| Literature DB >> 33869190 |
Gloria Barbarani1, Agata Labedz1, Sarah Stucchi1, Alessia Abbiati1, Antonella E Ronchi1.
Abstract
The expression of the fetal Gγ- and Aγ-globin genes in normal development is confined to the fetal period, where two γ-globin chains assemble with two α-globin chains to form α2γ2 tetramers (HbF). HbF sustains oxygen delivery to tissues until birth, when β-globin replaces γ-globin, leading to the formation of α2β2 tetramers (HbA). However, in different benign and pathological conditions, HbF is expressed in adult cells, as it happens in the hereditary persistence of fetal hemoglobin, in anemias and in some leukemias. The molecular basis of γ-globin differential expression in the fetus and of its inappropriate activation in adult cells is largely unknown, although in recent years, a few transcription factors involved in this process have been identified. The recent discovery that fetal cells can persist to adulthood and contribute to disease raises the possibility that postnatal γ-globin expression could, in some cases, represent the signature of the fetal cellular origin.Entities:
Keywords: erythropoiesis; globin genes; hereditary persistence of fetal hemoglobin; juvenile myelomonocytic leukemia; transcription factors
Year: 2021 PMID: 33869190 PMCID: PMC8047207 DOI: 10.3389/fcell.2021.640060
Source DB: PubMed Journal: Front Cell Dev Biol ISSN: 2296-634X
FIGURE 1The globin gene loci in humans (A) and mice (B). Upper panels: the globin gene loci. MCS (multispecies conserved sequences) and LCR (locus control region) are the distal enhancers coordinating the developmental expression of the genes within the cluster. Lower panels: the different types of globin chains expressed at the different developmental stages and the corresponding sites of hematopoiesis are shown. Please note that whereas in humans two subsequent switching events take place, in mouse, as the majority of mammals, there is only one switch from embryo/fetal to adult genes, occurring early in development. Created with BioRender.com.
FIGURE 2The major transcription factors directly regulating the differential expression of γ-globin during development. (A) The expression of γ-globin in embryonic, fetal, and adult cells is regulated by a large common set of ubiquitous (such as, for example, NF-Y) and erythroid-specific transcription factors, the most important of which are GATA1 and its complexes (Love et al., 2014), NFE2, and TAL1. A very small number of TFs, discussed in the text, are instead directly involved in the time-specific expression of γ-globin and in its deregulation when it persists in the adult. c-MYB activates KLF1 that in turn activates BCL11A, which cooperates with SOX6 in repressing γ-globin. ZBTB7A and TR2/TR4 repress γ-globin independently from BCL11A. Of interest, whereas different γ-globin-specific repressors have been identified so far, little is known about early specific activation of embryo/fetal globin genes, and COUP-TFII is the only γ-globin-specific activator identified so far. The oncofetal LIN28B protein, expressed at high levels in JMML cells concomitantly expressing high γ-globin, blocks BCL11A translation. (B) Schematic representation of the γ-promoter showing the position of HPFH mutations. Created with BioRender.com.