Target intelligence / Profile preview

Fetal Globin Gene (HBG)

Target
HBG
Molecular classification
Gene, Transcription factor regulator
01

Overview

The fetal globin gene refers to the HBG1 and HBG2 genes, encoding the gamma (γ) subunits of fetal hemoglobin (HbF). HbF is the predominant hemoglobin in human fetuses, facilitating efficient oxygen transport from mother to fetus. After birth, γ-globin expression is normally downregulated, and β-globin becomes dominant. Reactivation of γ-globin expression is a therapeutic strategy for treating beta-thalassemia and sickle cell disease.

Other names
HBG1HBG2Hemoglobin subunit gamma-1Hemoglobin subunit gamma-2Gamma globinγ-globin
02

Mechanism of action

Drugs like hydroxyurea increase fetal globin expression by various mechanisms, including inducing DNA damage and activating stress erythropoiesis. Other drugs, like decitabine and 5-azacytidine, are DNA methyltransferase inhibitors that can reactivate fetal globin gene expression by demethylating the gene locus.

03

Biological functions

Oxygen transportHemoglobin synthesisErythropoiesisFetal development
04

Disease associations

Sickle cell diseaseBeta-thalassemiaHereditary persistence of fetal hemoglobin (HPFH)
05

Safety considerations

Myelosuppression (with hydroxyurea)Teratogenicity (with hydroxyurea)Increased risk of infections (with some epigenetic modifiers)Potential for off-target effects
06

Interacting drugs

Hydroxyurea

2 more in the full profile.

07

Biomarkers

HbF levelsγ-globin mRNA expressionBCL11A expression

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