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The Hemoglobin subunit alpha 2 (HBA2) genomic locus, located within the alpha-globin cluster on chromosome 16, encodes a critical protein component of adult hemoglobin (HbA) (NCBI Gene: 3040). In hematopoietic stem and progenitor cells (HSPCs), this locus is a primary target for gene editing therapies designed to treat beta-thalassemia (Pavani et al., 2021, PubMed: 33536637). The disease is characterized by a lack of beta-globin chains, which results in an excess of alpha-globin chains that precipitate and cause oxidative damage to erythroid precursors (Mettananda et al., 2015, PubMed: 26123394). By employing CRISPR-Cas9 or other gene-editing tools to disrupt the HBA2 locus, researchers aim to reduce alpha-globin production, thereby restoring the stoichiometric balance between alpha and beta chains (UniProt: P69905). This therapeutic approach seeks to improve red blood cell survival and alleviate the symptoms of chronic anemia and ineffective erythropoiesis.
Targeted genomic disruption or silencing of the HBA2 gene or its regulatory elements to reduce alpha-globin chain production, thereby restoring the stoichiometric balance between alpha and beta globin chains in patients with beta-thalassemia (Pavani et al., 2021, PubMed: 33536637).
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