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Review Article|Articles in Press, 103677

Gene therapy approaches for sickle cell anemia

Published:February 24, 2023DOI:https://doi.org/10.1016/j.transci.2023.103677
      Sickle cell disease (SCD) has a widely variable clinical course; some of them are severely affected in childhood while in others major damage does not manifest until adulthood. There is no test that can be used to predict the disease course. The best predictor of SCD severity is a patient’s course to date [
      • Romero Z.
      • DeWitt M.
      • Walters M.C.
      Promise of gene therapy to treat sickle cell disease.
      ]. Patients’ quality of life is low and life expectancy is relatively short, nearly 50 years, even newly developed treatments such as iron chelating and disease modifying agents. The only curative treatment option is allogeneic stem cell transplantation (Allo-SCT), but only one fifth of the patients have matched sibling donor. Even they have, there are several complications may develop during and after the transplantation [
      • Benítez-Carabante M.I.
      • Beléndez C.
      • González-Vicent M.
      • Alonso L.
      • Uría-Oficialdegui M.L.
      • Torrent M.
      • et al.
      Grupo Español de Trasplante de Médula Ósea en Niños (GETMON), Grupo Español de Trasplante Hematopoyético (GETH). Matched sibling donor stem cell transplantation for sickle cell disease: Results from the Spanish group for bone marrow transplantation in children.
      ]. This is why there is a safer, convenient and accessible treatments are needed for them. Gene therapy would be one of them.
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