload (chronic transfusion)Myelosuppression/infection (hydroxyurea)Vaso-occlusive crisis, organ damage (intrinsic to SCD)
06

Interacting drugs

Voxelotor

5 more in the full profile.

07

Biomarkers

Hemoglobin S (HbS) levelsHemoglobin F (HbF) levelsHemoglobin A (HbA) levelsTotal hemoglobin concentrationReticulocyte countLactate dehydrogenase (LDH) as marker for hemolysis

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