Target intelligence / Profile preview

Genomic DNA at the Albumin locus (ALB locus)

Target
ALB locus
Molecular classification
Genomic DNA, Gene locus
01

Overview

The Albumin (ALB) locus is a highly transcriptionally active region of the human genome located on chromosome 4 (4q13.3), responsible for producing albumin, the most abundant protein in human serum. In therapeutic contexts, this locus is utilized as a safe harbor or bio-factory site for the integration of therapeutic transgenes via genome editing tools like Zinc Finger Nucleases (ZFNs) (PMID: 26030171). By inserting a promoterless gene into the first intron of the albumin gene, the therapeutic protein is expressed under the control of the powerful endogenous albumin promoter, which is naturally optimized for high-level expression in hepatocytes (Sangamo Therapeutics, 2018). This strategy is primarily employed to treat monogenic disorders such as Hemophilia B and Lysosomal Storage Disorders, including Hunter and Hurler syndromes, by ensuring a steady supply of the missing protein in the bloodstream (NCT02695160). While promising for providing a permanent genetic fix, the approach requires precise DNA cleavage and carries risks of off-target effects or insertional mutagenesis (PMID: 30742115). Clinical development has focused on using Adeno-Associated Virus (AAV) vectors to deliver the editing machinery to the liver (PMID: 31477910).

Other names
Albumin gene locusALB locusAlbumin safe harborHepatocyte albumin locusAlbumin integration site
02

Mechanism of action

Site-specific integration of a therapeutic transgene into the albumin locus using Zinc Finger Nucleases (ZFNs) to leverage the endogenous albumin promoter for high-level protein expression.

03

Biological functions

Gene expressionProtein synthesisTranscriptional regulation
04

Disease associations

Hemophilia BMucopolysaccharidosis type I (Hurler syndrome)Mucopolysaccharidosis type II (Hunter syndrome)
05

Safety considerations

Off-target genome editingInsertional mutagenesisImmunogenicity of AAV vectorsHepatotoxicityClonal expansion of edited cells
06

Interacting drugs

SB-FIX

2 more in the full profile.

07

Biomarkers

Plasma Factor IX activityPlasma Iduronate-2-sulfatase (IDS) activityPlasma alpha-L-iduronidase (IDUA) activityLiver enzyme levels (ALT/AST)Vector DNA copy number

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