Genome editing in K562 cells suggests a functional role for the XmnI Gg polymorphism: a widely used genetic marker in β-thalassemia and sickle cell disease patients

Cell Mol Biol (Noisy-le-grand). 2024 Jul 28;70(7):230-236. doi: 10.14715/cmb/2024.70.7.33.

Abstract

The XmnI Gg -158 C/T polymorphism has been widely associated with fetal hemoglobin (HbF) levels, the severity of disease, and the response to the drug hydroxyurea (HU) in both β-thalassemia (β-thal) and sickle cell disease (SCD) patients. However, the functional significance of this single nucleotide polymorphism (SNP) remains unclear. To gain insight, green fluorescence protein (GFP) cassettes harboring the XmnI C or T alleles in their left homology arms (i.e. Gg promoters) were knocked into the Gg gene(s) of K562 cells via CRISPR/Cas9. Subsequently, the GFP fluorescence levels were compared in the ensuing cell populations and isolated clones. In both instances, median fluorescence intensities (MFI) of the knockin cells having the inserted XmnI T allele were higher than those having the XmnI C allele. Our results suggest that the XmnI T allele can increase Gg expression in K562 cells. The possible functional significance of the XmnI Gg -158 C/T polymorphism provides a rationale for the aforementioned associations. Furthermore, the XmnI polymorphism as a functional SNP substantiates its importance as a prognostic marker.

MeSH terms

  • Alleles*
  • Anemia, Sickle Cell* / genetics
  • Base Sequence
  • CRISPR-Cas Systems* / genetics
  • Deoxyribonucleases, Type II Site-Specific / genetics
  • Deoxyribonucleases, Type II Site-Specific / metabolism
  • Fetal Hemoglobin / genetics
  • Fetal Hemoglobin / metabolism
  • Gene Editing* / methods
  • Genetic Markers / genetics
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • Humans
  • K562 Cells
  • Polymorphism, Single Nucleotide* / genetics
  • beta-Thalassemia* / genetics

Substances

  • Genetic Markers
  • endodeoxyribonuclease XmnI
  • Deoxyribonucleases, Type II Site-Specific
  • Green Fluorescent Proteins
  • Fetal Hemoglobin