Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing

Abstract Regular blood transfusion is the cornerstone of care for patients with red blood cell (RBC) disorders such as thalassaemia or sickle‐cell disease. With repeated transfusion, alloimmunisation often occurs due to incompatibility at the level of minor blood group antigens. We use CRISPR‐mediat...

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Main Authors: Joseph Hawksworth, Timothy J Satchwell, Marjolein Meinders, Deborah E Daniels, Fiona Regan, Nicole M Thornton, Marieangela C Wilson, Johannes GG Dobbe, Geert J Streekstra, Kongtana Trakarnsanga, Kate J Heesom, David J Anstee, Jan Frayne, Ashley M Toye
Format: Article
Language:English
Published: Springer Nature 2018-04-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.201708454
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author Joseph Hawksworth
Timothy J Satchwell
Marjolein Meinders
Deborah E Daniels
Fiona Regan
Nicole M Thornton
Marieangela C Wilson
Johannes GG Dobbe
Geert J Streekstra
Kongtana Trakarnsanga
Kate J Heesom
David J Anstee
Jan Frayne
Ashley M Toye
author_facet Joseph Hawksworth
Timothy J Satchwell
Marjolein Meinders
Deborah E Daniels
Fiona Regan
Nicole M Thornton
Marieangela C Wilson
Johannes GG Dobbe
Geert J Streekstra
Kongtana Trakarnsanga
Kate J Heesom
David J Anstee
Jan Frayne
Ashley M Toye
author_sort Joseph Hawksworth
collection DOAJ
description Abstract Regular blood transfusion is the cornerstone of care for patients with red blood cell (RBC) disorders such as thalassaemia or sickle‐cell disease. With repeated transfusion, alloimmunisation often occurs due to incompatibility at the level of minor blood group antigens. We use CRISPR‐mediated genome editing of an immortalised human erythroblast cell line (BEL‐A) to generate multiple enucleation competent cell lines deficient in individual blood groups. Edits are combined to generate a single cell line deficient in multiple antigens responsible for the most common transfusion incompatibilities: ABO (Bombay phenotype), Rh (Rhnull), Kell (K0), Duffy (Fynull), GPB (S−s−U−). These cells can be differentiated to generate deformable reticulocytes, illustrating the capacity for coexistence of multiple rare blood group antigen null phenotypes. This study provides the first proof‐of‐principle demonstration of combinatorial CRISPR‐mediated blood group gene editing to generate customisable or multi‐compatible RBCs for diagnostic reagents or recipients with complicated matching requirements.
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spelling doaj-art-9af938bdb64040d3b9bf6a27b7e9cbb82025-08-20T03:42:56ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842018-04-0110611110.15252/emmm.201708454Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editingJoseph Hawksworth0Timothy J Satchwell1Marjolein Meinders2Deborah E Daniels3Fiona Regan4Nicole M Thornton5Marieangela C Wilson6Johannes GG Dobbe7Geert J Streekstra8Kongtana Trakarnsanga9Kate J Heesom10David J Anstee11Jan Frayne12Ashley M Toye13School of Biochemistry, University of BristolSchool of Biochemistry, University of BristolSchool of Biochemistry, University of BristolSchool of Biochemistry, University of BristolImperial College Healthcare NHS TrustInternational Blood Group Reference Laboratory, National Health Service (NHS) Blood and TransplantSchool of Biochemistry, University of BristolDepartment of Biomedical Engineering and Physics, Academic Medical Center, University of AmsterdamDepartment of Biomedical Engineering and Physics, Academic Medical Center, University of AmsterdamDepartment of Biochemistry, Faculty of Medicine Siriraj Hospital, Mahidol UniversitySchool of Biochemistry, University of BristolSchool of Biochemistry, University of BristolSchool of Biochemistry, University of BristolSchool of Biochemistry, University of BristolAbstract Regular blood transfusion is the cornerstone of care for patients with red blood cell (RBC) disorders such as thalassaemia or sickle‐cell disease. With repeated transfusion, alloimmunisation often occurs due to incompatibility at the level of minor blood group antigens. We use CRISPR‐mediated genome editing of an immortalised human erythroblast cell line (BEL‐A) to generate multiple enucleation competent cell lines deficient in individual blood groups. Edits are combined to generate a single cell line deficient in multiple antigens responsible for the most common transfusion incompatibilities: ABO (Bombay phenotype), Rh (Rhnull), Kell (K0), Duffy (Fynull), GPB (S−s−U−). These cells can be differentiated to generate deformable reticulocytes, illustrating the capacity for coexistence of multiple rare blood group antigen null phenotypes. This study provides the first proof‐of‐principle demonstration of combinatorial CRISPR‐mediated blood group gene editing to generate customisable or multi‐compatible RBCs for diagnostic reagents or recipients with complicated matching requirements.https://doi.org/10.15252/emmm.201708454BEL‐ACRISPRerythroidtransfusionuniversal donor
spellingShingle Joseph Hawksworth
Timothy J Satchwell
Marjolein Meinders
Deborah E Daniels
Fiona Regan
Nicole M Thornton
Marieangela C Wilson
Johannes GG Dobbe
Geert J Streekstra
Kongtana Trakarnsanga
Kate J Heesom
David J Anstee
Jan Frayne
Ashley M Toye
Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
EMBO Molecular Medicine
BEL‐A
CRISPR
erythroid
transfusion
universal donor
title Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
title_full Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
title_fullStr Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
title_full_unstemmed Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
title_short Enhancement of red blood cell transfusion compatibility using CRISPR‐mediated erythroblast gene editing
title_sort enhancement of red blood cell transfusion compatibility using crispr mediated erythroblast gene editing
topic BEL‐A
CRISPR
erythroid
transfusion
universal donor
url https://doi.org/10.15252/emmm.201708454
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