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The genomic DNA of hematopoietic stem and progenitor cells (HSPCs) serves as the comprehensive genetic blueprint for the development and maintenance of the entire blood and immune systems [5]. In modern medicine, this genomic DNA is a primary therapeutic target for ex vivo gene therapies and gene-editing interventions designed to treat severe genetic disorders such as sickle cell disease, beta-thalassemia, and various primary immunodeficiencies [1, 2]. By utilizing technologies like CRISPR/Cas9 or lentiviral vectors, clinicians can precisely modify the DNA within a patient's own CD34+ cells to either disrupt disease-causing elements or insert functional gene sequences [2, 3]. These modified cells are then re-infused into the patient, where they engraft in the bone marrow and produce a continuous supply of healthy, functional progeny [1, 4]. The therapeutic success of targeting HSPC DNA depends on achieving high levels of stable modification while minimizing risks such as off-target effects or insertional mutagenesis, which could lead to hematologic malignancies [6]. As such, the HSPC genome represents a critical substrate for curative strategies in regenerative medicine, transforming the treatment landscape for inherited hematologic conditions [1].
Modification of the genomic sequence via site-specific gene editing (e.g., CRISPR/Cas9) or stable gene addition using viral vectors (e.g., lentivirus) to restore or alter cellular function [1, 2, 3].
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