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April 24, 2024New England Journal of Medicine438 citations

Exagamglogene Autotemcel for Severe Sickle Cell Disease

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HFHaydar FrangoulFLFranco LocatelliASAkshay Sharma

Key Points

  • Exagamglogene autotemcel is designed to reactivate fetal hemoglobin synthesis through targeted gene editing in patients with severe sickle cell disease.
  • Ex vivo CRISPR-Cas9 gene editing targets the erythroid-specific enhancer region within autologous CD34+ hematopoietic stem and progenitor cells.
  • Nonviral cell therapy approaches using exagamglogene autotemcel may enable durable genetic modification for managing severe sickle cell disease complications.

Abstract

Exagamglogene autotemcel (exa-cel) is a nonviral cell therapy designed to reactivate fetal hemoglobin synthesis by means of ex vivo clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9 gene editing of autologous CD34+ hematopoietic stem and progenitor cells (HSPCs) at the erythroid-specific enhancer region of

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Cite This Study

Frangoul et al. (2024) studied this question.

synapsesocial.com/papers/68e6dc0eb6db643587657d54https://doi.org/10.1056/nejmoa2309676
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of sickle cell disease on patientsʼ daily lives, symptoms reported, and disease management strategies: Results from the international Sickle Cell World Assessment Survey ( SWAY )2020 · 201 citations
  2. 2Exagamglogene Autotemcel for Transfusion-Dependent β-Thalassemia2024 · 221 citations
  3. 3The range of haploidentical transplant protocols in sickle cell disease: all haplos are not created equally2023 · 10 citations
  4. 4Discovering the genetics underlying foetal haemoglobin production in adults2009 · 202 citations
  5. 5Human parvovirus infection in homozygous sickle cell disease1993 · 162 citations